A psychosocial oncology program: perceptions of the telephone-triage assessment

被引:3
|
作者
Desrochers, France [1 ]
Donivan, Erin [1 ]
Mehta, Anita [1 ,2 ]
Laizner, Andrea Maria [1 ,3 ]
机构
[1] McGill Univ, Ingram Sch Nursing, 3506 Univ St, Montreal, PQ H3A 2A7, Canada
[2] McGill Univ, Ctr Hlth, Canc Care Miss, Psychosocial Oncol Program, 1001 Decarie Blvd, Montreal, PQ H4A 3J1, Canada
[3] McGill Univ, Montreal Gen Hosp, Ctr Hlth, Nursing Res Div,Nursing Practice Consultant Res, 1650 Ave Cedar,S2-214, Montreal, PQ H3G 1A4, Canada
关键词
Psychosocial oncology; Distress; Telephone triage; Nursing; Clinical nurse specialist; Qualitative research; FOLLOW-UP; PSYCHOLOGICAL DISTRESS; QUALITATIVE-ANALYSIS; CANCER-PATIENTS; CARE; ADVICE;
D O I
10.1007/s00520-016-3091-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose Cancer can be a significant source of distress for patients and family members, which led to the creation of psychosocial oncology (PSO) programs across Canada. To access the PSO program at this institution, individuals are first triaged over the telephone by a clinical nurse specialist (CNS) who also provides psychosocial support during the call, in our study, we explored the perceptions of cancer patients or family members about their psychosocial telephone-triage assessment conducted by a CNS for a PSO program. Methods A qualitative descriptive design was used to explore the perceptions of nine cancer patients and family members triaged by the CNS for the PSO program. Audiotaped in person interviews were transcribed verbatim and analyzed for themes and categories using a constant comparative method. Results Three major themes emerged: (1) Triage as a bridge to care, referred to the structure of telephone triage and link to psychosocial services; (2) feeling a supportive presence, referred to the CNS' actions to foster a therapeutic relationship; and (3) different paths to tailored care, referred to the individualized strategies targeted to the participant's unique needs. As most participants described trusting the CNS, these three themes were found to emerge through a lens of trust. Conclusion Overall, the telephone triage was able to address the concerns of many participants and provide individualized coping strategies and support. This study ftirther demonstrates that psychosocial support can be provided during triage over the telephone.
引用
收藏
页码:2937 / 2944
页数:8
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