Ventura Filipa, Domingues Helena, Almeida Gisela, Cardoso Daniela, Rodrigues Rogério, Moreira Isabel, Pires Mariana, Gomes Inês, Silva Rosa, Oliveira Cláudia, Cardoso Ana Filipa, Ribeiro Liliana, Costeira Cristina
The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), 3000 Coimbra, Portugal.
Portuguese Institute of Oncology of Coimbra Francisco Gentil, E.P.E. (IPO Coimbra), Outpatient Oncology Ward, 3000 Coimbra, Portugal.
Nurs Rep. 2022 Jul 13;12(3):520-527. doi: 10.3390/nursrep12030050.
Telehealth is increasingly taking place to support the transition of care and self-management of people living with cancer in outpatient oncology settings. Despite its recognised value, the scientific evidence points to disparities with regard to implementation of telehealth that might compromise the equity of access. Following the Joanna Briggs Institute (JBI) implementation approach, this project aims to promote the implementation of best practice recommendations for telehealth adoption in an outpatient oncology setting. Assisted by the Practical Application of Clinical Evidence System (PACES), the implementation process comprises three phases of (i) a baseline audit, (ii) feedback to the healthcare team and establishment of implementation strategies with the Getting Research into Practice (GRiP) tool, and (iii) a follow-up audit. The project is expected to allow the identification of barriers and facilitators for the implementation of telehealth in outpatient oncology and develop a strategy plan for its adoption, with the involvement of end-users and stakeholders. The successful adoption of telehealth according to the best available evidence will likely enhance equity of access to healthcare and quality of care at a distance.
远程医疗在门诊肿瘤学环境中越来越多地用于支持癌症患者的护理过渡和自我管理。尽管其价值已得到认可，但科学证据表明，远程医疗的实施存在差异，这可能会影响获得医疗服务的公平性。遵循乔安娜·布里格斯研究所（JBI）的实施方法，本项目旨在促进门诊肿瘤学环境中采用远程医疗的最佳实践建议的实施。在临床证据系统的实际应用（PACES）的协助下，实施过程包括三个阶段：（i）基线审核；（ii）向医疗团队反馈，并使用将研究转化为实践（GRiP）工具制定实施策略；（iii）后续审核。预计该项目将识别门诊肿瘤学中实施远程医疗的障碍和促进因素，并制定一项采用远程医疗的战略计划，让最终用户和利益相关者参与其中。根据现有最佳证据成功采用远程医疗可能会提高远程医疗服务的可及性和护理质量。
