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Patient Education Process in Oncologic Context: What, Why, and by Whom?

Abstract：

BACKGROUND:Patients with cancer move between institutions and settings and have different knowledge expectations during their illness trajectory. To provide individually tailored, timely, and relevant education, healthcare professionals should collaborate in the patient education process. OBJECTIVES:This study aimed to describe procedures used by healthcare professionals involved in cancer management when assessing knowledge expectations, cognitive resources, and comprehension of adult patients with cancer during and after education in various phases of their illness trajectory. Intraprofessional and interprofessional collaboration concerning the patient education process is described. METHODS:Eleven focus group interviews were conducted for nurses (n = 42) and physicians (n = 23) involved in cancer care from four healthcare organizations: a private occupational health care and three hospital settings. Interview data were analyzed with inductive content analysis. RESULTS:In the assessment of the knowledge expectations, cognitive resources, and comprehension of a patient with cancer, both the nurses and physicians first applied objective assessment methods and then used dialogue with the patient. No validated instruments were used by either group. Among nurses, educational content was based on the patient's possible or actual problems in everyday life during cancer management, whereas the physicians focused on the patient's rights to information and informed consent for treatment. The patient education process was often incompletely documented into patient records and not always utilized interprofessionally or between care units. DISCUSSION:In oncology services, there is a gap between research evidence utilization and the patient education process. Patients should be involved in the planning, implementation, and evaluation of their education and be informed about the division of responsibilities in patient education between different professional groups. This would allow patients to participate more extensively in the decision making concerning their own treatments. To ensure effective interprofessional patient education for individual patients, improvement in information exchange among members of the cancer care team is needed.

journal_name

Nurs Res

journal_title

Nursing research

authors

Vaartio-Rajalin H,Huumonen T,Iire L,Jekunen A,Leino-Kilpi H,Minn H,Paloniemi J

doi

10.1097/NNR.0000000000000114

subject

Has Abstract

pub_date

2015-09-01 00:00:00

pages

381-90

issue

eissn

0029-6562

issn

1538-9847

pii

00006199-201509000-00007

journal_volume

pub_type

杂志文章,多中心研究

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Patient Education Process in Oncologic Context: What, Why, and by Whom?