Optimizacija oskrbe pacientov v onkološki zdravstveni negi na podlagi McGillovega sodelovalnega modela
Optimising patient care in oncology nursing using the McGill Model of Nursing

slovenian

2025

volume 29, issue 2

McGill Model of Nursing   nurses   oncology nursing   patient involvement   psychosocial support

Onkološki inštitut Ljubljana
(Obvezni izvod spletne publikacije)

Background: The McGill Model of Nursing is a holistic, collaborative approach that emphasises the active role of the patient, the involvement of the family and the strengthening of psychosocial support. Although it has been established in the international literature, its implementation in Slovenian clinical practise has not yet been systematically investigated. The aim of this study was to investigate the extent to which oncology nurses apply the principles of the McGill Model, including patient participation, family involvement and psychosocial support. Methods: Approximately 400 nurses working in the field of oncology nursing were invited to participate in this quantitative cross-sectional study. A total of 166 began the questionnaire and 126 completed it in full (response rate 31.5 %). Most of the respondents were female (77.8 %). Their mean age was 37.71 years (s = 8.07), with a mean length of professional experience in oncology nursing of 9.66 years (s = 7.93). The analysis was based solely on fully completed questionnaires. Data was collected using a newly developed scale based on the McGill Model of Nursing and on a five-point frequency and agreement scale. Exploratory and confirmatory factor analyses were performed, as well as Wilcoxon signed-rank tests, Mann-Whitney U tests and Spearman correlations. Results: The factor analysis confirmed a three-factor structure explaining 65.3% of the total variance (KMO = 0.896; Bartlett’s p < 0.001). The empirical medians of all three constructs were significantly higher than the theoretical medians (p < 0.001), suggesting that respondents indicated the use of McGill Model approaches. Participants with access to written protocols or organisational support scored significantly higher (p < 0.001). Moderate to strong positive correlations were found between the use of these approaches and the perceived improvement in the quality of care and the psychosocial well-being of patients (p < 0.001). Conclusion: The results confirm that approaches based on the McGill Model are commonly used in oncological care and are positively associated with perceived improvements in quality of care. This model has the potential for wider and more formalised implementation in the clinical setting in Slovenia.

27.02.2026