癌患者との性問題に対処するためにBETTERモデルを使用するコンタクト看護師の経験 - 正常化プロセス理論に基づく研究
Linda Åkerström Wenneberg1, Cecilia Olsson2, Anna Josse Eklund1
1Department of Health Sciences, Karlstad University, SE-651 88, Karlstad, Sweden.
まとめ
コンタクト・ナース・イン・ガンケア (CNCC) は,BETTERモデルを使用して,患者の性的健康に関する議論を改善することができます. このツールは信頼を高めますが,実践への成功的な統合には組織的なサポートが必要です.
科学分野:
- 腫瘍学 看護学
- 癌のケアにおける性的健康
- 実施科学を実装する.
背景:
- 癌ケアにおけるコンタクト看護師 (CNCCs) は,患者の性的健康上の懸念に対処する上で極めて重要です.
- 多くのCNCCは,これらの繊細な会話を開始するために必要なツールと自信を持っていません.
研究 の 目的:
- 性に関する議論をがん治療に統合するためのBETTERモデルに関するCNCCの認識を探求する.
- BETTERモデルを実践する際の障壁と促進要因を理解する.
主な方法:
- 37のCNCCを対象とした質的研究.
- 教育セミナー,書面による反省,フォーカスグループを通じて収集されたデータ.
- 分析は,標準化プロセス理論の構築によって導かれます.
主要な成果:
- CNCCは,BETTERモデルが性的健康に関する会話の開始に価値があると認めました.
- 個人的な反省,仲間からのサポート,経営陣からのサポートは,重要なファシリテーターでした.
- 時間的制約と構造的障壁により,実施の課題が生じました.
- CNCCは,モデルの潜在的な臨床チャンピオンとして特定されました.
結論:
- BETTERモデルのようなコミュニケーションツールは,性的健康に関するCNCCの信頼と能力を高めることができます.
- 実施の成功には,組織的な支援とCNCCの役割の認識が必要です.
- 標準化プロセス理論は,実装プロセスを効果的に説明しました.
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