Cancer care research online最新文献

{"title":"One Tube Does Not Fit All: Parent Experiences and Decision-Making for Choosing a Nasogastric Tube or Gastrostomy for Their Child During Allogeneic Bone Marrow Transplant","authors":"James Evans, Julie Lanigan, Dan Green, G. O’Connor, Faith Gibson","doi":"10.1097/cr9.0000000000000052","DOIUrl":"https://doi.org/10.1097/cr9.0000000000000052","url":null,"abstract":"\u0000 \u0000 Children undergoing bone marrow transplant (BMT) are at risk of developing malnutrition. A feeding tube becomes a requirement for most children to meet their nutritional and medication requirements. Two tubes are typically used: nasogastric tube (NGT) or gastrostomy. At the UK center where this study took place, parents are offered a choice between these tubes.\u0000 \u0000 \u0000 \u0000 This qualitative data collection in a mixed methods study explored why parents choose either tube and their experiences of using it.\u0000 \u0000 \u0000 \u0000 Parents participated in 2 semistructured interviews. First, on admission to explore why they chose either tube. Second, 1–2 months postdischarge to explore their experience of using the tube. Interviews took place over 18 months. Transcripts were thematically analyzed.\u0000 \u0000 \u0000 \u0000 Sixteen parents whose child had an NGT, 17 a gastrostomy, were interviewed. Choice was experienced across a continuum of difficulty and freedom. Many parents deferred to the expertise of professionals; others felt they were the experts in their child. Influential factors in decision-making included expected duration of need, the child’s age and activity, cosmetic differences, balancing gastrostomy surgery against NGT dislodgement, lay advice, healthcare professionals’ recommendations and prior tube feeding experiences.\u0000 \u0000 \u0000 \u0000 Parents valued choice appreciating 1 feeding tube might not suit every child.\u0000 \u0000 \u0000 \u0000 Choice of a gastrostomy or NGT should be offered to children prior to BMT.\u0000 \u0000 \u0000 \u0000 Parents navigate a complex decision-making process when choosing a feeding tube for their child. Healthcare professionals can facilitate informed decision-making through collaborative discussions, inclusion of peer support, and provision of balanced information.\u0000","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":"315 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139858318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One Tube Does Not Fit All: Parent Experiences and Decision-Making for Choosing a Nasogastric Tube or Gastrostomy for Their Child During Allogeneic Bone Marrow Transplant","authors":"James Evans, Julie Lanigan, Dan Green, G. O’Connor, Faith Gibson","doi":"10.1097/cr9.0000000000000052","DOIUrl":"https://doi.org/10.1097/cr9.0000000000000052","url":null,"abstract":"\u0000 \u0000 Children undergoing bone marrow transplant (BMT) are at risk of developing malnutrition. A feeding tube becomes a requirement for most children to meet their nutritional and medication requirements. Two tubes are typically used: nasogastric tube (NGT) or gastrostomy. At the UK center where this study took place, parents are offered a choice between these tubes.\u0000 \u0000 \u0000 \u0000 This qualitative data collection in a mixed methods study explored why parents choose either tube and their experiences of using it.\u0000 \u0000 \u0000 \u0000 Parents participated in 2 semistructured interviews. First, on admission to explore why they chose either tube. Second, 1–2 months postdischarge to explore their experience of using the tube. Interviews took place over 18 months. Transcripts were thematically analyzed.\u0000 \u0000 \u0000 \u0000 Sixteen parents whose child had an NGT, 17 a gastrostomy, were interviewed. Choice was experienced across a continuum of difficulty and freedom. Many parents deferred to the expertise of professionals; others felt they were the experts in their child. Influential factors in decision-making included expected duration of need, the child’s age and activity, cosmetic differences, balancing gastrostomy surgery against NGT dislodgement, lay advice, healthcare professionals’ recommendations and prior tube feeding experiences.\u0000 \u0000 \u0000 \u0000 Parents valued choice appreciating 1 feeding tube might not suit every child.\u0000 \u0000 \u0000 \u0000 Choice of a gastrostomy or NGT should be offered to children prior to BMT.\u0000 \u0000 \u0000 \u0000 Parents navigate a complex decision-making process when choosing a feeding tube for their child. Healthcare professionals can facilitate informed decision-making through collaborative discussions, inclusion of peer support, and provision of balanced information.\u0000","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":"7 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139798699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple Chronic Conditions and the Receipt of Cancer Survivorship Care Plans","authors":"Atinuke G. Oyinbo, Maira A. Castañeda-Avila, Mayra S. Tisminetzky, Jamie M. Faro, Mara M. Epstein, Kate Lapane","doi":"10.1097/cr9.0000000000000053","DOIUrl":"https://doi.org/10.1097/cr9.0000000000000053","url":null,"abstract":"\u0000 \u0000 Most cancer survivors have multiple chronic conditions (MCC) that make it challenging to navigate disease management processes post cancer treatment.