Canadian Pediatric Oncology Nurses' Perspectives on Implementation of the Children's Oncology Group KidsCare Customized App.

IF 1 4区 医学 Q3 NURSING
Sue Zupanec, Rachel Hamilton, Alia Petropolous, Chantal Campbell, Angela Punnett, Cailey Riggs, Meera Rahim, Wendy Landier, Denise Mills
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引用次数: 0

Abstract

Background: Canada represents half of the Children's Oncology Group (COG) sites that have opted to customize content for families within the COG KidsCare app. It was unclear how many sites proceeded with developing and inputting customized content and how well the app and customized content were implemented into practice. This raised concerns that Canadian families were unaware of this new digital resource and did not have equitable access to customized content. This qualitative study aimed to understand nursing site leads' experiences including perspectives on facilitators and barriers to customization and implementation of the COG's KidsCare app. Method: Semi-structured interviews with clinicians who self-reported expertise in patient and family education local practices were conducted. Transcripts were independently coded by two team members using an iterative hybrid inductive/deductive approach, and analyzed using the Consolidated Framework for Implementation Research (CFIR), to summarize results. Results: The facilitators and barriers to implementing the COG KidsCare app with customization were categorized by five overarching CFIR-related themes: (a) features of the customized COG KidsCare app, (b) external environment, (c) institutional environment, (d) implementation team, and (e) the process of implementing and customizing the COG KidsCare app. Discussion: Nurses expressed feelings of tension between support and perceived value of the COG KidsCare app with customization, and their ability to successfully create, refine, implement content and disseminate to families. Using our RoadMap of recommended implementation strategies to integrate use of the app into practice may provide opportunity for successful implementation in a variety of contexts.

加拿大儿科肿瘤护士对实施儿童肿瘤集团 KidsCare 定制应用程序的看法。
背景:加拿大代表了一半的儿童肿瘤组(COG)网站选择在COG KidsCare应用程序中为家庭定制内容。目前尚不清楚有多少网站继续开发和输入定制内容,以及应用程序和定制内容的实施情况如何。这引起了人们的担忧,即加拿大家庭不知道这种新的数字资源,也没有公平的机会获得定制的内容。本定性研究旨在了解护理中心领导的经验,包括对定制和实施COG的KidsCare应用程序的促进因素和障碍的看法。方法:对自认为在患者和家庭教育方面具有专业知识的临床医生进行半结构化访谈。转录本由两名团队成员使用迭代混合归纳/演绎方法独立编码,并使用实施研究统一框架(CFIR)进行分析,以总结结果。结果:实施定制化的COG KidsCare应用程序的促进因素和障碍按五个总体cfr相关主题进行分类:(a)定制化COG KidsCare应用程序的特征,(b)外部环境,(c)制度环境,(d)实施团队,(e)实施和定制化COG KidsCare应用程序的过程。护士们表达了对COG KidsCare应用程序的支持和感知价值之间的紧张关系,以及他们成功创建、完善、实施内容并传播给家庭的能力。使用我们推荐的实施策略路线图,将应用程序的使用整合到实践中,可能为在各种情况下成功实施提供机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.30
自引率
0.00%
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0
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