评估农村和非农村瘤诊所金融导航的实施前环境
Victoria M Petermann1,2, Caitlin B Biddell2,3, Arrianna Marie Planey2,3
1School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Frontiers in health services
|November 9, 2023
概括
在癌症护理组织中,金融导航 (FN) 实施准备程度很高. 农村工作人员报告了更大的信心,而非农村工作人员则提到对变化抵抗的担忧,为这种癌症患者支持干预提供了量身定制的战略.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 金融毒性是癌症患者面临的重大挑战.
- 金融导航 (FN) 是一种基于证据的干预措施,旨在减轻金融毒性.
- 组织的准备和特定环境因素影响了FN实施的成功.
研究的目的:
- 评估在农村和非农村的癌症护理机构中对FN实施的组织准备.
- 识别对NF实施的感知障碍和促进者.
- 将农村和非农村组织之间的实施背景进行比较,以告知定制战略.
主要方法:
- 调查 (n=78) 和深入访谈 (n=73) 与9个癌症护理组织的员工进行.
- 组织为实施变革做好准备 (ORIC) 规模用于评估准备.
- 实施研究综合框架 (CFIR) 指导着对障碍和促进者的专题分析.
主要成果:
- 在所有地点报告了对FN实施的高度组织准备.
- 农村工作人员对管理变革和组织支持表达了更大的信心.
- 促进者包括干预的相对优势和实施气候;障碍因农村地区而异 (例如,非农村地区的阻力,农村地区的时间/资源).
结论:
- 在农村和非农村环境中发现了很少,但明显的NF实施障碍.
- 调查结果强调需要量身定制的实施策略,以支持在各种瘤实践中采用FN.
- 了解特定背景因素对于成功扩展 FN 干预至关重要.
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