\u0000 \u0000 \u0000 \u0000 To examine associations between having MCC and receiving a survivorship care plan (SCP), which has potential benefits for improved follow-up care, among cancer survivors.\u0000 \u0000 \u0000 \u0000 Behavioral Risk Factor Surveillance System respondents with a self-reported history of cancer not actively receiving cancer treatment were included (N = 5449). SCP receipt was defined as being provided a written summary of cancer treatments received and instructions for follow-up care upon treatment completion. MCC was categorized as 0, 1, 2, or ≥3 based on a sum of 10 chronic conditions. Multivariable-adjusted logistic models were used to assess the association between MCC and SCP receipt.\u0000 \u0000 \u0000 \u0000 Most cancer survivors were age 65 or older (59%) and female (58%). Sixty percent reported receiving an SCP and 50% had at least 2 chronic conditions. Compared to those with no chronic conditions, cancer survivors with 2 and 3 or more conditions were less likely to have received an SCP.\u0000 \u0000 \u0000 \u0000 Professional organizations recommend that cancer survivors receive SCPs; however, having MCC was inversely associated with SCP provision.\u0000 \u0000 \u0000 \u0000 The high necessity for SCPs among cancer survivors with MCC and the potential barriers associated with their delivery should be recognized by healthcare professionals.\u0000 \u0000 \u0000 \u0000 This work highlights unmet survivorship care needs in cancer survivors with MCC. The findings emphasize the need to promote greater access to SCPs in healthcare settings that cater to cancer survivors with comorbid conditions.\u0000","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":"84 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139801144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Preliminary Validation of an Optimal Cutpoint in Total Number of Patient-Reported Symptoms in Head and Neck Cancer for Effective Alignment of Clinical Resources With Patients’ Symptom Burden","authors":"Janet H. Van Cleave, C. Concert, Maria Kamberi, Elise Zahriah, Allison Most, J. Mojica, Ann Riccobene, Nora Russo, Eva Liang, Kenneth S. Hu, Adam S. Jacobson, Zujun Li, Lindsey E. Moses, M. Persky, M. Persky, Theresa Tran, Abraham A. Brody, Arum Kim, B. Egleston","doi":"10.1097/cr9.0000000000000051","DOIUrl":"https://doi.org/10.1097/cr9.0000000000000051","url":null,"abstract":"Patients with head and neck cancer (HNC) often experience high symptom burden leading to lower quality of life (QoL). This study aims to conceptually model optimal cutpoint by examining where the total number of patient-reported symptoms exceeds patients’ coping capacity, leading to a decline in QoL in patients with HNC. Secondary data analysis of 105 individuals with HNC enrolled in a clinical usefulness study of the NYU Electronic Patient Visit Assessment (ePVA), a digital patient-reported symptom measure. Patients completed ePVA and European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 v3.0. The total number of patient-reported symptoms was the sum of symptoms as identified by the ePVA questionnaire. Analysis of variance was used to define the optimal cutpoint. Study participants had a mean age of 61.5, were primarily male (67.6%), and had stage IV HNC (53.3%). The cutpoint of 10 symptoms was associated with a significant decline of QoL (F = 44.8, P < .0001), dividing the population into categories of low symptom burden (<10 symptoms) and high symptom burden (≥10 symptoms). Analyses of EORTC function subscales supported the validity of 10 symptoms as the optimal cutpoint (physical: F = 28.3, P < .0001; role: F = 21.6, P < .0001; emotional: F = 9.5, P = .003; social: F = 33.1, P < .0001). In HNC, defining optimal cutpoints in the total number of patient-reported symptoms is feasible. Cutpoints in the total number of patient-reported symptoms may identify patients experiencing a high symptom burden from HNC. Using optimal cutpoints of the total number of patient-reported symptoms may help effectively align clinical resources with patients’ symptom burden.","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139246357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needs of Women Caring for Husbands with Cancer at Cancer Diseases Hospital in Lusaka, Zambia: An Analytical Nonintervention, Cross-Sectional Survey","authors":"Patience Mbozi, Patricia K. Mukwato, Victoria M. Kalusopa, Christopher Simoonga","doi":"10.1097/cr9.0000000000000050","DOIUrl":"https://doi.org/10.1097/cr9.0000000000000050","url":null,"abstract":"Background: The number of men with cancer at the Cancer Diseases Hospital (CDH) in Zambia has nearly doubled. The CDH offers free treatment, but the families pay for “extras”, for example, laboratory and diagnostic investigations. Objective: To assess the needs of women caring for their husbands with cancer at the CDH. Methods: Stratified random sampling was used for this cross-sectional survey. Data