在国家癌症研究所社区瘤学研究计划中对早期息护理实施的过程评估
Lisa Zubkoff1,2, Elizabeth Carpenter-Song3, Kathleen Doyle Lyons4
1Division of General Internal Medicine and Population Science, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
JNCI cancer spectrum
|February 28, 2026
概括
在社区瘤学中实施早期息治疗需要灵活的试验设计. 通过实用性修改来解决人员和医生买入等挑战,以加强程序集成.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 实施科学 实施科学
背景情况:
- 将早期息治疗纳入社区瘤实践对于符合指南的护理至关重要.
- 在国家研究网络中成功实施此类试验仍未得到充分研究.
研究的目的:
- 在全国性试验中识别和解决实践和患者招募挑战.
- 测试两个实施策略,以整合教育,培养,建议,生命结束前 (ENABLE) 计划.
主要方法:
- 使用集群随机试验设计进行过程评估.
- 实践和临床医师特征的定量调查.
- 与临床医生和工作人员进行定性采访,以确定障碍.
主要成果:
- 在9个实践集群中,33名临床医生,23名ENABLE教练和19名协调员参加了会议.
- 没有实践例行地将所有晚期癌症患者推送到息治疗,尽管有可用性.
- 关键障碍包括人员短缺,医生购买率低,服务重叠的感知和参与者负担.
结论:
- 癌症网络中的实施试验需要务实和代的程序.
- 适应临床实践工作流程对于早期息护理计划的成功整合至关重要.
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