基于并适应:为农村环境适应癌症护理人员的心理教育干预
Erin E Kent1,2,3, Kelly R Tan2,4, Zev M Nakamura2,5
1Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Cancer medicine
|September 5, 2024
概括
为农村癌症护理人员调整心理教育干预措施,通过解决服务获取,财务和地理障碍,改善了其适应性. 这种以参与者为中心的方法增强了对服务不足的人群的支持.
科学领域:
- 心理社会瘤学
- 实施科学 实施科学
- 农村卫生 农村卫生
背景情况:
- 农村癌症护理人员在获得服务,获得休息和确保接受者的优质护理方面面临重大障碍.
- 需要基于证据的行为干预措施来解决农村癌症护理人员的支持差距.
- 将干预措施适应农村环境对于适当适应和解决独特的护理人员挑战至关重要.
研究的目的:
- 为农村癌症护理人员介绍心理教育干预措施的适应过程.
- 提高现有干预措施的适应性,以满足农村癌症患者/护理人员双层的特定需求.
主要方法:
- 针对所有癌症类型的农村癌症患者的护理人员,改编了Reblin的CARING干预措施.
- 进行了培养工作,包括对7名护理人员和3名医院工作人员进行了定性采访.
- 利用基于证据的实施策略的调整和修改报告框架 (FRAME-IS) 和主题分析.
主要成果:
- 确定的主要未满足需求是服务获取,财务挑战 (治疗费用,就业) 和地理障碍 (距离,道路状况).
- 干预修改包括内容,培训和基于护理人员和工作人员反的背景调整.
- 通过社会支持,会议内容,干预者培训,资源,招聘和虚拟交付的变化,改进了适应性.
结论:
- 以参与者为中心的方法和实施科学可以改善农村人口的心理瘤学干预措施.
- 系统性挑战,如缺乏护理人员文件,持续存在,不成比例地影响服务不足的群体.
- 适应的enCompass干预正在为农村二元体进行试点研究,针对护理人员的自我效能和患者/护理人员的痛苦.
相关概念视频
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.2K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.2K
01:30Community Based Intervention
36
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
36
01:30Specialized Care Centers and Settings-II
719
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
719
01:30Specialized Care Centers and Settings-I
936
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
936
02:56Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K