通过关爱生命历程镜头的澳大利亚癌症计划:通过将人置于关爱中心从癌症转移到关爱。

IF 2.3 4区 医学 Q1 NURSING
Elise Button, Angela Rong Yang Zhang, Carla Thamm, Raymond J Chan, Andreas Charalambous, Carolyn Ee, Greg Merlo, Gemma McErlean, Benjamin O Anderson, Alison L Kitson
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引用次数: 0

摘要

目的:我们提出关爱生命历程理论(CLCT)作为一个透镜,可以为国家癌症政策和临床实践提供信息和丰富。本讨论文件的目的是强调CLCT镜头如何为国家癌症控制计划的实施提供信息,以澳大利亚癌症计划的部分为例-最佳护理途径和澳大利亚综合癌症网络。方法:本讨论论文通过借鉴CLCT的概念——护理传记、护理网络和自我护理,提出新颖的建议。对比“当前状态”和“未来状态”的小插曲描述了CLCT如何帮助癌症政策从癌症转向护理。基于强大的理论视角,在微观、中观和宏观层面提出了政策和实践建议,反思了护士的作用,并将其应用于其他国家癌症控制计划。结果:最佳护理路径应包括在关键临床时间点纳入更广泛病史的整体评估。澳大利亚综合护理网络应考虑癌症患者的整体需求,并利用创新方法以网络方式满足这些需求。除了临床考虑外,了解个人的护理经历、护理网络和自我护理可以为提供高质量的癌症护理提供信息。这些护理方面的实施将由护士领导,并得到多学科小组的支持。结论:CLCT镜头可以帮助支持ACP中描述的以人为本的理想目标的实施。存在将CLCT方法应用于其他国家癌症控制计划的潜力,包括那些资源匮乏的国家。对护理实践的启示:护士在领导实施以人为本的癌症控制计划和CLCT方法的核心方面发挥着至关重要的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Australian Cancer Plan through a Caring Life Course Lens: Moving from Cancer to Care by Placing the Person at the Center of Care.

Objective: We propose the Caring Life Course Theory (CLCT) as a lens that can inform and enrich national cancer policy and clinical practice. The purpose of this discussion paper is to highlight how a CLCT lens can inform the implementation of a national cancer control plan, using sections of the Australian Cancer Plan as examples-Optimal Care Pathways and the Australian Comprehensive Cancer Network.

Methods: This discussion paper presents novel suggestions by drawing on CLCT concepts-care biographies, care networks, and self-care. Contrasting "current state" and "future state" vignettes are described to demonstrate how CLCT can help cancer policy move from cancer to care. Based on a robust theoretical lens, recommendations for policy and practice have been made at the micro, meso, and macro levels, with reflection on the nurses' role, and application to other national cancer control plans.

Results: Optimal care pathways should include holistic assessments that incorporate broader histories at key clinical time points. The Australian Comprehensive Care Network should consider the holistic needs of people affected by cancer, and harness innovative approaches for how these needs can be met in a networked approach. In addition to clinical considerations, understanding of an individual's care biography, care network, and self-care can inform the delivery of high-quality cancer care. Implementation of these aspects of care will be led by nurses, supported by a multidisciplinary team.

Conclusions: A CLCT lens can help support implementation of the aspirational person-centered objectives described in the ACP. The potential exists for application of the CLCT approach to other national cancer control plans, including those in low-resource settings.

Implications for nursing practice: Nurses play a vital role in leading the implementation of person-centered dimensions of cancer control plans and core aspects of the CLCT approach.

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来源期刊
Seminars in Oncology Nursing
Seminars in Oncology Nursing Nursing-Oncology (nursing)
CiteScore
3.40
自引率
0.00%
发文量
68
审稿时长
45 days
期刊介绍: Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.
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