Josefine Maria Bruun, Pernille Andreassen, Louise Elkjær Fløe, Jesper Grau Eriksen, Poul Videbech, Søren Paaske Johnsen, Mette Asbjoern Neergaard
{"title":"专业人员对护理已有严重精神障碍的癌症患者的看法。","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with healthcare professionals who were sampled by purposive sampling. Data were analysed using inductive qualitative content analysis.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Funding: </strong>This study was funded by The Danish Cancer Society (R283-A16499).</p><p><strong>Trial registration: </strong>This study is registered in the internal register of research projects of the Central Denmark Region (R. no. 1-16-02-227-21).</p>","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":"{\"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\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with healthcare professionals who were sampled by purposive sampling. Data were analysed using inductive qualitative content analysis.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p><p><strong>Funding: </strong>This study was funded by The Danish Cancer Society (R283-A16499).</p><p><strong>Trial registration: </strong>This study is registered in the internal register of research projects of the Central Denmark Region (R. no. 1-16-02-227-21).</p>\",\"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}","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}
Professionals' perspectives on caring for cancer patients with pre-existing severe mental disorders.
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).
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.
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