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A Clinical Trial Assessing the Safety, Efficacy, and Delivery of Olive-Oil-Based Three-Chamber Bags for Parenteral Nutrition
Published on: September 20, 2019
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Factors Affecting Healthcare Professionals' Decision-Making Around Parenteral Nutrition in Advanced Cancer: A
Jennifer McCracken1, Sabrina Bajwah2, Clare Shaw1,3
1The Royal Marsden NHS Foundation Trust, London, Sutton, UK.
Summary
Factors influencing healthcare professionals' decisions on parenteral nutrition (PN) for advanced cancer patients include clinical factors, quality of life, and team dynamics. Effective communication and realistic expectations are crucial for optimal patient care.
Area of Science:
- Oncology
- Gastroenterology
- Healthcare Management
Background:
- Clinical guidelines alone do not fully dictate healthcare professionals' (HCPs) decisions regarding parenteral nutrition (PN).
- Numerous factors beyond established protocols influence HCPs' choices in advanced cancer care.
- Understanding these influences is key to improving PN delivery.
Purpose of the Study:
- To systematically review and identify factors impacting HCP decision-making for PN in advanced cancer patients.
- To synthesize current evidence on the multifaceted influences on PN prescription and management.
- To inform strategies for better patient outcomes in advanced cancer requiring nutritional support.
Main Methods:
- Comprehensive literature search across multiple databases (MEDLINE, Embase, PsycINFO, etc.) up to May 2023.
- Systematic screening and quality appraisal by independent reviewers.
- Inclusion of 5 eligible papers (3 surveys, 2 qualitative studies) published 2020-2023.
Main Results:
- Six key themes emerged: clinical indications, quality of life, hope, multidisciplinary team (MDT) input, home PN barriers, and family influence.
- Performance status is a significant factor for home PN suitability.
- Barriers include unclear indications, colleague objections, lack of expertise, and poor communication.
Conclusions:
- Enhanced collaboration and communication among acute, intestinal failure (IF) centers, and community services are vital for PN decision-making.
- HCPs must set realistic patient expectations.
- Communication strategies should respect patient values and cultural backgrounds.
Keywords:
advanced cancerdecision‐makinghealthcare professionalsparenteral nutritionsystematic reviewMore Related Videos
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