Maamoun John, Fitch Margaret, Barker Ruth, Robson Sheila, Gillies Carol, Turner Angela, Lange-Mechlen Irene, Gardner Sandra, Kiss Alex
The Odette Cancer Centre - Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
The Odette Cancer Centre - Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
J Med Imaging Radiat Sci. 2009 Mar;40(1):24-31. doi: 10.1016/j.jmir.2008.11.003. Epub 2009 Mar 9.
At Sunnybrook's Odette Cancer Centre, a multidisciplinary research team with expertise in radiation therapy and supportive care embarked on a comprehensive, evidence-based three-phase study, "Identifying, Measuring and Addressing Radiation Therapy Patient Supportive Care Needs at the Odette Cancer Centre." The subject of this paper, a radiation therapist opinion survey, constitutes Phase I of that study.
The goal of Phase I was to provide an opportunity for radiation therapists (RTs) to express their views concerning a wide range of supportive care issues as they relate to patients and their families, and also to themselves as RTs. The aim was to use the findings to create in-service educational sessions for RTs at the Odette Cancer Centre. These sessions would then allow RTs to enact the protocol that will follow in Phase II and III of the larger study.
An online RT opinion survey was created, which used opinion statement questions. Included in the survey were questions regarding RTs' perspectives on supportive care issues and RTs' comfort level in addressing patient supportive care needs. Participants were asked about the barriers to the provision of optimal supportive care, and for suggestions to overcome these barriers. A treatment record audit was conducted simultaneously to augment the survey findings and to establish a baseline for future improvement measurements.
Although there appears to be room for improvement in documentation practices, a high level of commitment to the provision of optimal supportive care has been demonstrated. Concerns regarding a range of relevant issues were expressed. RTs' comfort levels addressing specific supportive care needs of patients and their families, and the barriers that they believe hinder the provision of quality supportive care were identified. The following four themes were suggested in overcoming those barriers: staff education and training, system change, more time for the provision of supportive care, and role clarification.
The survey provided information that can be used to promote quality supportive care that extends beyond the aim of the survey; namely, to create in-service education sessions for RTs at the Odette Cancer Centre.
在桑尼布鲁克的奥德特癌症中心，一个在放射治疗和支持性护理方面具有专业知识的多学科研究团队开展了一项全面的、基于证据的三阶段研究，即“确定、衡量和解决奥德特癌症中心放射治疗患者的支持性护理需求”。本文的主题——放射治疗师意见调查，构成了该研究的第一阶段。
第一阶段的目标是为放射治疗师提供一个机会，让他们表达对一系列与患者及其家属以及他们自身作为放射治疗师相关的支持性护理问题的看法。目的是利用这些调查结果为奥德特癌症中心的放射治疗师创建在职教育课程。这些课程将使放射治疗师能够实施在更大规模研究的第二阶段和第三阶段中后续采用的方案。
创建了一项在线放射治疗师意见调查，该调查使用了意见陈述问题。调查内容包括关于放射治疗师对支持性护理问题的看法以及放射治疗师在满足患者支持性护理需求方面的舒适程度的问题。参与者被问及提供最佳支持性护理的障碍以及克服这些障碍的建议。同时进行了治疗记录审核，以补充调查结果并为未来的改进测量建立基线。
尽管在记录实践方面似乎仍有改进空间，但已表明对提供最佳支持性护理有高度的承诺。表达了对一系列相关问题的担忧。确定了放射治疗师在满足患者及其家属的特定支持性护理需求方面的舒适程度以及他们认为阻碍提供优质支持性护理的障碍。在克服这些障碍方面提出了以下四个主题：员工教育与培训、系统变革、提供支持性护理的更多时间以及角色明确。
该调查提供了可用于促进优质支持性护理的信息，这超出了调查的目标；即，为奥德特癌症中心的放射治疗师创建在职教育课程。
