Related Experiment Video
Updated: Jun 28, 2025
03:47
Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
Published on: July 12, 2024
766
Using the consolidated framework for implementation research (CFIR) to guide implementation of cardio-oncology
Jessica Miller Clouser1, Colleen A McMullen2, Akosua K Adu1
1Department of Behavioral Science, College of Medicine University of Kentucky Lexington Kentucky USA.
Learning Health Systems
|April 18, 2024
Summary
Implementing cardio-oncology services is supported by clinicians and administrators, who see benefits for cancer patient outcomes. Addressing barriers like cost and interdisciplinary collaboration is key for successful integration of these vital cardiac care services.
Area of Science:
- Cardio-oncology
- Oncology
- Cardiology
- Implementation Science
Background:
- Cardio-oncology services are crucial for managing cardiovascular risks in cancer patients.
- These services aim to improve cardiac care throughout the oncology patient journey.
- Understanding stakeholder needs is vital for successful implementation.
Purpose of the Study:
- To assess multilevel needs, barriers, and expectations for cardio-oncology services.
- To engage clinician and administrative stakeholders in service development.
Main Methods:
- Interviews with clinicians and administrators using the Consolidated Framework for Implementation Research (CFIR).
- Web-based survey assessing knowledge, attitudes, and perceptions of cardio-oncology services among regional clinicians.
Main Results:
- Stakeholders perceive significant benefits, including improved cancer patient prognoses (74% of surveyed clinicians).
- Key barriers include costs and organizational silos hindering collaboration.
- Discrepancies exist between cardiology and oncology providers regarding acceptable levels of cardiotoxicity risk.
Conclusions:
- Strong support exists for developing and implementing cardio-oncology services.
- Addressing identified multilevel barriers is essential for maximizing service success.
- Engaging diverse stakeholders in future development ensures relevance and uptake.
More Related Videos
Related Concept Videos
01:15Nursing Implementation
5.0K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
5.0K
01:11Clinical Trials: Overview
2.9K
Clinical development focuses on how the drug will interact with the human body and encompasses four key phases of clinical trials, each serving a specific purpose in assessing the safety and effectiveness of new drugs. These phases overlap and build upon one another. Phase I involves a small group of healthy volunteers (typically 20-80 individuals) or, in cases where significant toxicity is expected, patients with the targeted disease, such as cancer or AIDS. The volunteers are tested for...
2.9K
02:56Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:19Standards of Care II
644
Nurses bear specific legal responsibilities under several federal statutes, including:
644
01:16Clinical Trials
6.7K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.7K