Barriers exist on a variety of levels. People with cancer need clear appropriate information and communication about psychosocial services, including information about the role of psychosocial care in addition to existing supports. Interventions that target the complex interplay of individual, organisational and cultural factors need to be developed. Strategies that improve health professional communication skills, identify clear referral pathways, improve acceptability of interventions and clearly identify the need for services could address many of the barriers identified in this review.
While this study was undertaken in only one hospital with only three older people the findings provide valuable insight into their experiences. Nurses need to be proactive in ensuring and promoting a person-centred approach to the care and treatment of older people.
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