结构性和中级因素对护理人员在支持患有癌症的儿童时应对能力的影响:一种定性研究
Vivian Christensen1, Melissa Varnum1, Kellee Parker2
1Oregon Clinical and Translational Research Institute (OCTRI), Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
概括
财政和就业支持,以及社区资源,显著帮助癌症儿童的家庭照顾者. 解决这些因素可以缓解儿童癌症治疗带来的巨大压力.
科学领域:
- 在瘤学瘤学.
- 心理社会支持 心理社会支持
- 卫生政策 卫生政策
背景情况:
- 癌症儿童的家庭照顾者面临着相当大的压力.
- 应对机制受到结构性和中级因素的影响.
- 了解这些影响对于支持性干预至关重要.
研究的目的:
- 检查结构性 (医疗保健,休假政策) 和中级 (组织,社区) 因素如何影响儿童癌症治疗期间的护理人员应对.
- 为了确定特定的因素,促进或阻碍照顾者应对.
主要方法:
- 定性数据集的二次分析.
- 与49名护理人员 (38例) 进行了深入的半结构化访谈.
- 修改了带有诱导主题分析的基础理论方法.
主要成果:
- 促进因素:低自费医疗费用,带薪休假,以及来自卫生系统,组织和社会网络的支持.
- 阻碍因素:严重的财务负担,无薪假期,不顾情况继续工作,缺乏支持.
- 护理人员经历了结构和中层影响的交叉.
结论:
- 政策和系统支持对于提高护理人员应对能力至关重要.
- 干预措施应应对财政负担,就业灵活性和社会支持网络.
- 研究结果表明,可以采取可行的策略来减轻儿童癌症治疗期间的护理人员负担.
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