Hinder för psykosociala insatser inom cancervården : En kunskapsöversikt
Sammanfattning: The aim of this study was to scrutinize the existing barriers within psychosocial cancer care, through the cancer centers point of view. A literature review was conducted, resulting in ten peer-reviewed articles, to further investigate the psychosocial cancer care in the Western part of the world by assessing existing barriers to effective psychosocial work, and improvements needed for cancer centers to be able to offer aqequate care to patients and their loved ones. The result of the study was divided into sub-themes and revealed four main barriers: Lack of routines and structure within the psychosocial cancer care; ; Lack of understanding and knowledge of the importance of psychosocial work in cancer care among medical staff; Inadequate resources to carry out psychosocial work in terms of Lack of time, staff and economy; and lastly; Lack of access to and understanding of the importance of culture specific and multilingual cancer care. The result of the study was analyzed bearing reference to Michael Lipskys theory of street-level bureaucracy. It appears that the psychosocial worker is obliged to take on two incompatible professional roles; Firstly, a patient-centered role and secondly, a loyal role towards the organization. As a consequence, these two incompatibilities tend to impact the self-regard of the psychosocial worker. In conclusion, psychosocial cancer care needs increased resources, and the benefit of closer professional collaboration between the medical cancer staff and the psychosocial cancer staff needs to be emphasized. Furthermore, awareness of the deficient conditions under which the psychosocial work is organized, need to be brought to the top management. This may allow the psychosocial cancer care to improve over time; and further facilitate psychosocial workers' abilities of administering equal and confident psychosocial cancercare.
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