A Qualitative Study on the Transition from ...
Document type :
Article dans une revue scientifique: Article original
DOI :
Permalink :
Title :
A Qualitative Study on the Transition from Pediatric to Adult Care in Oncology: How Health Care Professionals Can Adapt Their Practice?
Author(s) :
Caton, Laura [Auteur]
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Duprez, Christelle [Auteur]
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Flahault, Cécile [Auteur]
Laboratoire de Psychopathologie et Processus de Santé [LPPS (URP_4057)]
Lervat, Cyril [Auteur]
Centre Régional de Lutte contre le Cancer Oscar Lambret [Lille] [UNICANCER/Lille]
Antoine, Pascal [Auteur]
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Calvez, Alice [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Lamore, Kristopher [Auteur]
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Duprez, Christelle [Auteur]

Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Flahault, Cécile [Auteur]
Laboratoire de Psychopathologie et Processus de Santé [LPPS (URP_4057)]
Lervat, Cyril [Auteur]
Centre Régional de Lutte contre le Cancer Oscar Lambret [Lille] [UNICANCER/Lille]
Antoine, Pascal [Auteur]

Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Calvez, Alice [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Lamore, Kristopher [Auteur]
Sciences Cognitives et Sciences Affectives (SCALab) - UMR 9193
Journal title :
Journal of Adolescent and Young Adult Oncology
Abbreviated title :
Journal of Adolescent and Young Adult Oncology
Publisher :
Mary Ann Liebert Inc
Publication date :
2024-08-28
ISSN :
2156-5333
HAL domain(s) :
Sciences cognitives
English abstract : [en]
Purpose: The main objective of this study was to identify the facilitators of and barriers to the transition from pediatric to adult care for adolescents and young adults (AYAs) with cancer according to physicians and ...
Show more >Purpose: The main objective of this study was to identify the facilitators of and barriers to the transition from pediatric to adult care for adolescents and young adults (AYAs) with cancer according to physicians and nurses working in oncology. The secondary objectives were (1) to explore the viewpoints of health care professionals (HCPs) on this transition and (2) to discover HCP’s needs and the needs they perceive among AYAs and their parents. Methods: Semistructured interviews were conducted with 19 HCPs to discover their experiences with pediatric to adult care transitions. Thematic analysis was then conducted. Results: Participants reported that transitioning is a complex process influenced by numerous barriers and facilitators, which can be classified into four themes: (1) balancing the needs and relationships of the three actors involved in the transition process, (2) factors that enable HCPs to determine the ideal time for transitions, (3) institutional and organizational barriers and facilitators that challenge HCPs, and (4) HCPs’ reflections on defining and improving the transition process. Conclusion: Beyond the lack of human and financial resources, which hinders the structuring of transitions, our results suggest the need for a paradigm shift. That is, the position given to AYAs in pediatrics before the transition needs to evolve so that they are gradually positioned at the center of the relationship with HCPs and, therefore, are the focus of care and the transition process. This will enable them to acquire the skills, knowledge, and autonomy needed for a successful transition to adult care.Show less >
Show more >Purpose: The main objective of this study was to identify the facilitators of and barriers to the transition from pediatric to adult care for adolescents and young adults (AYAs) with cancer according to physicians and nurses working in oncology. The secondary objectives were (1) to explore the viewpoints of health care professionals (HCPs) on this transition and (2) to discover HCP’s needs and the needs they perceive among AYAs and their parents. Methods: Semistructured interviews were conducted with 19 HCPs to discover their experiences with pediatric to adult care transitions. Thematic analysis was then conducted. Results: Participants reported that transitioning is a complex process influenced by numerous barriers and facilitators, which can be classified into four themes: (1) balancing the needs and relationships of the three actors involved in the transition process, (2) factors that enable HCPs to determine the ideal time for transitions, (3) institutional and organizational barriers and facilitators that challenge HCPs, and (4) HCPs’ reflections on defining and improving the transition process. Conclusion: Beyond the lack of human and financial resources, which hinders the structuring of transitions, our results suggest the need for a paradigm shift. That is, the position given to AYAs in pediatrics before the transition needs to evolve so that they are gradually positioned at the center of the relationship with HCPs and, therefore, are the focus of care and the transition process. This will enable them to acquire the skills, knowledge, and autonomy needed for a successful transition to adult care.Show less >
Language :
Anglais
Peer reviewed article :
Oui
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CNRS
CHU Lille
CNRS
CHU Lille
Research team(s) :
Équipe Dynamique Émotionnelle et Pathologies (DEEP)
Submission date :
2024-09-26T07:57:05Z
2024-10-02T07:56:41Z
2024-10-02T07:56:41Z
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