Nurse specialist led follow-up in lung cancer: The experience of developing and delivering a new model of care
Nurse specialist led follow-up in lung cancer: The experience of developing and delivering a new model of care
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DOI：
10.1016/j.ejon.2006.01.007
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发表时间：
2006-12-01
影响因子：
2.8
通讯作者：
Corner, Jessica
中科院分区：
文献类型：
--
作者：
Moore, Sally;Wells, Mary;Corner, Jessica
早些时候的一篇论文报告了一项研究的数据，该研究比较了对肺癌患者的传统医疗随访和护士专家随访，表明由护士专家进行的随访是安全、有效的，并可以带来更高水平的患者满意度。在肺癌后续护理中发展护士专家角色的过程和经验尚未被描述。本文的目的是描述护士主导的后续护理模式的准备和发展，确定在护士主导的后续护理中提供的关键护理干预措施，并提供对护士专家提供后续护理的经验的见解。数据是从护士专家的病人病历和与研究小组举行的会议中收集的。对提供后续护理的护士专家和研究协调员进行了半结构化访谈。护理在肺癌随访护理中的作用的性质被描述。此外，还确定了与护士领导的后续角色发展过程有关的四个主题。它们是：“培训”、“变得可信”、“情感负担”和“有所作为”。管理肺癌患者的后续护理对护理专家来说可能是有益的。然而，它也可能在情感上要求很高。对这类轮值人员的培训和支持至关重要，需要进一步深入研究。(C)2006爱思唯尔有限公司。保留所有权利。
Data from an earlier paper reporting on a study comparing conventional medical follow-up with nurse specialist follow-up of patients with lung cancer demonstrated that follow-up by nurse specialists is safe, effective and can lead to greater levels of patient satisfaction. The process and experience of developing a nurse specialist role in lung cancer follow-up care has not yet been described. The aims of this paper are to describe the preparation and development of a model of nurse led follow-up care, identify key nursing interventions provided within nurse led follow-up care and provide insights into the experiences of nurse specialists providing follow-up care. Data were collected from nurse specialists' patient case-records and from meetings held with the study team. Semi-structured interviews were conducted with the nurse specialists providing follow-up care and the study coordinators. The nature of the nursing role in lung cancer follow-up care is described. In addition, four themes relating to the process of developing a nurse led follow-up role are identified. These are: 'training', 'becoming credible', 'emotional burden' and 'making a difference'. Managing follow-up care for patients with lung cancer can be rewarding for nurse specialists. However, it can also be emotionally demanding. Training and support for such rotes is vital and requires further in-depth research. (c) 2006 Elsevier Ltd. All rights reserved.