A Qualitative Investigation of Health Care Professionals’ Perspectives on the Implementation of a Mindfulness Meditation Program in Cancer Care in Switzerland

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

European Journal of Cancer Care Pub Date : 2025-04-17 DOI:10.1155/ecc/2920092

Jelena Stanic, Dominica Martin, Marie-Estelle Gaignard, Alexandre Bodmer, Khalil Zaman, Apostolos Sarivalasis, Guido Bondolfi, Manuela Eicher

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引用次数: 0

Abstract

Purpose: To describe health care professionals’ (HCPs’) perceptions of the implementation of an online mindfulness-based cancer recovery (eMBCR) program in the gyneco-oncology departments of two university hospitals in Switzerland.

Methods: The study analyzed determinants drawn from the Consolidated Framework for Implementation Research (CFIR) using a deductive, semantic, thematic approach. Five focus groups were conducted with HCPs and managers (12 nurses, 6 physicians, and 1 psycho-oncologist).

Results: Most HCPs supported integrating mindfulness meditation into cancer care, although some physicians viewed it as an alternative approach with insufficient evidence. Key facilitators included the presence of a center for integrative medicine within hospitals and the engagement of leaders and champions. Barriers related to time constraints, human resources, materials, and training were mentioned. Suggested strategies for successful implementation included hybrid program delivery (online and in person), context-specific adaptations (e.g., dosage), and securing stable funding for sustainability.

Conclusion: This study highlights multilevel factors influencing the implementation of a mindfulness meditation intervention in the context of cancer care and offers strategies to enhance its long-term integration within hospital settings.

Trial Registration: ClinicalTrials.gov identifier: NCT04564768

查看原文本刊更多论文

卫生保健专业人员对瑞士癌症护理实施正念冥想计划的看法的定性调查

目的：描述卫生保健专业人员（HCPs）对瑞士两所大学医院妇科肿瘤科实施在线正念癌症康复（eMBCR）计划的看法。方法：该研究使用演绎、语义、主题方法分析了从实施研究统一框架（CFIR）中得出的决定因素。对HCPs和管理人员（12名护士、6名医生和1名心理肿瘤学家）进行了5个焦点小组的研究。结果：大多数HCPs支持将正念冥想整合到癌症治疗中，尽管一些医生认为这是一种证据不足的替代方法。主要的促进因素包括在医院内设立一个综合医学中心，以及领导和倡导者的参与。他们提到了与时间限制、人力资源、材料和培训有关的障碍。建议的成功实施战略包括混合方案交付（在线和亲自）、根据具体情况进行调整（例如，剂量）以及确保稳定的可持续性资金。结论：本研究强调了影响正念冥想干预在癌症治疗背景下实施的多层面因素，并提供了增强其在医院环境中的长期整合的策略。试验注册：ClinicalTrials.gov标识符：NCT04564768

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来源期刊

European Journal of Cancer Care 医学-康复医学

CiteScore

4.00

自引率

4.80%

发文量

213

审稿时长

3 months

期刊介绍： The European Journal of Cancer Care aims to encourage comprehensive, multiprofessional cancer care across Europe and internationally. It publishes original research reports, literature reviews, guest editorials, letters to the Editor and special features on current issues affecting the care of cancer patients. The Editor welcomes contributions which result from team working or collaboration between different health and social care providers, service users, patient groups and the voluntary sector in the areas of: - Primary, secondary and tertiary care for cancer patients - Multidisciplinary and service-user involvement in cancer care - Rehabilitation, supportive, palliative and end of life care for cancer patients - Policy, service development and healthcare evaluation in cancer care - Psychosocial interventions for patients and family members - International perspectives on cancer care