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Les intervenants pivots solutionneront-ils le problème? Les soins infirmiers en oncologie en transition
Abstract
L’accès aux soins et leur équité dans l’ensemble du système de soins contre le cancer étant devenus des préoccupations grandissantes, on constate un enthousiasme toujours plus vif pour divers types de postes d’intervenants pivots afin de faciliter la coordination des soins. Bien que l’intention soit digne de louanges, plusieurs stratégies les plus populaires d’implantation risquent d’accentuer les pressions sur le système et de compliquer encore plus le problème de coordination. Les auteures de cet article affirment qu’il est possible de reformuler les motivations sous-tendant le mouvement en faveur de l’aide à la navigation des patients en reconnaissant la valeur du travail du personnel infirmier lorsque ce dernier est déployé de façon optimale pour offrir aux patients du soutien tout au long de leur expérience du système de soins contre le cancer. Cet article incite les infirmières en oncologie du Canada à faire la critique des stratégies d’aide à la navigation, à les remettre en question et à adopter uniquement celles qui correspondent aux importantes réformes nécessaires pour rendre le système de soins contre le cancer si efficace qu’il n’aura plus besoin de faire appel à des intervenants pivots externes.
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