遠隔がん症状管理の介入の実施における実践ファシリテーターの使用に対する障壁とファシリテーター:混合方法の研究
Sarah A Minteer1,2, Jennifer L Ridgeway3,4, Deirdre R Pachman5
1Department of Physical Medicine and Rehabilitation Research, Mayo Clinic, 200 First St SW, Rochester, MN, 55901, USA. minteer.sarah@mayo.edu.
BMC health services research
|September 3, 2025
まとめ
癌の治療に携わるファシリテーターは 訓練だけでなく 保護された時間が必要です 専用の時間や組織的なサポートがなければ 役割の効果は限られており 腫瘍学における実施戦略に影響を及ぼします
科学分野:
- 実施科学
- 腫瘍学診療所の管理
- 医療の便利化
背景:
- 癌患者のプラグマティック・クラスター・ランダム化試験
- 介護施設から採用された実習ファシリテーター (Symptom Sages)
- 役割の障壁とファシリテーターを評価するための混合方法の研究
研究 の 目的:
- 癌治療における実践ファシリテーターの障壁とファシリテーターを評価する.
- 訓練,時間割り当て,組織的なサポートが役割の成功に与える影響を評価する.
- 腫瘍学での採用を改善するための実施戦略を特定する.
主な方法:
- 実施研究のための統合枠組み (CFIR) 2.0を研究設計に活用した.
- ウェブベースの調査と半構造面接で収集したデータ
- 定性的なデータはコード化とテーマ分析によって分析され,定量的なデータは記述的に分析されます.
主要な成果:
- ファシリテーターは 十分な訓練を受けたが 十分な保護時間はなかった
- 役割の動機付けは,介入の認識とそれを修正する能力の混合によって影響を受けました.
- 同僚のやる気と 組織からの支援を 確保することが困難でした
結論:
- 訓練だけでは,実践ファシリテーターの成功には不十分です.
- 保護された時間は 効果的な役割の遂行に不可欠です
- 腫瘍学における成功のための追加的な実施戦略が必要である.
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