were collected using a 27-item Needs Assessment of Family Caregivers-Cancer tool; analysis used SPSS version 23 and STATA version 17. Women currently caring for their husbands with cancer or in follow-up at the CDH and able to read/write English were eligible. Results: A statistically significant association was found between wives’ ability to pay husbands’ medical fees and education, cancer diagnosis and stage, and occupation and income. Emotional distress was associated with taking time for herself and family gatherings. Statistically significant factors for improving emotional distress were satisfaction with hospital staff help, medical insurance, and managing husbands’ pain and symptoms. Conclusions: Women’s financial resources directly impacted their husbands’ care. When 4 specific needs were met, the women’s emotional distress was low. Implications for Practice: Nurses must acknowledge the impact of husbands’ cancer on wives and assess their needs to execute appropriate supportive interventions throughout their caring journey. What is Foundational: Women caring for husbands with cancer shared their caring experiences, emotional distress, and coping. The findings inform further research on how CDH nurses can best support these critical caregivers with a larger care role due to shortages of professional support personnel.","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134901519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence-based Practice: Has It Delivered on Its Promise?","authors":"Patsy Yates","doi":"10.1097/cr9.0000000000000049","DOIUrl":"https://doi.org/10.1097/cr9.0000000000000049","url":null,"abstract":"I was recently asked to deliver a presentation on Evidence-based Practice in Oncology Nursing at the Sixth Asian Oncology Nursing Society Conference. I thought it would be a relatively straightforward talk. Having taught evidence-based practice to nurses for many years, I assumed we had it all sorted. As I researched more about the topic, I started to question whether evidence-based practice had evolved in nursing since it was introduced in the 1990s and whether it had lived up to its promise of reducing variation in care and improving health outcomes. Evidence-based medicine was first defined as “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.”1 Importantly, the original definition emphasized the importance of patient values and clinical expertise alongside rigorous evidence. The term evidence-based practice soon followed to reflect the broader application that the concept has to all health professions. Evidence-based practice was subsequently enthusiastically embraced by the nursing profession. It continues to be well established as an essential element of nursing education programs and as a fundamental expectation of professional standards of practice that is necessary for health services to meet accreditation and regulatory requirements. Given its central role in the nursing profession over the past few decades, I went to the literature to ask, “Does evidence-based nursing practice make a difference to health outcomes?” I located a recent scoping review that asked the question, “When patients receive care based on evidence, what are the outcomes?”2 The review presented some interesting conclusions that suggest more still needs to be done to optimize the benefits of evidence-based practice in health care. First, of the 636 articles included in the review, almost 63.3% were published in the United States.2 The impact of evidence-based practice across low- and middle-income countries continues to be a major gap that contributes to ongoing inequities in cancer care. Around 90% of the studies included in the review took place in the acute care setting.2 This limited scope does not reflect the reality that cancer care is largely delivered in outpatient and community settings. I was also surprised to see that only 5 involved interventions in the oncology setting. The authors of the review commented on the substantial heterogeneity in study designs and outcomes.2 The lack of consistent frameworks to support evidence implementation and the variation in quality of research are major barriers if evidence-based practice is to deliver on its promise. Importantly, only 19% of the included studies measured return on investment.2 This failure to address the value of nursing intervention limits the influence nursing research can have on resource allocation and system change. Despite the major gaps identified, it was notable that the review concluded that evidence-based practice ","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":"60 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134901521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinic-based Assessment and Support for Family Caregivers of Patients With Cancer: Results of a Feasibility Study.","authors":"Madhuvanthi Suresh, Rashmi Risbud, Manali I Patel, Karl A Lorenz, Lidia Schapira, Dolores Gallagher-Thompson, Ranak Trivedi","doi":"10.1097/cr9.0000000000000047","DOIUrl":"10.1097/cr9.0000000000000047","url":null,"abstract":"<p><strong>Background: </strong>Cancer caregiving is burdensome with unique needs, highlighting the importance of assessing caregivers' distress. Caregivers often accompany patients to healthcare visits, presenting an opportunity to complete distress screening at patients' point-of-care.