4.3 Article

Together through the valley of death: Lived experience of case managers to meet the informational needs of gynecologic cancer survivors

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ELSEVIER TAIWAN
DOI: 10.1016/j.tjog.2022.02.025

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Case manager; Lived experience; Gynecologic cancer survivor; Informational needs

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Case managers play a crucial role in meeting the informational needs of patients with gynecologic cancer. This study aimed to understand their experiences in meeting those needs and to improve the overall quality of care. The results revealed three major themes and twelve subthemes, highlighting the importance of communication, comprehensive medical care, and support throughout the different stages of the disease. Overall, it is essential for cancer care managers to deliver personalized healthcare information in a timely manner to ensure high-quality care for gynecologic cancer patients.
Objectives: Case managers are crucial providers of health education and consultation for patients with gynecologic cancer to satisfy their informational needs. The purpose of this study is to understand the experience of case managers working to meet the needs of these patients in order to further improve their overall quality of care. Materials and methods: A qualitative study employed. Twenty case managers recruited from Taiwanese healthcare institutes using purposive sampling. Participants were interviewed in semi-structure fashion. All interviews were verbatim transcribed. The steps of Giorgi's phenomenological method were used to analyze the transcripts.Results: Three major themes and twelve subthemes emerged. Major themes were associated with cancer development: (1) during diagnosis, build a communication bridge and provide appropriate treatment early on, become consultants; (2) during treatment, provide comprehensive medical care for cancer, become the patient's manager; (3) during follow-ups, assist patients to comprehend and adapt to living with cancer, return to society and the original pace of life.Conclusion: Case managers accompany patients with gynecologic cancer and address their problems to other medical professional. The informational needs of patients with gynecologic cancer differ along the course of the disease. It is important for cancer care manager to deliver the information of individualized health care in timely manner to ensure the overall quality of care for patients with gynecologic cancer.(c) 2022 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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