Stacey Dawn, Chambers Suzanne K, Jacobsen Mary Jane, Dunn Jeff
School of Nursing, University of Ottawa, Ontario, Canada.
Oncol Nurs Forum. 2008 Nov;35(6):961-9. doi: 10.1188/08.ONF.961-969.
PURPOSE/OBJECTIVES: To evaluate the effect of an intervention on healthcare professionals' perceptions of barriers influencing their provision of decision support for callers facing cancer-related decisions.
A pre- and post-test study guided by the Ottawa Model of Research Use.
Australian statewide cancer call center that provides public access to information and supportive cancer services.
34 nurses, psychologists, and other allied healthcare professionals at the cancer call center.
Participants completed baseline measures and, subsequently, were exposed to an intervention that included a decision support tutorial, coaching protocol, and skill-building workshop. Strategies were implemented to address organizational barriers.
Perceived barriers and facilitators influencing provision of decision support, decision support knowledge, quality of decision support provided to standardized callers, and call length.
Postintervention participants felt more prepared, confident in providing decision support, and aware of decision support resources. They had a stronger belief that providing decision support was within their role. Participants significantly improved their knowledge and provided higher-quality decision support to standardized callers without changing call length.
The implementation intervention overcame several identified barriers that influenced call center professionals when providing decision support.
Nurses and other helpline professionals have the potential to provide decision support designed to help callers understand cancer information, clarify their values associated with their options, and reduce decisional conflict. However, they require targeted education and organizational interventions to reduce their perceived barriers to providing decision support.
目的/目标：评估一项干预措施对医疗保健专业人员认知影响其为面临癌症相关决策的来电者提供决策支持的障碍的效果。
一项以前测和后测为导向的研究，以渥太华研究应用模型为指导。
澳大利亚全州范围的癌症呼叫中心，该中心为公众提供癌症信息和支持性癌症服务。
癌症呼叫中心的34名护士、心理学家和其他相关医疗保健专业人员。
参与者完成基线测量，随后接受一项干预措施，该措施包括决策支持教程、指导协议和技能提升工作坊。实施了一些策略来解决组织障碍。
影响提供决策支持的认知障碍和促进因素、决策支持知识、向标准化来电者提供的决策支持质量以及通话时长。
干预后，参与者感觉更有准备，对提供决策支持更有信心，并了解决策支持资源。他们更坚信提供决策支持是他们职责范围内的事情。参与者显著提高了他们的知识水平，并在不改变通话时长的情况下，为标准化来电者提供了更高质量的决策支持。
实施的干预措施克服了一些在提供决策支持时影响呼叫中心专业人员的已识别障碍。
护士和其他热线专业人员有潜力提供旨在帮助来电者理解癌症信息、明确与他们选择相关的价值观并减少决策冲突的决策支持。然而，他们需要有针对性的教育和组织干预措施，以减少他们在提供决策支持时所感知到的障碍。
