人人都希望完成此事，但却无人愿意去做：探索癌症焦虑与抑郁临床路径关键要素的障碍与促成因素。
Everybody wants it done but nobody wants to do it: an exploration of the barrier and enablers of critical components towards creating a clinical pathway for anxiety and depression in cancer.
作者信息
Rankin Nicole M, Butow Phyllis N, Thein Thida, Robinson Tracy, Shaw Joanne M, Price Melanie A, Clover Kerrie, Shaw Tim, Grimison Peter
机构信息
Translational Research Fellow, Sydney Catalyst, The University of Sydney, Chris O'Brien Lifehouse, Level 6, 119-143 Missenden Road, Camperdown, NSW, 2050, Australia.
Psycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia.
出版信息
BMC Health Serv Res. 2015 Jan 22;15:28. doi: 10.1186/s12913-015-0691-9.
BACKGROUND
This study aimed to explore barriers to and enablers for future implementation of a draft clinical pathway for anxiety and depression in cancer patients in the Australian context.
METHODS
Health professionals reviewed a draft clinical pathway and participated in qualitative interviews about the delivery of psychosocial care in their setting, individual components of the draft pathway, and barriers and enablers for its future implementation.
RESULTS
Five interrelated themes were identified: ownership; resources and responsibility; education and training; patient reluctance; and integration with health services beyond oncology.
CONCLUSIONS
The five themes were perceived as both barriers and enablers and provide a basis for an implementation plan that includes strategies to overcome barriers. The next steps are to design and deliver the clinical pathway with specific implementation strategies that address team ownership, endorsement by leaders, education and training modules designed for health professionals and patients and identify ways to integrate the pathway into existing cancer services.
背景
本研究旨在探讨在澳大利亚背景下，癌症患者焦虑和抑郁临床路径草案未来实施的障碍与促进因素。
方法
卫生专业人员审查了临床路径草案，并参与了关于其所在环境中社会心理护理的提供、草案路径的各个组成部分以及未来实施的障碍与促进因素的定性访谈。
结果
确定了五个相互关联的主题：所有权；资源与责任；教育与培训；患者抵触；以及与肿瘤学以外的卫生服务整合。
结论
这五个主题被视为既是障碍也是促进因素，并为实施计划提供了基础，该计划包括克服障碍的策略。接下来的步骤是设计并实施临床路径，采用具体的实施策略，解决团队所有权问题、获得领导者认可、为卫生专业人员和患者设计教育与培训模块，并确定将该路径整合到现有癌症服务中的方法。
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