Interprofessional interaction during breast cancer therapy in European countries
Stepanova, Olga (2021)
Stepanova, Olga
2021
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2021082617152
https://urn.fi/URN:NBN:fi:amk-2021082617152
Tiivistelmä
Breast cancer is one of the most widespread cancer types in the world. Most effective breast cancer treatment is realized by multiprofessional breast cancer units/teams. Breast cancer treatment strategy transfer occurs in Europe also. European experience in breast cancer care is diverse. A lot of barriers are met on the way of breast care transformation. This review is dedicated to description of professionals implicated in breast cancer treatment, their specific roles and current characteristic of interprofessional interaction.
Scoping review method was used to produce comprehensive perception of the field. Wide range of publications from professional data bases and complementary resources were analyzed. The most acceptable publications were used after study quality assessment using Critical appraisal tool by J.Briggs institute.
Physicians, nurses, radiologist, genetic counselor, histologists, breast surgeons were identified as obligatory members of multiprofessional breast cancer teams. Plastic surgeons, cardioncologists, neurosurgeons, psycho-oncologists, administrative employees and wide range of rehabilitation service specialists are optional team members. Multiprofessional collaboration depends significantly on local regulation of health care and traditions. Common gap is the absence of standardization of breast cancer education and practice. Inclusion of different professionals in multiprofessional discussion and decision-making has pivotal significance for breast care improvement. Current barrier is poor acknowledgement of allied professional’s roles. Interprofessional communication intensification stays the challenging task still. Various duties distribution approaches are possible within countries, but strict coordination and information exchange are mandatory factors for treatment process development. European and international experience allows to conclude that rational administration, more complete inclusion of team members and close interaction can be achieved by separation of breast cancer care to independent discipline. Digital tools utilization is useful in information exchange intensification.
Scoping review method was used to produce comprehensive perception of the field. Wide range of publications from professional data bases and complementary resources were analyzed. The most acceptable publications were used after study quality assessment using Critical appraisal tool by J.Briggs institute.
Physicians, nurses, radiologist, genetic counselor, histologists, breast surgeons were identified as obligatory members of multiprofessional breast cancer teams. Plastic surgeons, cardioncologists, neurosurgeons, psycho-oncologists, administrative employees and wide range of rehabilitation service specialists are optional team members. Multiprofessional collaboration depends significantly on local regulation of health care and traditions. Common gap is the absence of standardization of breast cancer education and practice. Inclusion of different professionals in multiprofessional discussion and decision-making has pivotal significance for breast care improvement. Current barrier is poor acknowledgement of allied professional’s roles. Interprofessional communication intensification stays the challenging task still. Various duties distribution approaches are possible within countries, but strict coordination and information exchange are mandatory factors for treatment process development. European and international experience allows to conclude that rational administration, more complete inclusion of team members and close interaction can be achieved by separation of breast cancer care to independent discipline. Digital tools utilization is useful in information exchange intensification.