患者的性取向和性别认同信息在瘤学的实践
Mandi L Pratt-Chapman1, Megan A Mullins2, Beck O Gold1
1Department of Medicine, GW Cancer Center, The George Washington University School of Medicine and Health Sciences, Washington, DC.
JAMA network open
|June 23, 2025
概括
在瘤学中收集性取向和性别认同 (SOGI) 数据是通过任务和综合工作流来促进的. 系统的SOGI数据收集需要领导层的支持和临床医生的培训,以实现有效的临床整合.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
背景情况:
- 尽管有国家建议,但性取向和性别认同 (SOGI) 数据收集很少被纳入临床实践.
- 了解SOGI数据收集的促进者对于改善瘤学医疗保健公平至关重要.
研究的目的:
- 在瘤实践中识别与收集性取向和性别认同 (SOGI) 数据相关的促进者.
- 探索各种美国癌症中心系统SOGI数据收集的障碍和推动因素.
主要方法:
- 定性研究采用半结构面试,对23个不同美国瘤机构的62名参与者进行了调查.
- 有目的的抽样确保了地缘政治地区和机构类型 (学术,城市) 的异质性.
- 数据分析涉及演编码 (实施研究整合框架) 和感应主题分析.
主要成果:
- 在30%的中心观察到系统的SOGI数据收集;在48%的中心观察到部分数据收集.
- 关键的促进者包括外部任务,电子医疗记录 (EMR) 工作流集成,结构化数据字段,感知临床相关性和领导力支持.
- 有系统收集的网站提供了更严格的培训; 不收集SOGI数据的网站表明需要授权.
结论:
- 多方面的因素,包括外部任务和内部组织支持,推动SOGI在瘤学中的数据收集.
- 收集的SOGI数据的多样化临床利用强调了需要持续的临床医生教育和改进的整合策略.
- 系统的SOGI数据收集需要由上下要求和自下而上的冠军相结合才能有效.
相关概念视频
01:27Nursing Ethical Principles II
1.4K
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
1.4K
01:23Ethical Standards II
811
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
811
01:26Sexually Transmitted Infections
424
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
424
02:56Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
01:25Ethical Standards I
986
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
986
02:49Cancer Therapies
8.0K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
8.0K