Die bepaling van standaarde vir 'n omvattende opvolgdiens aan onkologiepasiente op die Wes-Kaapse platteland

[摘要] ENGLISH ABSTRACT:Against the background of the approach to make the follow up care to oncologypatients more accessible and with the emphasis on quality care, it was indicatedthat this service needs to be evaluated.A study based on a combination of qualitative and quantitative methods (alsocalled triangulation) was conducted to formulate structure, process and outcomestandards for a comprehensive follow up care for the oncology patients and toevaluate this service according these standards.The most important results are:• The quality of care relating to the structure standards was optimalregarding the organization of the patient's visits, follow up treatment andreferrals. A suboptimal standard was found regarding the generalmanagement system.• In the process standards focusing on the physical and psychosocial needsof the patient, a suboptimal standard was found regarding all aspects.Nursing practice leading to subobtimal care of patients is a major causefor concern.• With the outcome standards reflecting in patient satisfaction, positive aswell as negative opinions and perceptions were found.Recommendations include:• Upgrading of management systems• Empowerment of the nurses with knowledge and scientific competencies• Attention to the opinions and perceptions of the patients to completelyinvolve the patient in the service and treatment process.Keywords: Oncology follow up service I formulation of structure, process andoutcome standards.

[发布机构] Stellenbosch University