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Themes | Subthemes | Codes | Subcodes |
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Psychosocial care provided by health professionals | The role of each profession | The assessment of social needs can be carried out by any professional and the alarm can be raised by anyone who detects it |
Registered nurse | The most suited health professional to identify psychosocial needs |
We are not addressing the psychosocial sphere well within nursing assessment care plans |
The importance of a good nursing assessment |
They may refer patients to the social work unit |
Physician | Primarily refers patients with psychosocial needs to other healthcare providers |
They have difficulty addressing emotional needs |
They are focused on therapeutic needs |
The physician and registered nurse deliver patient care in tandem |
They would need to have a prior comprehensive assessment |
Influence of the characteristics of each professional | Psychosocial care depends on the sensitivity or previous experience of the health professional |
Psychosocial care is a personal decision of each professional |
Psychosocial care depends on the empathy of the professional |
The need for multidisciplinary teams |
Expectations on psychology and social work | The importance of having psychologists/psycho-oncologists in the team |
The psychologist is the most appropriate professional to provide emotional support for patients |
The psychiatrist is not identified as a psychosocial support figure |
The social worker as a psychosocial support agent |
The main role of the social worker is to obtain resources |
Lack of knowledge of the role of social work |
Day-to-day reality | Addressing the psychosocial sphere during health care | It is not given enough importance among health professionals |
It is being adequately assessed |
It should explore the individual circumstances of each patient |
These are “nonmedical” support actions |
No questions asked, no solution provided |
It is addressed once the more clinical part has been resolved |
How are patients' emotional needs addressed? | Some patients refuse psychiatric support |
The emotional sphere is neglected |
We detect emotional needs too late |
Some patients avoid talking about emotions in consultation |
They often need more support than psychiatric treatment |
During the hospital stay | We cover the physical needs |
The patient with cancer is primarily cared for at hospital |
Social risk is detected throughout the hospital stay |
We detect social problems at discharge |
Primary care approach | It is the ideal setting for detecting and addressing psychosocial needs |
They have a better understanding of the patient’s environment and support network |
They are there for and accompany the patient |
Health care for cancer patients in Spanish society | As a society, we live with our backs turned to illness and death |
The healthcare model should take patients' needs more into account |
The social situation conditions coping and treatment |
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