Cargando…

What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis

INTRODUCTION: Screening questionnaires to assess psychological distress in cancer patients are well-established, but in practice there are difficulties in implementation screening up to referral to psycho-oncology. Interdisciplinary collaboration between psycho-oncology, physicians, and nursing is v...

Descripción completa

Detalles Bibliográficos
Autores principales: Dreismann, Lara, Goretzki, Alina, Ginger, Viktoria, Zimmermann, Tanja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8825354/
https://www.ncbi.nlm.nih.gov/pubmed/35153856
http://dx.doi.org/10.3389/fpsyt.2021.786691
_version_ 1784647190451322880
author Dreismann, Lara
Goretzki, Alina
Ginger, Viktoria
Zimmermann, Tanja
author_facet Dreismann, Lara
Goretzki, Alina
Ginger, Viktoria
Zimmermann, Tanja
author_sort Dreismann, Lara
collection PubMed
description INTRODUCTION: Screening questionnaires to assess psychological distress in cancer patients are well-established, but in practice there are difficulties in implementation screening up to referral to psycho-oncology. Interdisciplinary collaboration between psycho-oncology, physicians, and nursing is very important to this process. However, there are barriers and obstacles on all sides. OBJECTIVE: The aim of this study is to capture in particular the barriers from the perspective of oncology nursing. MATERIALS AND METHODS: Semi-structured interviews with nursing experts (n = 15; n = 10 female; 24–62 years) from different oncology departments of three university hospitals in Germanys were conducted and qualitative content analysis was carried out by two raters. RESULTS: The Screening routine is variably well-integrated into daily clinical practice. Structural barriers such as time pressure and a lack of focus on mental distress in nursing are present. Barriers on the side of nurses are primarily a lack of knowledge and communication insecurities when dealing with patients. CONCLUSIONS: There is a need for training and implementation of a disciplinary screening approach. The structural and organizational barriers, which are a challenge for the successful screening process due to unfavorable interdisciplinary team communication and clinical daily structure, should be addressed in further studies. Implications for Practice: In order to establish an interdisciplinary screening process and to overcome the barriers, trainings to deal with knowledge deficits and insecurities seem to be useful.
format Online
Article
Text
id pubmed-8825354
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-88253542022-02-10 What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis Dreismann, Lara Goretzki, Alina Ginger, Viktoria Zimmermann, Tanja Front Psychiatry Psychiatry INTRODUCTION: Screening questionnaires to assess psychological distress in cancer patients are well-established, but in practice there are difficulties in implementation screening up to referral to psycho-oncology. Interdisciplinary collaboration between psycho-oncology, physicians, and nursing is very important to this process. However, there are barriers and obstacles on all sides. OBJECTIVE: The aim of this study is to capture in particular the barriers from the perspective of oncology nursing. MATERIALS AND METHODS: Semi-structured interviews with nursing experts (n = 15; n = 10 female; 24–62 years) from different oncology departments of three university hospitals in Germanys were conducted and qualitative content analysis was carried out by two raters. RESULTS: The Screening routine is variably well-integrated into daily clinical practice. Structural barriers such as time pressure and a lack of focus on mental distress in nursing are present. Barriers on the side of nurses are primarily a lack of knowledge and communication insecurities when dealing with patients. CONCLUSIONS: There is a need for training and implementation of a disciplinary screening approach. The structural and organizational barriers, which are a challenge for the successful screening process due to unfavorable interdisciplinary team communication and clinical daily structure, should be addressed in further studies. Implications for Practice: In order to establish an interdisciplinary screening process and to overcome the barriers, trainings to deal with knowledge deficits and insecurities seem to be useful. Frontiers Media S.A. 2022-01-26 /pmc/articles/PMC8825354/ /pubmed/35153856 http://dx.doi.org/10.3389/fpsyt.2021.786691 Text en Copyright © 2022 Dreismann, Goretzki, Ginger and Zimmermann. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Dreismann, Lara
Goretzki, Alina
Ginger, Viktoria
Zimmermann, Tanja
What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis
title What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis
title_full What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis
title_fullStr What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis
title_full_unstemmed What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis
title_short What if… I Asked Cancer Patients About Psychological Distress? Barriers in Psycho-Oncological Screening From the Perspective of Nurses–A Qualitative Analysis
title_sort what if… i asked cancer patients about psychological distress? barriers in psycho-oncological screening from the perspective of nurses–a qualitative analysis
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8825354/
https://www.ncbi.nlm.nih.gov/pubmed/35153856
http://dx.doi.org/10.3389/fpsyt.2021.786691
work_keys_str_mv AT dreismannlara whatifiaskedcancerpatientsaboutpsychologicaldistressbarriersinpsychooncologicalscreeningfromtheperspectiveofnursesaqualitativeanalysis
AT goretzkialina whatifiaskedcancerpatientsaboutpsychologicaldistressbarriersinpsychooncologicalscreeningfromtheperspectiveofnursesaqualitativeanalysis
AT gingerviktoria whatifiaskedcancerpatientsaboutpsychologicaldistressbarriersinpsychooncologicalscreeningfromtheperspectiveofnursesaqualitativeanalysis
AT zimmermanntanja whatifiaskedcancerpatientsaboutpsychologicaldistressbarriersinpsychooncologicalscreeningfromtheperspectiveofnursesaqualitativeanalysis