使用实践辅助者实施远程癌症症状管理干预的障碍和辅助者:混合方法研究
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
概括
癌症治疗的实践辅导者需要保护时间, 不仅仅是培训, 没有专门的时间和组织支持,他们的作用效果是有限的,影响瘤环境中的实施策略.
科学领域:
- 实施科学
- 癌症实践管理
- 提供医疗服务
背景情况:
- 对癌症患者进行实证集群随机试验.
- 从护理机构招募的实践辅导员 ("症状智者").
- 混合方法研究评估角色障碍和促进者.
研究的目的:
- 评估癌症护理中的障碍和促进者.
- 评估培训,时间分配和组织支持对角色成功的影响.
- 确定实施策略以改善瘤学环境中的采用.
主要方法:
- 使用实施研究综合框架 (CFIR) 2.0进行研究设计.
- 通过网络调查和半结构面试收集数据.
- 通过编码和主题分析分析定性数据;通过描述分析定量数据.
主要成果:
- 培训人员认为培训足够, 但缺乏足够的保护时间.
- 角色动机受到了混合的干预感知和无法修改的影响.
- 挑战包括激励同事和确保组织的支持.
结论:
- 仅仅是培训不足以使实践辅导员取得成功.
- 保护时间对于有效的角色表现至关重要.
- 为了在瘤学中成功采用,需要进一步的实施策略.
相关概念视频
Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
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...
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...
3.8K
Methods of Documentation VI: Case Management Model
628
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
628
Barriers to Effective Communication I
9.5K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
9.5K
Patient-centered Care
2.3K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.3K
Current Trends in Nursing II
1.4K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.4K
Self-Help Support Groups
76
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
76


