Research Article

Exploring Psychosocial Needs of Patients with Cancers through the Lens of the Physicians and Nurses: A Qualitative Study

Table 4

Psychosocial care provided by health professionals.

ThemesSubthemesCodesSubcodes

Psychosocial care provided by health professionalsThe role of each professionThe assessment of social needs can be carried out by any professional and the alarm can be raised by anyone who detects it
Registered nurseThe 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
PhysicianPrimarily 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 professionalPsychosocial 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 workThe 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 realityAddressing the psychosocial sphere during health careIt 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 stayWe 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 approachIt 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 societyAs 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