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Qualitative study of nurses’ experiences with case management of postoperative breast cancer patients |
WEI Ling1 WANG Xiumei1 TANG Hong1 XING Jun2 LU Bin3 |
1.Operating Room, Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences), Shanxi Province, Taiyuan 030032, China;
2.Breast Surgery Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences), Shanxi Province, Taiyuan 030032, China;
3.Department of Anesthesiology, Shanxi Bethune Hospital (Shanxi Academy of Medical Sciences), Shanxi Province, Taiyuan 030032, China |
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Abstract Objective To understand nurses’ perceptions and nursing experiences in case management of postoperative breast cancer patients. Methods From January to March 2022, a combination of convenience and purposive sampling was used to select 12 breast surgery nurses from 2 tertiary care hospitals in Taiyuan, Shanxi. Semi-structured interviews were conducted using the phenomenological research method in qualitative research. The data were organized and analyzed using the Colaizzi 7-step analysis method to refine the themes. Results A total of four themes were distilled: nurses’ general awareness of the importance of case management; the diversity of forms of case management used; the problems nurses had in implementing case management; and the factors that influence nurses’ implementation of case management. Conclusion Effective measures can be taken to continuously improve the implementation of case management by developing targeted nurse training programs, clarifying case manager admission qualifications, emphasizing patient participation in postoperative lymphedema in breast cancer, and improving the support and assurance system related to case management.
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