为癌症康复导航计划实施战略的优先级和多层次映射
Nicole L Stout1,2, Shana E Harrington3, Ashley Perry4
1Department of Hematology/Oncology, West Virginia University, School of Medicine, Morgantown, WV, USA.
PM & R : the journal of injury, function, and rehabilitation
|January 13, 2025
概括
实施癌症康复导航 (CRNav) 需要在提供者,诊所和系统层面采取具体干预措施. 优先考虑的策略包括冠军团队,计划理由,结果措施和障碍分析,以更好地提供瘤护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 癌症康复导航 (CRNav) 计划旨在改善患者护理.
- 需要具体的实施干预措施,以提高CRNav计划在瘤学环境中的应用.
- 本研究确定并优先考虑了CRNav实施的干预措施.
研究的目的:
- 确定和优先考虑癌症康复导航 (CRNav) 计划的具体实施干预措施.
- 利用一个多层次的框架 (提供者,诊所,系统) 来指导干预的识别.
- 为CRNav实施提供未来研究和临床实践的信息.
主要方法:
- 召集了来自两个CRNav计划的跨学科利益相关者进行实施映射重点小组.
- 在多层框架内使用演性主题编码分析焦点组成绩单.
- 使用修改后的Delphi流程,以70%的协议门来优先确定干预措施.
主要成果:
- 在提供者,诊所和系统层面确定了19项干预措施.
- 通过德尔菲进程,有14个干预项目达成了非常重要的协议.
- 优先考虑的干预措施包括开发冠军团队,计划的理由,结果措施和背景化障碍.
结论:
- 成功的临床实施CRNav需要在多个医疗保健系统层面进行有针对性的干预.
- 这些优先干预为未来的CRNav实施研究和实践提供了路线图.
- 关注特定的多层次干预对于创新的护理提供模式至关重要.
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