Highlights
- •The integration of accompanying patients (AP) into the teams is perceived as variable and under construction.
- •Participants identified factors linked to clinical team, APs and patient that can influence APs’ integration into teams.
- •Participants identified APs’ roles as complementary roles in helping people affected by cancer cope with their care journey.
Abstract
Objectives
In Canada, two out of five people will be diagnosed with cancer which will affect
their lives on a physical, psychological, and social levels. To help people affected
by cancer (PAC) cope with the disease, support is provided by oncology nurses (ONs),
including oncology pivot nurses (OPNs), as well as by accompanying patients (APs),
i.e. people who have already had to deal with a cancer problem. APs are still a recent
addition to the services offered in oncology, and as of yet no study has explored
how the support provided by APs is being integrated into usual care, especially ONs
care. This study explores the perceptions of APs and ONs on APs’ integration into
clinical teams.
Method
An exploratory qualitative study was carried out with six ONs and six APs through
semi-structured interviews conducted from 2020 to 2021. Data were analyzed using a
qualitative content analysis.
Results
Participants perceived the AP's integration into the teams and during care as variable
and in flux. They also identified factors that influence APs' integration into clinical
teams (e.g.:the clinical teams' dynamics, the understanding of the AP's role, APs
and patients' characteristics). Lastly, participants made recommendations to improve
APs integration into clinical teams.
Conclusion
This study highlights how integrating APs into clinical teams has not yet become part
of ONs’ routines. ONs can play a key role in their integration through their collaborative
and teamwork skills. Furthermore, there is a recognition that these two approaches
can play complementary roles in supporting PACs.
Keywords
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Article info
Publication history
Published online: December 16, 2022
Accepted:
December 14,
2022
Received in revised form:
November 30,
2022
Received:
June 23,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
