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首页> 外文期刊>Cancer nursing >From Challenges to Resources A Qualitative Study of Cancer Coordinators' Experiences of Barriers and Facilitators to Enacting Their System-Focused Tasks
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From Challenges to Resources A Qualitative Study of Cancer Coordinators' Experiences of Barriers and Facilitators to Enacting Their System-Focused Tasks

机译：从挑战到资源对癌症协调员障碍与促进者经验的定性研究，以制定其以体系为中心的任务

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Background Cancer coordinators (CCs) operate at both patient and system levels in order to provide patients with tailored and coordinated services. In common with international CCs, Norwegian CCs denote notable progress in their patient-focused work, while reporting ongoing challenges in carrying out system-focused tasks. However, little is known about the barriers and facilitators for CCs' system-level work. Objective The aim of this study was to explore Norwegian CCs' experiences of barriers and facilitators for enacting system-focused tasks. Methods The study applies a qualitative method, conducting an interpretative data inquiry of semistructured in-depth interviews with 26 Norwegian CCs. The data were analyzed using thematic analysis and discussed in light of previous research and salutogenic theory. Results The analyses revealed 3 main themes: (1) "understanding the role and local cancer care," (2) "systems for care delivery in primary healthcare," and (3) "commitment to collaboration." Where present, the themes could represent important facilitators, whereas their absence could depict notable challenges to CCs system-focused work. Over time, as CCs were able to mobilize resources, they were able to gradually turn initial challenges into facilitators in the context of system-level work. Conclusions Cancer coordinators encounter cognitive, practical, and relational topics that impact their system-focused activities. Adopting a salutogenic focus can help CCs mobilize resources needed to turn challenges into facilitators for system-level work.
机译：背景技术癌症协调员（CCS）在患者和系统级别运行，以便为患者提供量身定制和协调的服务。与国际CCS共同，挪威CCS表示，在患者专注的工作中表示显着进展，同时在执行以系统为中心的任务时报告持续挑战。但是，关于CCS系统级工作的障碍和促进者知之甚少。客观本研究的目的是探索挪威CCS的障碍和促进者的经验，以制定以体系为中心的任务。方法该研究采用定性方法，进行与26个挪威CCS的半系统的深层访谈的解释性数据查询。使用主题分析分析数据，并根据先前的研究和促进原理讨论。结果分析显示了3个主要主题：（1）“了解作用和地方癌症护理”（2）“在初级医疗保健中进行护理系统，”（3）“致力于合作。”在现在，主题可以代表重要的促进者，而他们的缺席可以描绘对CCS系统的工作的显着挑战。随着时间的推移，由于CCS能够动员资源，他们能够在系统级工作的背景下逐步将初始挑战转变为促进者。结论癌症协调员遭遇认知，实用，以及影响其以其重点的活动的关系。采用唾液生焦点可以帮助CCS调动所需的资源，以将挑战变成系统级工作的促进者。

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