Gynecological cancer patients’ differentiated use of help from a nurse navigator: a qualitative study

Abstract

Background: Fragmentation in healthcare can present challenges for patients with suspected cancer. It can add to existing anxiety, fear, despair and confusion during disease trajectory. In some circumstances patients are offered help from an extra contact person, a Nurse Navigator (NN). Scientific studies showing who will benefit from the extra help offered are missing. This study aims to explore who could benefit from the help on offer from a nurse appointed as NN in the early part of a cancer trajectory, and what would be meaningful experiences in this context. Methods: A longitudinal study with a basis in phenomenology and hermeneutics was performed among Danish women with gynecological cancer. Semi-structured interviews provided data for the analysis, and comprehensive understanding was arrived at by first adopting an open-minded approach to the transcripts and by working at three analytical levels.

Investigation of Cancer Patients’ Information Sources, Information Needs and Expectations of Health Professionals

“…[4] Bu nedenle kanser hastalarının bilgi gereksinimlerini anlayabilmek için iletişim ve hastaların karar vermede desteklenmesi önemlidir. [5] Hastalar sağlık profesyonellerinden olumlu iletişim yanında bakım, destek [6] ve olayların anlayabilecekleri dilde anlatılmasını beklemektedirler. [7] Ayrıca sağlık profesyonelleri bilgi verirken dürüst, merhametli ve empatik olmalı, zaman ayırmalı, dinlemeli, umut vermeli, alternatif tedavi yollarını anlatmalı, güvenilir, bilgili, saygılı, yardımsever ve ulaşılabilir olmalıdır.…”

Experiences of Gynecological Cancer through Perspectives of Existential Philosophy: A Qualitative Meta-Synthesis Study

“…Araştırma kapsamına alınan 35 çalışmanın 3'ü ulusal,10,11,39] 32'si uluslar arası [4][5][6][7][8][9][12][13][14][15][16][17][18][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] yayındır. Bu araştırmalarda verilerin, 28'unun bireysel derinlemesine görüşme, dördünün odak grup görüşmesi, üçünün doküman analizi (biri web tabanlı olmak üzere) olarak elde edildiği saptanmıştır (Tablo 1).…”

How Communication Disharmonies between Patients and Nurses Can Affect Patients—A Qualitative Study of Illness Experienced from the Patients View

“…In order to grasp the patients' experiences, a qualitative method was chosen. The data was collected at the same time as data for another part of the study: Only data and results regarding healthcare professional support before admission to hospital have earlier been reported (Thygesen et al, 2011a;Thygesen et al, 2012). Data and results with regard to patients' experiences of healthcare professional help in the in-hospital period have not previously been reported and is used for this paper.…”

“…The significance of healthcare professionals' behavior on the patients' psychological outcome is grounded in patients' experiences of the interaction, which will be interpreted by personal filters influenced by present and earlier experiences (Thygesen et al, 2012;Løgstrup, 2008;Hillen et al, 2014). This makes care challenging, as what professionals do and intend to signal is not always experienced the intended way by the patients (Thygesen et al, 2011b;Silverman et al, 2005).…”

“…The study is a part of a larger study, which investigated cancer patients' experiences of received healthcare, and from which patients' experiences with a pre-hospital offer of a nurse navigator were reported (Thygesen et al, 2011a;Thygesen et al, 2012). Patient-provider interaction is important for cancer patients' wellbeing and further coping (Arora, 2003;Seetharamu et al, 2007;Hillen et al, 2011).…”