Managing symptoms during cancer treatments: evaluating the implementation of evidence-informed remote support protocols
| Autor: | Angela Whynot, Debra Bakker, Craig E. Kuziemsky, Barbara Ballantyne, Brenda Sabo, Dawn Stacey, Margaret B. Harrison, Kimberly Chapman, Esther Green, Ann Syme, Doris Howell, Myriam Skrutkowski, Terry MacKenzie, Joanne Cumminger |
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| Rok vydání: | 2012 |
| Předmět: |
Telemedicine
medicine.medical_specialty Canada MEDLINE Nurses Health Informatics Antineoplastic Agents Health informatics Health administration 03 medical and health sciences Study Protocol 0302 clinical medicine Clinical Protocols Patient-Centered Care medicine Humans 030212 general & internal medicine Mixed-methods study Cancer Medicine(all) Protocol (science) lcsh:R5-920 Evidence-Based Medicine business.industry Health Policy Public Health Environmental and Occupational Health Health services research Symptom management General Medicine Evidence-based medicine Triage 3. Good health 030220 oncology & carcinogenesis Family medicine Practice Guidelines as Topic Implementation science Guideline Adherence lcsh:Medicine (General) business Guidelines based |
| Zdroj: | Implementation Science : IS Implementation Science, Vol 7, Iss 1, p 110 (2012) |
| ISSN: | 1748-5908 |
| Popis: | Background Management of cancer treatment-related symptoms is an important safety issue given that symptoms can become life-threatening and often occur when patients are at home. With funding from the Canadian Partnership Against Cancer, a pan-Canadian steering committee was established with representation from eight provinces to develop symptom protocols using a rigorous methodology (CAN-IMPLEMENT©). Each protocol is based on a systematic review of the literature to identify relevant clinical practice guidelines. Protocols were validated by cancer nurses from across Canada. The aim of this study is to build an effective and sustainable approach for implementing evidence-informed protocols for nurses to use when providing remote symptom assessment, triage, and guidance in self-management for patients experiencing symptoms while undergoing cancer treatments. Methods A prospective mixed-methods study design will be used. Guided by the Knowledge to Action Framework, the study will involve (a) establishing an advisory knowledge user team in each of three targeted settings; (b) assessing factors influencing nurses’ use of protocols using interviews/focus groups and a standardized survey instrument; (c) adapting protocols for local use, ensuring fidelity of the content; (d) selecting intervention strategies to overcome known barriers and implementing the protocols; (e) conducting think-aloud usability testing; (f) evaluating protocol use and outcomes by conducting an audit of 100 randomly selected charts at each of the three settings; and (g) assessing satisfaction with remote support using symptom protocols and change in nurses’ barriers to use using survey instruments. The primary outcome is sustained use of the protocols, defined as use in 75% of the calls. Descriptive analysis will be conducted for the barriers, use of protocols, and chart audit outcomes. Content analysis will be conducted on interviews/focus groups and usability testing with comparisons across settings. Discussion Given the importance of patient safety, patient-centered care, and delivery of quality services, learning how to effectively implement evidence-informed symptom protocols in oncology healthcare services is essential for ensuring safe, consistent, and effective care for individuals with cancer. This study is likely to have a significant contribution to the delivery of remote oncology services, as well as influence symptom management by patients at home. |
| Databáze: | OpenAIRE |
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