</p><p><strong>Objective: </strong>To evaluate the feasibility of caregiver distress screening at patients' point-of-care and implementing a caregiver psychoeducational session.</p><p><strong>Methods: </strong>We approached caregivers in outpatient cancer clinic waiting rooms. Participants completed depression, burden, anxiety, quality of life, and stress measures. A psychoeducational session with a psychologist was offered to those meeting clinical cutoffs for depression and/or burden. Fifty caregivers completed 1+ measure; however, due to incomplete consent documentation, findings from 23 caregivers are reported.</p><p><strong>Results: </strong>22% of caregivers screened positive for depression, 30% burden, and 70% anxiety. More than half rated stress as moderate or higher. Mental wellbeing was slightly below that of the general population. More than 75% screened positive on 1+ distress measure. Of the 9 caregivers who met cutoffs for depression and/or burden, two (22%) accepted the psychoeducational session.</p><p><strong>Conclusion: </strong>Caregivers were moderately receptive to distress screening during patients' visits, but were less receptive to engaging in the psychoeducational session due to time constraints and privacy concerns.</p><p><strong>Implications for practice: </strong>Assessing caregivers' distress can facilitate referrals for supportive services. Offering caregivers psychoeducational intervention outside of patient care may not be acceptable. Future research may evaluate the integration of routine caregiver screening within patient care to promote engagement with mental health services.</p><p><strong>Foundational: </strong>This research offers a unique method of assessing cancer caregivers' distress.</p>","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10846853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48222912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oncology Nursing Care for Persons With Intellectual Disabilities: Are We There Yet?","authors":"Chinomso Nwozichi","doi":"10.1097/cr9.0000000000000048","DOIUrl":"https://doi.org/10.1097/cr9.0000000000000048","url":null,"abstract":"Globally, there is an increasing prevalence of disabilities. Persons with disabilities face specific challenges and often encounter different barriers to quality care. Professionals often view making high-quality care available to this population as challenging because of clients’ disability-related limitations in their social, environmental, cognitive, behavioral, and communication capacities.1 Interestingly, legal and political components are associated with the healthcare of persons with disabilities. Despite the appreciable improvements in the provision and access to social amenities such as transportation, employment, and access to health occasioned by the Americans With Disability Act of 1990, the quality of care this population receives is often overlooked. Discussions around cancer care for persons with intellectual disabilities have not received significant attention in healthcare. There is a paucity of high-quality research addressing this subject matter; consequently, people with intellectual disabilities and their families are not adequately represented within the currently available evidence. As such, it is challenging to fully appreciate the prevalence and impact of intellectual disabilities on healthcare needs and the corresponding barriers and facilitators experienced by this population. Although the report shows that cancer-related mortality rates in persons with intellectual disabilities are lower than in the general population,2 this relatively lower mortality rate can, however, be generally attributed to the lower life expectancy of people with intellectual disabilities and the fact that the incidence of cancer is highest in the older population. Interestingly, advancement in social and care services has improved longevity for all groups of people, including individuals with disabilities. Thus, more people with intellectual disabilities are essentially expected to live longer, thereby multiplying their chances of being diagnosed with cancer based on age factors. Nevertheless, the incidence of new cancer diagnoses and recorded deaths in this population deserve considerable attention from stakeholders. My argument in this editorial is that oncology and cancer care professionals must consider people with intellectual disabilities when designing cancer screening, prevention, treatment, survivorship, hospice, and palliative care programs. For example, breast self-examination, testicular self-examination, and other bodily self-awareness measures are proven ways to detect cancer at early stages. However, people with intellectual disabilities may be unable to express their concerns when they have any abnormality in their body. Therefore, family and other informal caregivers must be equipped with the proper knowledge and skills to help identify