Using the Delphi Method to Elucidate Patient and Caregiver Experiences of Cancer Care

Autor: Janet Ellis MBBChir, MD, FRCPC, Miriam von Mücke Similon MD, Melissa B Korman BSc (Hons), MSc (Candidate), Sophia den Otter-Moore BSc, MSc, Alva Murray BA, MSW, RSW, Kevin Higgins MSc, MD, FACS, FRCSC, Danny Enepekides MD, FRCSC, MPH, Marlene Jacobson PhD, S-LP (C) reg.CASLPO
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Patient Experience, Vol 9 (2022)
Druh dokumentu: article
ISSN: 2374-3743
23743735
DOI: 10.1177/23743735221092633
Popis: Objective: Identify the most salient elements of the head and neck cancer (HNC) care experience described by patients and caregivers in focus group interviews. Methods: Three focus groups of patients and caregivers were facilitated by research assistants and clinicians. Open-ended guiding questions captured/elicited aspects of care that were appreciated, warranted improvement, or enhanced communication and information. A four-step Delphi process derived consensus among focus group facilitators (n = 5) regarding salient discussion points from focus group conversations. Results: Seven salient themes were identified: (1) information provision, (2) burden related to symptoms and treatment side effects, (3) importance of social support, (4) quality of care at both hospital and provider levels, (5) caring for the person, not just treating cancer, (6) social and emotional impact of HNC, and (7) stigma and insufficient information regarding human papillomavirus-related HNC. Conclusion: Participants reported varying needs and support preferences, a desire for individualized communication, and to feel cared for as both a person and a patient. Findings illuminate the intricate details underlying high-quality, compassionate, person-centered HNC cancer care.
Databáze: Directory of Open Access Journals