Professionals' perspectives on caring for cancer patients with pre-existing severe mental disorders.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2024-04-23 DOI:10.61409/A08230497

Josefine Maria Bruun, Pernille Andreassen, Louise Elkjær Fløe, Jesper Grau Eriksen, Poul Videbech, Søren Paaske Johnsen, Mette Asbjoern Neergaard

{"title":"Professionals' perspectives on caring for cancer patients with pre-existing severe mental disorders.","authors":"Josefine Maria Bruun, Pernille Andreassen, Louise Elkjær Fløe, Jesper Grau Eriksen, Poul Videbech, Søren Paaske Johnsen, Mette Asbjoern Neergaard","doi":"10.61409/A08230497","DOIUrl":null,"url":null,"abstract":"Introduction: Cancer trajectories among patients with pre-existing severe mental disorders (SMD) are challenging and these pateints' prognosis is poor. This study aimed at exploring barriers in cancer trajectories among patients with pre-existing SMD as experienced by Danish healthcare professionals.Methods: Semi-structured interviews were conducted with healthcare professionals who were sampled by purposive sampling. Data were analysed using inductive qualitative content analysis.Results: The participants wanted to optimise treatment, but several barriers were reported, including lack of knowledge of supportive social systems. Oncological participants experienced a lack of knowledge of psychiatric disorders and a reluctance to deal with patients with SMD among some colleagues. Furthermore, participants expressed a lack of time and continuity.Conclusions: Concerns about how to create optimal cancer care trajectories for people with pre-existing SMD exist among healthcare professionals. Even so, stigmatisation, lack of knowledge and system barriers such as a lack of time and continuity must be addressed to optimise care for this population.Funding: This study was funded by The Danish Cancer Society (R283-A16499).Trial registration: This study is registered in the internal register of research projects of the Central Denmark Region (R. no. 1-16-02-227-21).","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"71 5","pages":""},"PeriodicalIF":1.0000,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Danish medical journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.61409/A08230497","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Cancer trajectories among patients with pre-existing severe mental disorders (SMD) are challenging and these pateints' prognosis is poor. This study aimed at exploring barriers in cancer trajectories among patients with pre-existing SMD as experienced by Danish healthcare professionals.

Methods: Semi-structured interviews were conducted with healthcare professionals who were sampled by purposive sampling. Data were analysed using inductive qualitative content analysis.

Results: The participants wanted to optimise treatment, but several barriers were reported, including lack of knowledge of supportive social systems. Oncological participants experienced a lack of knowledge of psychiatric disorders and a reluctance to deal with patients with SMD among some colleagues. Furthermore, participants expressed a lack of time and continuity.

Conclusions: Concerns about how to create optimal cancer care trajectories for people with pre-existing SMD exist among healthcare professionals. Even so, stigmatisation, lack of knowledge and system barriers such as a lack of time and continuity must be addressed to optimise care for this population.

Funding: This study was funded by The Danish Cancer Society (R283-A16499).

Trial registration: This study is registered in the internal register of research projects of the Central Denmark Region (R. no. 1-16-02-227-21).

查看原文本刊更多论文

专业人员对护理已有严重精神障碍的癌症患者的看法。

导言：已有严重精神障碍（SMD）的患者的癌症轨迹具有挑战性，这些患者的预后较差。本研究旨在探究丹麦医护人员在已有严重精神障碍患者的癌症治疗过程中遇到的障碍：通过有目的的抽样，对医疗保健专业人员进行了半结构化访谈。采用归纳定性内容分析法对数据进行分析：结果：参与者希望优化治疗，但也报告了一些障碍，包括缺乏对支持性社会系统的了解。肿瘤科的参与者对精神疾病缺乏了解，一些同事不愿与 SMD 患者打交道。此外，参与者还表示缺乏时间和连续性：结论：医疗保健专业人员对如何为已有 SMD 的患者创建最佳癌症护理轨迹存在担忧。即便如此，也必须解决污名化、知识缺乏以及系统障碍（如缺乏时间和连续性）等问题，以优化对这一人群的护理：本研究由丹麦癌症协会（R283-A16499）资助：本研究已在丹麦中部大区研究项目内部登记处登记（登记号：1-16-02-227-21）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.