乳腺癌个案管理师工作体验的质性研究

Work experience of breast cancer case managers:a qualitative study

目的了解乳腺癌个案管理师为患者实施个案管理过程中的自身体验,为进一步完善个案管理工作模式及人才培养提供依据。方法采用目的抽样法,于2020年6—10月选择广州市设置乳腺癌个案管理师岗位的医院为研究场所,采用现象学研究方法,对9名乳腺癌个案管理师进行半结构式访谈,采用Colaizzi 7步分析法进行资料分析。结果提炼出2个正性体验:综合能力提升和真实的成就感;4个负性体验:复杂的人际关系、未知的未来、停不下来的陀螺和空荡荡的后背。结论由个案管理师主导的个案管理模式优势明显,但存在阻碍,需提供针对性支持措施以促使其更好地落实及推广。

Objective To explore the experience of breast cancer case managers in the process of carrying out case management for patients,so as to provide a basis for further improving the work mode of case management and talent training.Methods From June to October 2020,purpose sampling was adopted to select the hospital in Guangzhou where the breast cancer case manager position was set up as the research site.The phenomenological research method was used to carry out semi-structured interviews with 9 breast cancer case managers.Colaizzi 7-step analysis method was used for data analysis.Results A total of two positive experiences were refined,namely comprehensive ability improvement and real sense of accomplishment.A total of four negative experiences were refined,complicated interpersonal relationships,unknown future,unstoppable spinning top and empty back.Conclusions The case management model led by the case manager has obvious advantages,but there are obstacles.It is necessary to provide targeted support measures to promote its implementation and promotion.