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Diving deeper into distress screening implementation in oncology care.

Elizabeth A Rohan1, Jennifer E Boehm1, Ruvini Samarasinha1

  • 1Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, USA.

Journal of Psychosocial Oncology
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PubMed
Summary

Distress screening (DS) in cancer care enhances patient outcomes. Oncology professionals suggest improving DS processes and increasing psychosocial staff to ensure timely, comprehensive care for patients.

Keywords:
Cancercancer survivorsdistressdistress managementdistress screeningoncologypsychosocialsurvivorship

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Area of Science:

  • Oncology
  • Psychosocial Care
  • Healthcare Quality Improvement

Background:

  • Calls for research on effective distress screening (DS) processes and follow-up care.
  • Qualitative study examining routine DS implementation, facilitators, challenges, and perceived value among oncology professionals.
  • Focus on distress screening within oncology care settings in the United States.

Purpose of the Study:

  • To understand the implementation of routine distress screening in oncology care.
  • To identify facilitators and challenges encountered by staff during DS processes.
  • To explore oncology professionals' perceived value of distress screening and its impact on patient care.

Main Methods:

  • Qualitative inquiry using key informant interviews and focus groups.
  • Involved 18 staff participants across 4 Commission on Cancer (CoC)-accredited oncology facilities.
  • Employed rigorous data analysis with inductive and deductive approaches.

Main Results:

  • Oncology professionals believe DS enhances patient care.
  • Suggested improvements include multi-point DS administration, patient-administered methods, and enhanced EHR infrastructure.
  • Identified a need for additional psychosocial staff to ensure timely care.

Conclusions:

  • Distress screening (DS) is valuable in cancer care, emphasizing the importance of follow-up with psychosocial oncology providers.
  • Addressing barriers and facilitators to DS implementation is crucial for appropriate psychosocial care.
  • Oncology staff insights can improve DS quality and subsequent psychosocial care, a vital aspect of oncology treatment.