医疗服务提供者对儿科癌症心理社会风险筛查实施情况的看法。
Provider Perspectives on the Implementation of Psychosocial Risk Screening in Pediatric Cancer.
作者信息
Kazak Anne E, Barakat Lamia P, Askins Martha A, McCafferty Maureen, Lattomus Alyssa, Ruppe Nicole, Deatrick Janet
机构信息
Center for Healthcare Delivery Science, Nemours Children's Health System.
Department of Pediatrics, Sidney Kimmel Medical School of Thomas Jefferson University.
出版信息
J Pediatr Psychol. 2017 Jul 1;42(6):700-710. doi: 10.1093/jpepsy/jsw110.
OBJECTIVE
Psychosocial risk screening is an important initial step in delivering evidence-based care. This qualitative descriptive study identified how multidisciplinary pediatric oncology health-care providers perceive psychosocial risk screening to identify factors in uptake and implementation.
METHODS
A script guided digitally recorded (transcribed) interviews regarding psychosocial screening and challenges to facilitators of screening. Participants were 15 multidisciplinary staff (physicians, nurses, social workers, psychologists, physician assistant) at nine sites, three using the Psychosocial Assessment Tool© for research and six for clinical care. Constant comparative analysis was used to analyze the independently coded interviews.
RESULTS
Thematic content analysis identified an overarching theme - Screening is important because it facilitates clinical care - and four subthemes: Optimizing Psychosocial Care, Implementing Screening, Engaging Families, and Utilizing Clinical Pathways.
CONCLUSIONS
Findings support the importance of integrating psychosocial risk screening into clinical care and offer strategies for implementation of screening across a range of settings.
目的
社会心理风险筛查是提供循证护理的重要初始步骤。这项定性描述性研究确定了多学科儿科肿瘤医疗服务提供者如何看待社会心理风险筛查，以找出筛查应用和实施过程中的影响因素。
方法
采用脚本指导进行数字录音（转录）访谈，内容涉及社会心理筛查及筛查促进因素面临的挑战。参与者为9个地点的15名多学科工作人员（医生、护士、社会工作者、心理学家、医师助理），其中3个地点使用《社会心理评估工具》进行研究，6个地点用于临床护理。采用持续比较分析法对独立编码的访谈进行分析。
结果
主题内容分析确定了一个总体主题——筛查很重要，因为它有助于临床护理——以及四个子主题：优化社会心理护理、实施筛查、让家庭参与、利用临床路径。
结论
研究结果支持将社会心理风险筛查纳入临床护理的重要性，并为在一系列环境中实施筛查提供了策略。
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