Clinical Pharmacology and Pharmacotherapy, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium.
Department of Oncology, Ghent University Hospital, Ghent, Belgium.
J Adv Nurs. 2019 Dec;75(12):3726-3739. doi: 10.1111/jan.14157. Epub 2019 Aug 27.
To evaluate the effectiveness, feasibility, meaningfulness and appropriateness of the development and implementation of a transmural care pathway in four hospitals in Flanders to improve self-management support in healthcare professionals and self-management in patients treated with oral anticancer drugs.
A multicentre, prospective, interventional before-after study.
The development and implementation of the care pathway is based on the 7-phase method by Vanhaecht et al. (2012). Before and after, the care process will be evaluated from the perspective of patients, healthcare professionals in the hospital and from primary care and the available evidence. In both study-parts, a mixed methods approach will be used including observations, semi-structured interviews, focus groups and validated questionnaires for outcome assessments. The primary outcome is self-management in patients and self-efficacy and perception towards self-management in healthcare professionals. This study was funded in October 2015 and has been approved by the Ethics Committee in June 2016.
Due to the growing number of patients taking oral anticancer drugs, there is need for a rigorous study that aims to optimize self-management in patients and self-management support provided by an interdisciplinary team of healthcare professionals (including oncology nurses and clinical nurse specialists). The care pathway should therefore consist of effective self-management supporting interventions and should clearly define the role of all stakeholders.
This study attempts to obtain standardization, uniformity and continuity of self-management support provided by healthcare professionals to patients on oral anticancer drugs with the aim to achieve an adequate level of self-management.
clinicaltrials.gov NCT02861209.
评估在佛兰德的四家医院开发和实施跨部门护理路径以改善医护人员对自我管理支持和口服抗癌药物治疗患者自我管理的有效性、可行性、有意义性和适当性。
多中心、前瞻性、干预前后研究。
护理路径的开发和实施基于 Vanhaecht 等人（2012 年）的 7 阶段方法。在前后两个阶段，将从患者、医院医护人员以及初级保健和现有证据的角度评估护理过程。在两个研究部分中，将使用混合方法，包括观察、半结构化访谈、焦点小组和验证的问卷进行结果评估。主要结果是患者的自我管理和医护人员的自我效能感和对自我管理的认知。本研究于 2015 年 10 月获得资助，并于 2016 年 6 月获得伦理委员会的批准。
由于越来越多的患者服用口服抗癌药物，因此需要一项严格的研究，旨在优化患者的自我管理和跨学科医疗团队（包括肿瘤护士和临床护理专家）提供的自我管理支持。因此，护理路径应包括有效的自我管理支持干预措施，并明确界定所有利益相关者的角色。
本研究试图使医护人员为口服抗癌药物患者提供的自我管理支持标准化、统一化和连续化，旨在实现适当的自我管理水平。
clinicaltrials.gov NCT02861209。
