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Journey mapping paediatric oncology care in Saudi Arabia: A mixed-methods study
Febe V Lacson1,2, Dorien Wentzel1
1Department of Nursing, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Insights
Patient journey mapping improved pediatric cancer care by detailing family experiences. This approach identifies key themes in care, highlighting areas for enhancement in treatment pathways.
Area of Science:
- Healthcare Management
- Patient Experience Research
- Oncology
Background:
- Global rise in childhood cancer necessitates improved patient and family experiences.
- Patient journey mapping is a key strategy for enhancing paediatric oncology care.
- Understanding family perspectives is crucial for optimizing treatment outcomes.
Purpose of the Study:
- To outline the development of a patient journey map for paediatric oncology.
- To present family insights across the paediatric oncology care pathway.
- To identify areas for improvement in paediatric cancer care delivery.
Main Methods:
- Explanatory sequential mixed-methods design utilized.
- Quantitative data from 134 family members via Press Ganey Survey.
- Qualitative data from 9 interviews using manifest content analysis, refined by Delphi method.
Main Results:
- Survey achieved a 77% response rate.
- Nine interviews yielded six key themes: nursing care, physician care, positive/negative experiences, care improvements, and emotional journey.
- Integrated data informed the development of a descriptive care map.
Conclusions:
- The study offers valuable insights into family satisfaction with paediatric oncology services.
- Identified key themes highlight specific areas for service improvement.
- Visualizing the patient journey aids healthcare providers in addressing care process gaps.
Background:
Because of the global increase in childhood cancer, patient journey mapping was utilised to improve the treatment experiences and outcomes for paediatric oncology patients and their families.
Aim:
The aim of this study is to describe the process of developing a patient journey map for paediatric oncology care and to present insights from families' experiences across different stages of the care pathway.
Setting:
The study was conducted at a tertiary care hospital in the Kingdom of Saudi Arabia, which provides oncology services for paediatric patients with malignant disorders.
Methods:
An explanatory sequential mixed-methods design was utilised. Quantitative data were collected from 134 family members using the Press Ganey Inpatient Survey. Data were analysed using SPSS 103 version 27. Nine family members were interviewed, data were analysed using manifest content analysis. The results were integrated to develop a descriptive care map. To refine the journey map, a modified Delphi method was applied. The initial design was shared with a Delphi panel comprising senior paediatric oncology staff and consensus was achieved.
Results:
A survey of 134 questionnaires revealed a 77% response rate. Qualitative insights from the nine interviews revealed six key themes: care from nurses, care from physicians, positive experience, negative experience, improvement in care and feelings summarising the journey.
Conclusion:
The study provided valuable information of patients' families' satisfaction with the experiences throughout the oncology units and simultaneously highlighted areas for improvement.
Contribution:
This study visualises a patient's care journey through a complex system, allowing healthcare providers to fill gaps in care processes.
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