在癌症护理中实现患者报告结果的感知障碍:国际范围调查
Lawson Eng1, Raymond J Chan2, Alexandre Chan3
1Division of Medical Oncology and Hematology, Department of Medicine, Princess Margaret Cancer Centre/University Health Network, University of Toronto, Toronto, ON, Canada.
在癌症护理中实施患者报告结果 (PRO) 面临着独特的障碍. 管理人员担心责任,而没有PRO基础设施的中心则在专家访问和临床整合方面扎.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 患者报告的结果
背景情况:
- 收集患者报告的结果 (PRO) 对于提高癌症护理质量至关重要.
- 了解PRO实施的障碍对于有效融入临床实践至关重要.
研究的目的:
- 调查对PRO收集实施的感知障碍.
- 为了比较有和没有建立PRO基础设施的中心之间的这些障碍.
- 区分管理员与非管理员所面临的障碍.
主要方法:
- 在瘤学从业人员中进行了一项跨国调查.
- 多变量回归模型分析了感知到的障碍.
- 对人口和机构变量进行了调整.
主要成果:
- 管理员认为责任担忧较高,但工作流程中断较少.
- 没有PRO基础设施的中心的从业人员指出,缺乏当地专家,临床应用的不确定性和选择PRO措施的困难是关键障碍.
- 当地PRO专家的缺乏,措施选择的不确定性和机构角色不清楚是PRO基础设施和没有PRO基础设施的中心之间的主要差异.
结论:
- 对PRO实施的感知障碍因行政角色和机构基础设施而异.
- 成功的PRO集成需要全面的战略,解决不同利益相关者群体的具体问题.
- 建议在实施团队中涉及一线临床医生,管理人员和PRO专家.
更多相关视频
07:14A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Cancer Survival Analysis
Patient-centered Care
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Role of Communication in the Nursing Process II: Planning and Implementation
Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
