Developing and maintaining the resilience of interdisciplinary cancer care teams: an interventional study

Autor: Sébastien Grenier, Kathleen Bentein, Carl-Ardy Dubois, Bernard Lespérance, Marie-Andrée Fortin, Alain Marchand, Mélanie Lavoie-Tremblay, Christine Maheu, Sara Soldera, Roxane Borgès Da Silva
Rok vydání: 2020
Předmět:
Process management
Cost-Benefit Analysis
Health Personnel
Occupational mental health
media_common.quotation_subject
Psychological intervention
Health informatics
Effects analysis
Study Protocol
03 medical and health sciences
0302 clinical medicine
Neoplasms
Surveys and Questionnaires
Intervention (counseling)
0502 economics and business
Humans
Medicine
Implementation analysis
Multidimensional intervention
Workplace
Empowerment
Co-construction
media_common
Patient Care Team
Operationalization
Resilience
business.industry
lcsh:Public aspects of medicine
Health Policy
Nursing research
05 social sciences
lcsh:RA1-1270
Multidisciplinary team
Resilience
Psychological
Longitudinal design
Oncology
Research Design
030220 oncology & carcinogenesis
Interdisciplinary Communication
Psychological resilience
business
050203 business & management
Situation analysis
Zdroj: BMC Health Services Research, Vol 20, Iss 1, Pp 1-10 (2020)
BMC Health Services Research
ISSN: 1472-6963
Popis: BackgroundProviding care to cancer patients is associated with a substantial psychological and emotional load on oncology workers. The purpose of this project is to co-construct, implement and assess multidimensional intervention continuums that contribute to developing the resilience of interdisciplinary cancer care teams and thereby reduce the burden associated with mental health problems. The project is based on resources theories and theories of empowerment.MethodsThe study will involve cancer care teams at four institutions and will use a mixed-model design. It will be organized into three components:(1) Intervention development.Rather than impose a single way of doing things, the project will take a participatory approach involving a variety of mechanisms (workshops, discussion forums, surveys, observations) to develop interventions that take into account the specific contexts of each of the four participating institutions.(2) Intervention implementation and assessment.The purpose of this component is to implement the four interventions developed in the preceding component, assess their effects and whether they are cost effective. A longitudinal quasi-experimental design will be used. Intervention monitoring will extend over 12 months. The effects will be assessed by means of generalized estimating equation regressions. A cost-benefit analysis will be performed to assess the cost-effectiveness of the interventions, taking an institutional perspective (costs and benefits associated with the intervention).(3) Analysis of co-construction and implementation process.The purpose of this component is to (1) describe and assess the approaches used to engage stakeholders in the co-construction and implementation process; (2) identify the factors that have fostered or impeded the co-construction, implementation and long-term sustainability of the interventions. The proposed design is a longitudinal multiple case study.DiscussionIn the four participating institutions, the project will provide an opportunity to develop new abilities that will strengthen team resilience and create more suitable work environments. Beyond these institutions, the project will generate a variety of resources (e.g.: work situation analysis tools; method of operationalizing the intervention co-development process; communications tools; assessment tools) that other oncology teams will be able to adapt and deploy elsewhere.
Databáze: OpenAIRE
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