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Titre : | When a policy decision meets practice realities : The case of cancer survivorship care and rehabilitation needs assessment (2018) |
Auteurs : | Charlotte Handberg ; Sally Thorne ; Thomas Maribo |
Type de document : | Article |
Dans : | European Journal of Oncology Nursing (Vol. 33, April 2018) |
Article en page(s) : | p. 70-77 |
Note générale : | https://doi.org/10.1016/j.ejon.2018.01.010 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Besoin ; Hôpitaux ; Interdisciplinarité ; Personnel de santé ; Rééducation et réadaptation ; Soins de santé primaires ; Survivants ; Tumeurs |
Mots-clés: | Prise de décision politique ; Réalité de la pratique |
Résumé : |
Purpose
To analyze and describe health professionals' attitudes and perspectives on the complexities of cancer survivorship and rehabilitation needs assessment in a shared cancer care context. Method The design and methodology for this study was Interpretive Description and the analysis was informed by Symbolic Interactionism as the theoretical framework. Between April and December 2015 an ethnographic fieldwork was carried out by the first author in haematological wards at two Danish hospitals and in two primary care settings conducting cancer survivorship care programs. Participants were 41 health professionals working with needs assessment. Results The findings revealed an understanding of the health professionals' attitudes and perspectives and were distinguishable in relation to three structural conditions associated with the dimensions of survivorship care: Patient Context, Workplace Priorities and Practice Culture. Despite shared beliefs that needs assessment was essential to ensure survivorship care, the differential conditions surrounding the hospital and the primary care settting impeded the wider idea of formalized needs assessment, creating barriers to a seamless link between the sectors. Conclusions Meaningful resolution of these disjunctures will require broad solutions, recognizing that the organization of healthcare into disconnected systems, with their different conditions, history, habits and traditions, will certainly plague the transition problems in healthcare unless a wider perspective is taken. Thoughtful and informed clinicians working with decision makers and those who know the evidence and can interpret systems in context can certainly bring better options to light in order to develop high quality survivorship care that will support patients throughout their cancer trajectory. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |