Barriers to cancer care for people with significant mental health difficulties: What healthcare staff say?
Objectives Despite similar rates in cancer morbidity, patients with comorbid significant mental health difficulties (SMHD) experience higher mortality rates. This population has largely been neglected in cancer care research. Little is known about how to improve cancer outcomes for patients with SMH...
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| Veröffentlicht in: | Psycho-oncology (Chichester, England) England), 2021-12, Vol.30 (12), p.2032-2038 |
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| container_issue | 12 |
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| container_title | Psycho-oncology (Chichester, England) |
| container_volume | 30 |
| creator | D’Alton, Paul O’Meara, Rachel Langford, Seán McDonnell, Zoe Nuzum, Ann Murthy, Varsha Eswara Craddock, Fiona Cogley, Clodagh McCormack, Derval |
| description | Objectives
Despite similar rates in cancer morbidity, patients with comorbid significant mental health difficulties (SMHD) experience higher mortality rates. This population has largely been neglected in cancer care research. Little is known about how to improve cancer outcomes for patients with SMHD. The aim of this research is to explore the views of healthcare professionals concerning the provision of cancer care to individuals with SMHD in an Irish context.
Methods
Semi‐structured interviews were conducted with healthcare professionals (n = 28) providing care to people with SMHD and cancer. This included oncology and psychiatry consultants (n = 10); clinical nurse specialists (n = 8); clinical psychologists (n = 6); and medical social workers (n = 4). Data were analysed using thematic analysis.
Results
Four overarching themes were generated from the data highlighting the challenges associated with healthcare provision for this cohort. The themes were: Fragmentation of Care, Healthcare Providers' Understanding of SMHD, Complex Nature of Presentation, and Specialised Care Needs.
Conclusions
The findings contribute to advancing our understanding of cancer care provision for patients with SMHD. They identify important barriers and facilitators to cancer care provision for this population from the perspective of healthcare professionals in Ireland. These findings will help to shape future research and contribute to improving the quality‐of‐care for people with SMHD and cancer. |
| doi_str_mv | 10.1002/pon.5790 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2566028958</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2626284954</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3830-ea6e18633dd302cfc158e6615649a2d92cc91247adfea1c164c44eb004ce5b913</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMofoO_QAJevFTzvY0XUfELRD0oHkM2nbhZum1NWmT_vVldFQSZwwwzDw_Di9AeJUeUEHbctc2RHGmygjYp0bqgitLVxSxHhWZCb6CtlKaEZFirdbTBhZC8lHwTTc9tjAFiwn2LnW0cxNwiYN9G3EHb1YDfQz_BKbw2wYeM9HgGTW9rPAFb50sVfN4PdR8gneCXie2Xl09P6q33ONn56Q5a87ZOsLvs2-j56vLp4qa4e7i-vTi7KxwvOSnAKqCl4ryqOGHOOypLUIpKJbRllWbOacrEyFYeLHVUCScEjAkRDuRYU76NDr-8XWzfBki9mYXkoK5tA-2QDJNKEVZqWWb04A86bYfY5O8MU7lKoaX4FbrYphTBmy6GmY1zQ4lZ5G9y_maRf0b3l8JhPIPqB_wOPAPFF_Aeapj_KzKPD_efwg8zUo7C</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2626284954</pqid></control><display><type>article</type><title>Barriers to cancer care for people with significant mental health difficulties: What healthcare staff say?</title><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><creator>D’Alton, Paul ; O’Meara, Rachel ; Langford, Seán ; McDonnell, Zoe ; Nuzum, Ann ; Murthy, Varsha Eswara ; Craddock, Fiona ; Cogley, Clodagh ; McCormack, Derval</creator><creatorcontrib>D’Alton, Paul ; O’Meara, Rachel ; Langford, Seán ; McDonnell, Zoe ; Nuzum, Ann ; Murthy, Varsha Eswara ; Craddock, Fiona ; Cogley, Clodagh ; McCormack, Derval</creatorcontrib><description>Objectives
Despite similar rates in cancer morbidity, patients with comorbid significant mental health difficulties (SMHD) experience higher mortality rates. This population has largely been neglected in cancer care research. Little is known about how to improve cancer outcomes for patients with SMHD. The aim of this research is to explore the views of healthcare professionals concerning the provision of cancer care to individuals with SMHD in an Irish context.
Methods
Semi‐structured interviews were conducted with healthcare professionals (n = 28) providing care to people with SMHD and cancer. This included oncology and psychiatry consultants (n = 10); clinical nurse specialists (n = 8); clinical psychologists (n = 6); and medical social workers (n = 4). Data were analysed using thematic analysis.
Results
Four overarching themes were generated from the data highlighting the challenges associated with healthcare provision for this cohort. The themes were: Fragmentation of Care, Healthcare Providers' Understanding of SMHD, Complex Nature of Presentation, and Specialised Care Needs.
Conclusions
The findings contribute to advancing our understanding of cancer care provision for patients with SMHD. They identify important barriers and facilitators to cancer care provision for this population from the perspective of healthcare professionals in Ireland. These findings will help to shape future research and contribute to improving the quality‐of‐care for people with SMHD and cancer.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.5790</identifier><identifier>PMID: 34453853</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Cancer ; cancer care ; Clinical psychologists ; Comorbidity ; Consultants ; Delivery of Health Care ; Health care ; Health care industry ; health inequities ; Health Personnel - psychology ; Health services ; Humans ; medical oncology ; Medical personnel ; Medical social workers ; Medicine ; Mental disorders ; Mental Health ; mental illness ; Morbidity ; Mortality rates ; Neoplasms - therapy ; Nurse specialists ; Oncology ; Patients ; Professional attitudes ; Psychiatry ; psycho‐oncology ; Qualitative Research ; quality of health care ; Segmentation ; Social Workers ; Specialists</subject><ispartof>Psycho-oncology (Chichester, England), 2021-12, Vol.30 (12), p.2032-2038</ispartof><rights>2021 The Authors. Psycho‐Oncology published by John Wiley & Sons Ltd.</rights><rights>2021 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.</rights><rights>2021. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3830-ea6e18633dd302cfc158e6615649a2d92cc91247adfea1c164c44eb004ce5b913</citedby><cites>FETCH-LOGICAL-c3830-ea6e18633dd302cfc158e6615649a2d92cc91247adfea1c164c44eb004ce5b913</cites><orcidid>0000-0003-1801-6230 ; 0000-0001-5123-9757</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.5790$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.5790$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,33774,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34453853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>D’Alton, Paul</creatorcontrib><creatorcontrib>O’Meara, Rachel</creatorcontrib><creatorcontrib>Langford, Seán</creatorcontrib><creatorcontrib>McDonnell, Zoe</creatorcontrib><creatorcontrib>Nuzum, Ann</creatorcontrib><creatorcontrib>Murthy, Varsha Eswara</creatorcontrib><creatorcontrib>Craddock, Fiona</creatorcontrib><creatorcontrib>Cogley, Clodagh</creatorcontrib><creatorcontrib>McCormack, Derval</creatorcontrib><title>Barriers to cancer care for people with significant mental health difficulties: What healthcare staff say?</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psychooncology</addtitle><description>Objectives
Despite similar rates in cancer morbidity, patients with comorbid significant mental health difficulties (SMHD) experience higher mortality rates. This population has largely been neglected in cancer care research. Little is known about how to improve cancer outcomes for patients with SMHD. The aim of this research is to explore the views of healthcare professionals concerning the provision of cancer care to individuals with SMHD in an Irish context.
Methods
Semi‐structured interviews were conducted with healthcare professionals (n = 28) providing care to people with SMHD and cancer. This included oncology and psychiatry consultants (n = 10); clinical nurse specialists (n = 8); clinical psychologists (n = 6); and medical social workers (n = 4). Data were analysed using thematic analysis.
Results
Four overarching themes were generated from the data highlighting the challenges associated with healthcare provision for this cohort. The themes were: Fragmentation of Care, Healthcare Providers' Understanding of SMHD, Complex Nature of Presentation, and Specialised Care Needs.
Conclusions
The findings contribute to advancing our understanding of cancer care provision for patients with SMHD. They identify important barriers and facilitators to cancer care provision for this population from the perspective of healthcare professionals in Ireland. These findings will help to shape future research and contribute to improving the quality‐of‐care for people with SMHD and cancer.</description><subject>Cancer</subject><subject>cancer care</subject><subject>Clinical psychologists</subject><subject>Comorbidity</subject><subject>Consultants</subject><subject>Delivery of Health Care</subject><subject>Health care</subject><subject>Health care industry</subject><subject>health inequities</subject><subject>Health Personnel - psychology</subject><subject>Health services</subject><subject>Humans</subject><subject>medical oncology</subject><subject>Medical personnel</subject><subject>Medical social workers</subject><subject>Medicine</subject><subject>Mental disorders</subject><subject>Mental Health</subject><subject>mental illness</subject><subject>Morbidity</subject><subject>Mortality rates</subject><subject>Neoplasms - therapy</subject><subject>Nurse specialists</subject><subject>Oncology</subject><subject>Patients</subject><subject>Professional attitudes</subject><subject>Psychiatry</subject><subject>psycho‐oncology</subject><subject>Qualitative Research</subject><subject>quality of health care</subject><subject>Segmentation</subject><subject>Social Workers</subject><subject>Specialists</subject><issn>1057-9249</issn><issn>1099-1611</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kE1LxDAQhoMofoO_QAJevFTzvY0XUfELRD0oHkM2nbhZum1NWmT_vVldFQSZwwwzDw_Di9AeJUeUEHbctc2RHGmygjYp0bqgitLVxSxHhWZCb6CtlKaEZFirdbTBhZC8lHwTTc9tjAFiwn2LnW0cxNwiYN9G3EHb1YDfQz_BKbw2wYeM9HgGTW9rPAFb50sVfN4PdR8gneCXie2Xl09P6q33ONn56Q5a87ZOsLvs2-j56vLp4qa4e7i-vTi7KxwvOSnAKqCl4ryqOGHOOypLUIpKJbRllWbOacrEyFYeLHVUCScEjAkRDuRYU76NDr-8XWzfBki9mYXkoK5tA-2QDJNKEVZqWWb04A86bYfY5O8MU7lKoaX4FbrYphTBmy6GmY1zQ4lZ5G9y_maRf0b3l8JhPIPqB_wOPAPFF_Aeapj_KzKPD_efwg8zUo7C</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>D’Alton, Paul</creator><creator>O’Meara, Rachel</creator><creator>Langford, Seán</creator><creator>McDonnell, Zoe</creator><creator>Nuzum, Ann</creator><creator>Murthy, Varsha Eswara</creator><creator>Craddock, Fiona</creator><creator>Cogley, Clodagh</creator><creator>McCormack, Derval</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>ASE</scope><scope>BHHNA</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1801-6230</orcidid><orcidid>https://orcid.org/0000-0001-5123-9757</orcidid></search><sort><creationdate>202112</creationdate><title>Barriers to cancer care for people with significant mental health difficulties: What healthcare staff say?</title><author>D’Alton, Paul ; O’Meara, Rachel ; Langford, Seán ; McDonnell, Zoe ; Nuzum, Ann ; Murthy, Varsha Eswara ; Craddock, Fiona ; Cogley, Clodagh ; McCormack, Derval</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3830-ea6e18633dd302cfc158e6615649a2d92cc91247adfea1c164c44eb004ce5b913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cancer</topic><topic>cancer care</topic><topic>Clinical psychologists</topic><topic>Comorbidity</topic><topic>Consultants</topic><topic>Delivery of Health Care</topic><topic>Health care</topic><topic>Health care industry</topic><topic>health inequities</topic><topic>Health Personnel - psychology</topic><topic>Health services</topic><topic>Humans</topic><topic>medical oncology</topic><topic>Medical personnel</topic><topic>Medical social workers</topic><topic>Medicine</topic><topic>Mental disorders</topic><topic>Mental Health</topic><topic>mental illness</topic><topic>Morbidity</topic><topic>Mortality rates</topic><topic>Neoplasms - therapy</topic><topic>Nurse specialists</topic><topic>Oncology</topic><topic>Patients</topic><topic>Professional attitudes</topic><topic>Psychiatry</topic><topic>psycho‐oncology</topic><topic>Qualitative Research</topic><topic>quality of health care</topic><topic>Segmentation</topic><topic>Social Workers</topic><topic>Specialists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>D’Alton, Paul</creatorcontrib><creatorcontrib>O’Meara, Rachel</creatorcontrib><creatorcontrib>Langford, Seán</creatorcontrib><creatorcontrib>McDonnell, Zoe</creatorcontrib><creatorcontrib>Nuzum, Ann</creatorcontrib><creatorcontrib>Murthy, Varsha Eswara</creatorcontrib><creatorcontrib>Craddock, Fiona</creatorcontrib><creatorcontrib>Cogley, Clodagh</creatorcontrib><creatorcontrib>McCormack, Derval</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>D’Alton, Paul</au><au>O’Meara, Rachel</au><au>Langford, Seán</au><au>McDonnell, Zoe</au><au>Nuzum, Ann</au><au>Murthy, Varsha Eswara</au><au>Craddock, Fiona</au><au>Cogley, Clodagh</au><au>McCormack, Derval</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers to cancer care for people with significant mental health difficulties: What healthcare staff say?</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psychooncology</addtitle><date>2021-12</date><risdate>2021</risdate><volume>30</volume><issue>12</issue><spage>2032</spage><epage>2038</epage><pages>2032-2038</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><abstract>Objectives
Despite similar rates in cancer morbidity, patients with comorbid significant mental health difficulties (SMHD) experience higher mortality rates. This population has largely been neglected in cancer care research. Little is known about how to improve cancer outcomes for patients with SMHD. The aim of this research is to explore the views of healthcare professionals concerning the provision of cancer care to individuals with SMHD in an Irish context.
Methods
Semi‐structured interviews were conducted with healthcare professionals (n = 28) providing care to people with SMHD and cancer. This included oncology and psychiatry consultants (n = 10); clinical nurse specialists (n = 8); clinical psychologists (n = 6); and medical social workers (n = 4). Data were analysed using thematic analysis.
Results
Four overarching themes were generated from the data highlighting the challenges associated with healthcare provision for this cohort. The themes were: Fragmentation of Care, Healthcare Providers' Understanding of SMHD, Complex Nature of Presentation, and Specialised Care Needs.
Conclusions
The findings contribute to advancing our understanding of cancer care provision for patients with SMHD. They identify important barriers and facilitators to cancer care provision for this population from the perspective of healthcare professionals in Ireland. These findings will help to shape future research and contribute to improving the quality‐of‐care for people with SMHD and cancer.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34453853</pmid><doi>10.1002/pon.5790</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1801-6230</orcidid><orcidid>https://orcid.org/0000-0001-5123-9757</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1057-9249 |
| ispartof | Psycho-oncology (Chichester, England), 2021-12, Vol.30 (12), p.2032-2038 |
| issn | 1057-9249 1099-1611 |
| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Cancer cancer care Clinical psychologists Comorbidity Consultants Delivery of Health Care Health care Health care industry health inequities Health Personnel - psychology Health services Humans medical oncology Medical personnel Medical social workers Medicine Mental disorders Mental Health mental illness Morbidity Mortality rates Neoplasms - therapy Nurse specialists Oncology Patients Professional attitudes Psychiatry psycho‐oncology Qualitative Research quality of health care Segmentation Social Workers Specialists |
| title | Barriers to cancer care for people with significant mental health difficulties: What healthcare staff say? |
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