When a policy decision meets practice realities: The case of cancer survivorship care and rehabilitation needs assessment

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When a policy decision meets practice realities : The case of cancer survivorship care and rehabilitation needs assessment. / Handberg, Charlotte; Thorne, Sally; Maribo, Thomas.

I: European Journal of Oncology Nursing, Bind 33, 01.04.2018, s. 70-77.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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@article{d4e5c2b8ac8c4260b05c7a238d3cf235,
title = "When a policy decision meets practice realities: The case of cancer survivorship care and rehabilitation needs assessment",
abstract = "Purpose: To analyze and describe health professionals{\textquoteright} attitudes and perspectives on the complexities of cancer survivorship and rehabilitation needs assessment in a shared cancer care context. Method: The design and methodology for this study was Interpretive Description and the analysis was informed by Symbolic Interactionism as the theoretical framework. Between April and December 2015 an ethnographic fieldwork was carried out by the first author in haematological wards at two Danish hospitals and in two primary care settings conducting cancer survivorship care programs. Participants were 41 health professionals working with needs assessment. Results: The findings revealed an understanding of the health professionals{\textquoteright} attitudes and perspectives and were distinguishable in relation to three structural conditions associated with the dimensions of survivorship care: Patient Context, Workplace Priorities and Practice Culture. Despite shared beliefs that needs assessment was essential to ensure survivorship care, the differential conditions surrounding the hospital and the primary care settting impeded the wider idea of formalized needs assessment, creating barriers to a seamless link between the sectors. Conclusions: Meaningful resolution of these disjunctures will require broad solutions, recognizing that the organization of healthcare into disconnected systems, with their different conditions, history, habits and traditions, will certainly plague the “transition” problems in healthcare unless a wider perspective is taken. Thoughtful and informed clinicians working with decision makers and those who know the evidence and can interpret systems in context can certainly bring better options to light in order to develop high quality survivorship care that will support patients throughout their cancer trajectory.",
keywords = "Cancer, Cancer survivorship care, Collaboration, Health professionals, Hospitals, Needs assessment, Policy makers, Primary care, Rehabilitation, Survivorship care",
author = "Charlotte Handberg and Sally Thorne and Thomas Maribo",
year = "2018",
month = apr,
day = "1",
doi = "10.1016/j.ejon.2018.01.010",
language = "English",
volume = "33",
pages = "70--77",
journal = "European Journal of Oncology Nursing",
issn = "1462-3889",
publisher = "Churchill Livingstone",

}

RIS

TY - JOUR

T1 - When a policy decision meets practice realities

T2 - The case of cancer survivorship care and rehabilitation needs assessment

AU - Handberg, Charlotte

AU - Thorne, Sally

AU - Maribo, Thomas

PY - 2018/4/1

Y1 - 2018/4/1

N2 - Purpose: To analyze and describe health professionals’ attitudes and perspectives on the complexities of cancer survivorship and rehabilitation needs assessment in a shared cancer care context. Method: The design and methodology for this study was Interpretive Description and the analysis was informed by Symbolic Interactionism as the theoretical framework. Between April and December 2015 an ethnographic fieldwork was carried out by the first author in haematological wards at two Danish hospitals and in two primary care settings conducting cancer survivorship care programs. Participants were 41 health professionals working with needs assessment. Results: The findings revealed an understanding of the health professionals’ attitudes and perspectives and were distinguishable in relation to three structural conditions associated with the dimensions of survivorship care: Patient Context, Workplace Priorities and Practice Culture. Despite shared beliefs that needs assessment was essential to ensure survivorship care, the differential conditions surrounding the hospital and the primary care settting impeded the wider idea of formalized needs assessment, creating barriers to a seamless link between the sectors. Conclusions: Meaningful resolution of these disjunctures will require broad solutions, recognizing that the organization of healthcare into disconnected systems, with their different conditions, history, habits and traditions, will certainly plague the “transition” problems in healthcare unless a wider perspective is taken. Thoughtful and informed clinicians working with decision makers and those who know the evidence and can interpret systems in context can certainly bring better options to light in order to develop high quality survivorship care that will support patients throughout their cancer trajectory.

AB - Purpose: To analyze and describe health professionals’ attitudes and perspectives on the complexities of cancer survivorship and rehabilitation needs assessment in a shared cancer care context. Method: The design and methodology for this study was Interpretive Description and the analysis was informed by Symbolic Interactionism as the theoretical framework. Between April and December 2015 an ethnographic fieldwork was carried out by the first author in haematological wards at two Danish hospitals and in two primary care settings conducting cancer survivorship care programs. Participants were 41 health professionals working with needs assessment. Results: The findings revealed an understanding of the health professionals’ attitudes and perspectives and were distinguishable in relation to three structural conditions associated with the dimensions of survivorship care: Patient Context, Workplace Priorities and Practice Culture. Despite shared beliefs that needs assessment was essential to ensure survivorship care, the differential conditions surrounding the hospital and the primary care settting impeded the wider idea of formalized needs assessment, creating barriers to a seamless link between the sectors. Conclusions: Meaningful resolution of these disjunctures will require broad solutions, recognizing that the organization of healthcare into disconnected systems, with their different conditions, history, habits and traditions, will certainly plague the “transition” problems in healthcare unless a wider perspective is taken. Thoughtful and informed clinicians working with decision makers and those who know the evidence and can interpret systems in context can certainly bring better options to light in order to develop high quality survivorship care that will support patients throughout their cancer trajectory.

KW - Cancer

KW - Cancer survivorship care

KW - Collaboration

KW - Health professionals

KW - Hospitals

KW - Needs assessment

KW - Policy makers

KW - Primary care

KW - Rehabilitation

KW - Survivorship care

UR - http://www.scopus.com/inward/record.url?scp=85041412612&partnerID=8YFLogxK

U2 - 10.1016/j.ejon.2018.01.010

DO - 10.1016/j.ejon.2018.01.010

M3 - Journal article

C2 - 29551180

AN - SCOPUS:85041412612

VL - 33

SP - 70

EP - 77

JO - European Journal of Oncology Nursing

JF - European Journal of Oncology Nursing

SN - 1462-3889

ER -