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Thai Oncology Nurses' Perceptions of Patient Participation in Acute Cancer Care
Kanaungnit Pongthavornkamol,Aphorn Khamkon,Warunee Phligbua,Emma Cohen,Mari Botti 한국간호과학회 2018 Asian Nursing Research Vol.12 No.3
Purpose: Patient participation in care is considered a core component of high-quality nursing care and medical treatment. In the context of cancer care in Thailand, we know very little about the way patient participation in care is perceived and enacted. The aim of this study was to explore Thai oncology nurses' perceptions and understandings of patient participation in their own care during hospitalization. Methods: A qualitative descriptive research approach using focus groups was applied. Two focus group interviews (N = 16) were conducted with registered nurses who provide care in oncology units of one tertiary care university hospital in Bangkok, Thailand. The transcribed interviews were analyzed using qualitative content analysis. Results: In this study, nurses were aware of the value of patient participation during hospitalization but acknowledged that current processes to involve patients in their care were not as effective as they could be. Facilitating participation is seen as a means of supporting patients to make decisions independently that are in line with their treatment plans, in particular, decisions related to self-care and illness-related symptoms. This raises the potential for conflict when patients make choices that are contrary to recommendations. Barriers to facilitating participation identified were high clinician workloads and lack of time, and ambiguity of existing guidelines for supporting lifestyle decisions. Conclusion: Facilitating patient participation is complex in acute cancer care. Patient participation is recognized by nurses as a positive way of promoting independence in patients. However, balancing patient autonomy with nurses' perceived professional responsibilities is challenging in practice.
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Teresa K.L. Boitano,Haller J. Smith,Joshua G. Cohen,Emma C. Rossi,Kenneth H. Kim 대한부인종양학회 2021 Journal of Gynecologic Oncology Vol.32 No.2
Objective: To evaluate the utility of a society-based robotic surgery training program forfellows in gynecologic oncology. Methods: All participants underwent a 2-day robotic surgery training course between2015–2017. The course included interactive didactic sessions with video, dry labs, androbotic cadaver labs. The labs encompassed a wide range of subject matter includingtroubleshooting, instrument variation, radical hysterectomies, and lymph node dissections. Participants completed a pre- and post-course survey using a 5-point Likert scale rangingfrom “not confident” to “extremely confident” on various measures. Statistical analysis wasperformed using SPSS Statistics v. 24. Results: The response rate was high with 86% of the 70 participants completing the survey. Sixteen (26.7%) of these individuals were attending physicians and 44 (73.3%) were fellows. In general, there was a significant increase in confidence in more complex proceduresand concepts such as radical hysterectomy (p=0.01), lymph node dissection (p=0.01),troubleshooting (p=0.001), and managing complications (p=0.004). Faculty comfort andpractice patterns were cited as the primary reason (58.9%) for limitations during roboticprocedures followed secondarily by surgical resources (34.0%). Conclusion: In both gynecologic oncology fellows and attendings, this educational theory based curriculum significantly improved confidence in the majority of procedures andconcepts taught, emphasizing the value of hands-on skill labs.
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