Keywords

Cancer, Collaboration, Distress, Help, Interdisciplinary, Multidisciplinary, Nursing, Oncology, Psycho-oncology, Psychology, Psychosocial, Qualitative research, Support, Teamwork

 

Authors

  1. Daem, Michiel MSc, RN
  2. Verbrugghe, Mathieu PhD, MSc
  3. Schrauwen, Wim MSc
  4. Leroux, Silvian MSc, RN
  5. Van Hecke, Ann PhD, MSc, RN
  6. Grypdonck, Maria PhD, MSc, RN

Abstract

Background: The organization of psychosocial care is rather complex, and its provision diverse. Access is affected by the acceptance and attitude of patients and professional caregivers toward psychosocial care.

 

Objectives: The aims of this study were to examine when patients with cancer experience quality psychosocial care and to identify circumstances in collaboration that contribute to patient-perceived positive psychosocial care.

 

Methods: This study used a qualitative design in which semistructured interviews were conducted with patients, hospital workers, and primary health professionals.

 

Results: Psychosocial care is often requested but also refused by patients with cancer. Based on this discrepancy, a distinction is made between psychosocial support and psychosocial interventions. Psychosocial support aims to reduce the chaos in patients' lives caused by cancer and is not shunned by patients. Psychosocial interventions comprise the formal care offered in response to psychosocial problems. Numerous patients are reluctant to use psychosocial interventions, which are often provided by psychologists.

 

Conclusion: Psychosocial care aims to assist patients in bearing the difficulties of cancer and its treatment. Patients prefer informal support, given often in conjunction with physical care.

 

Implications for Practice: This study confirms the important role of nurses in promoting psychosocial care. Patients perceive much support from nurses, although nurses are not considered to be professional psychosocial caregivers. Being perceived as approachable and trustworthy offers nurses a significant opportunity to bring more intense psychosocial interventions within reach of cancer patients.