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When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Perceived Barriers Toward Patient-Reported Outcome Implementation in Cancer Care: An International Scoping Survey.

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This summary is machine-generated.

Implementing patient-reported outcomes (PROs) in cancer care faces unique barriers. Administrators worry about liability, while centers without PRO infrastructure struggle with expert access and clinical integration.

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Area of Science:

  • Oncology
  • Health Services Research
  • Patient-Reported Outcomes

Background:

  • Patient-reported outcomes (PROs) collection is crucial for enhancing cancer care quality.
  • Understanding barriers to PRO implementation is essential for effective integration into clinical practice.

Purpose of the Study:

  • To investigate perceived barriers to PRO collection implementation.
  • To compare these barriers between centers with and without established PRO infrastructure.
  • To differentiate barriers experienced by administrators versus non-administrators.

Main Methods:

  • A multinational survey was conducted among oncology practitioners.
  • Multivariable regression models analyzed perceived barriers.
  • Adjustments were made for demographic and institutional variables.

Main Results:

  • Administrators perceived higher liability concerns but less workflow disruption.
  • Practitioners at centers without PRO infrastructure cited lack of local experts, uncertainty in clinical application, and difficulty selecting PRO measures as key barriers.
  • Lack of a local PRO expert, uncertainty in measure selection, and unclear institutional role were major differences between centers with and without PRO infrastructure.

Conclusions:

  • Perceived barriers to PRO implementation vary significantly based on administrative role and institutional infrastructure.
  • Successful PRO integration requires comprehensive strategies addressing specific concerns of different stakeholder groups.
  • Involving frontline clinicians, administrators, and PRO experts in implementation teams is recommended.