any abnormal growth in the body of the person with disabilities. When a person with a disability is diagnosed with cancer, the treatment process is often challenging due to communication gaps. F","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135193234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What’s Going on in the Hospital?: A Qualitative Study Investigating Patient Experiences of Prolonged Hospitalization After Video-assisted Thoracoscopic Surgery","authors":"P. O. Donsel, M. Missel","doi":"10.1097/cr9.0000000000000046","DOIUrl":"https://doi.org/10.1097/cr9.0000000000000046","url":null,"abstract":"\u0000 \u0000 Patients with lung cancer in “enhanced recovery after surgery” programs are offered the prospect of early hospital discharge before undergoing surgery. Little is known about what patients experience when hospitalization lasts longer than expected.\u0000 \u0000 \u0000 \u0000 To explore patient experiences of prolonged hospitalization in an “enhanced recovery after surgery” program following video-assisted thoracoscopic surgery lobectomy.\u0000 \u0000 \u0000 \u0000 Fifteen face-to-face, nonstructured interviews were conducted with patients who had undergone surgery and were hospitalized for 7 days or more.\u0000 \u0000 \u0000 \u0000 Six themes emerged regarding experiences and coping strategies: lacking information, drawing boundaries, coping with boredom, time for existential thoughts, relying on other patients for reflection, and sufficient time to worry about the aftermath. The analysis was based on Gadamer’s philosophical hermeneutical approach and Antonovsky’s theory of sense of coherence (SOC).\u0000 \u0000 \u0000 \u0000 Patients had various strategies for coping with their situation when hospitalized for a prolonged period in an “enhanced recovery after surgery” program. Health care professionals had an important role in supporting patients’ individual coping strategies to help patients maintain a SOC.\u0000 \u0000 \u0000 \u0000 The findings can be used to understand how patients experience hospitalization when their trajectory deviates from standardized programs. Need for an individual approach to patients is recommended.\u0000 \u0000 \u0000 \u0000 The results indicate an important role for nursing care in “enhanced recovery after surgery” programs and underscore that an individualized approach to patients can bolster coping strategies and thus a SOC.\u0000","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47163228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Evaluation of a Data-Driven, Interactive Workshop to Facilitate Communication and Teamwork in Ambulatory Medical Oncology Settings.","authors":"Amanda C Blok, Deena Kelly Costa, Nathan C Wright, Milisa Manojlovich, Christopher R Friese","doi":"10.1097/cr9.0000000000000043","DOIUrl":"10.1097/cr9.0000000000000043","url":null,"abstract":"<p><strong>Background: </strong>While adverse events and toxicities related to cancer drug therapy in the ambulatory oncology setting are common and often rooted in communication challenges, few studies have examined the problems of communication or tested tools to improve communication in this unique, high-risk setting.</p><p><strong>Objective: </strong>To determine the feasibility and acceptability of a virtual interdisciplinary communication Workshop designed to strengthen communication across ambulatory oncology teams members.</p><p><strong>Methods: </strong>Surveys of patients and clinicians in one ambulatory oncology clinic were analyzed and informed the communication intervention: an interdisciplinary virtual Workshop. Workshop evaluation included an implementation survey measure and a structured debrief with Workshop attendees.</p><p><strong>Results: </strong>87 patients and 56 clinicians participated in pre-workshop surveys that revealed patient satisfaction with timely care and information, yet a range of rating communication experiences with the clinical team, and clinicians perceiving a high amount of organizational safety, yet rated discussion of alternatives to normal work processes low. Survey results guided reflection and discussion within the Workshop. Six clinicians participated in the interactive Workshop. Feasibility and acceptability of the virtual Workshop were supported by formative and summative data, along with suggestions for improvement.</p><p><strong>Conclusions: </strong>The patient and clinician surveys coupled with an interactive virtual Workshop were feasible and acceptable.</p><p><strong>Implications for practice: </strong>The Workshop identified opportunities for individual- and system-level improvements in clinical team communication. This promising strategy requires replication in larger, diverse practice samples.</p><p><strong>Foundational: </strong>Clinicians accepted an interactive workshop that incorporated clinic-specific data and communication strategies. The program is feasible and acceptable in ambulatory oncology settings.</p>","PeriodicalId":72506,"journal":{"name":"Cancer care research online","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10286052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}