Fingrut W, Beck L A, Lo D
Faculty of Medicine, University of Toronto, Toronto, ON.
Division of Hematology and Oncology, St. Joseph's Health Centre, Toronto, ON.
Curr Oncol. 2018 Dec;25(6):378-383. doi: 10.3747/co.25.4088. Epub 2018 Dec 1.
A community of practice (cop) is formally defined as a group of people who share a concern or a passion for something they do and who learn how to do it better as they interact regularly. Communities of practice represent a promising approach for improving cancer care outcomes. However, little research is available to guide the development of oncology cops. In 2015, our urban community hospital launched an oncology cop, with the goals of decreasing barriers to access, fostering collaboration, and improving practitioner knowledge of guidelines and services in cancer care. Here, we share insights from a qualitative analysis of feedback from participants in our cop. The objective of the project was to identify participant perspectives about preferred cop features, with a view to improving the quality of our community hospital's oncology cop.
After 5 in-person meetings of our oncology cop, participants were surveyed about what the cop should start, stop, and continue doing. Qualitative methods were used to analyze the feedback.
The survey collected 250 comments from 117 unique cop participants, including family physicians, specialist physicians, nurses, and allied health care practitioners. Analysis identified participant perspectives about the key features of the cop and avenues for improvement across four themes: supporting knowledge exchange, identifying and addressing practice gaps, enhancing interprofessional collaboration, and fostering a culture of partnership.
Based on the results, we identified several considerations that could be helpful in improving our cop. Our findings might help guide the development of oncology cops at other institutions.
实践社区(CoP)被正式定义为一群对他们所做的事情有着共同关注或热情的人,并且他们在定期互动的过程中学习如何把事情做得更好。实践社区是改善癌症护理结果的一种很有前景的方法。然而,目前几乎没有研究可用于指导肿瘤学实践社区的发展。2015年,我们的城市社区医院启动了一个肿瘤学实践社区,目标是减少就医障碍、促进合作,并提高从业者对癌症护理指南和服务的了解。在此,我们分享对我们实践社区参与者反馈的定性分析得出的见解。该项目的目的是确定参与者对实践社区理想特征的看法,以提高我们社区医院肿瘤学实践社区的质量。
在我们的肿瘤学实践社区进行了5次面对面会议之后,就实践社区应该开始、停止和继续做的事情对参与者进行了调查。采用定性方法分析反馈。
该调查收集了来自117名不同的实践社区参与者的250条评论,这些参与者包括家庭医生、专科医生、护士和专职医疗从业者。分析确定了参与者对实践社区关键特征的看法以及在四个主题方面的改进途径:支持知识交流、识别和解决实践差距、加强跨专业合作以及营造伙伴关系文化。
基于这些结果,我们确定了几个有助于改进我们实践社区的考虑因素。我们的研究结果可能有助于指导其他机构肿瘤学实践社区的发展。