Experiences of Patients, Family Members and Nurses in Outpatient Cancer Care: A Multi-Method Qualitative Study.

IF 2.1 4区 医学 Q2 NURSING
Nerea Azcárate-Cenoz, Cristina Alfaro-Díaz, Ana Ojer Perea, María Ángeles Soteras Ramírez, Cristina Arellano Gil, Patricia Beorlegui Murillo, Nuria Esandi
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Abstract

Introduction: Cancer significantly impacts patients and their families, disrupting their emotional, relational, and organisational dynamics. Outpatient oncology nurses play a pivotal role in addressing the complex and evolving needs of patients with cancer and their families. Including the perspectives of nurses, family members, and patients within this care setting may inform the development of appropriate care services responsive to their real needs. This study aimed to gain a comprehensive and integrated understanding of how nurses, patients, and family members experience cancer and caring in outpatient oncology consultations.

Methods: A multi-method qualitative study was conducted as part of a larger Experience-Based Co-Design project. Data were collected between January and May 2024 through non-participant observations, field notes, and semi-structured interviews with patients, family members, and nurses. Data were analysed using inductive thematic analysis, integrating findings across participant groups and data collection methods.

Results: Through the integrated data analysis of observations, field notes, and individual stakeholders' interviews, three key themes emerged: (i) Cancer: a family affair; (ii) the needs of patients with cancer and their families; and (iii) the importance of establishing a trust-based nurse-family relationship.

Conclusions: This study provides a comprehensive understanding of the experiences of patients, families, and nurses in outpatient oncology care, underscoring the critical role of a family-oriented approach in care to provide support to families facing the multifaceted challenges posed by the illness. Insights from this research will inform the next phase of an Experience-Based Co-Design study to design a nurse-led family support intervention for patients with cancer and their family members.

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癌症患者、家属及护士门诊护理经验:一项多方法定性研究。
导言:癌症严重影响患者及其家庭,破坏他们的情感、关系和组织动态。门诊肿瘤科护士在解决癌症患者及其家属复杂和不断变化的需求方面发挥着关键作用。在这种护理环境中,包括护士、家庭成员和患者的观点可能会告知适当的护理服务的发展,以满足他们的实际需求。本研究的目的是全面和综合地了解护士、病人和家属在门诊肿瘤会诊中如何体验癌症和护理。方法:作为一个更大的基于经验的协同设计项目的一部分,进行了一项多方法定性研究。数据收集于2024年1月至5月,通过非参与性观察、现场记录和对患者、家属和护士的半结构化访谈。数据分析采用归纳专题分析,整合参与者群体和数据收集方法的调查结果。结果:通过对观察、实地记录和个人利益相关者访谈的综合数据分析,出现了三个关键主题:(i)癌症:一个家庭事务;(ii)癌症病人及其家属的需要;(三)建立以信任为基础的护士家庭关系的重要性。结论:本研究提供了患者、家属和护士在门诊肿瘤护理中的经验的全面理解,强调了以家庭为导向的护理方法的关键作用,为面临疾病带来的多方面挑战的家庭提供支持。这项研究的见解将为一项基于经验的联合设计研究的下一阶段提供信息,该研究旨在为癌症患者及其家庭成员设计护士主导的家庭支持干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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