School of Nursing, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Division of Geriatrics, Gerontology, and Palliative Care, UAB Department of Medicine, Birmingham, Alabama, USA.
Psychooncology. 2024 Jan;33(1):e6221. doi: 10.1002/pon.6221. Epub 2023 Sep 25.
Characterize key factors and training needs of U.S. cancer centers in implementing family caregiver support services.
Sequential explanatory mixed methods design consisting of: (1) a national survey of clinicians and administrators from Commission-on-Cancer-accredited cancer centers (N = 238) on factors and training needed for establishing new caregiver programs and (2) qualitative interviews with a subsample of survey respondents (N = 30) to elicit feedback on survey findings and the outline of an implementation strategy to facilitate implementation of evidence-based family caregiver support (the Caregiver Support Accelerator). Survey data was tabulated using descriptive statistics and transcribed interviews were analyzed using thematic analysis.
Top factors for developing new caregiver programs were that the program be: consistent with the cancer center's mission and strategic plan (87%), supported by clinic leadership (86.5%) and providers and staff (85.7%), and low cost or cost effective (84.9%). Top training needs were how to: train staff to implement programs (72.3%), obtain program materials (63.0%), and evaluate program outcomes (62.6%). Only 3.8% reported that no training was needed. Qualitative interviews yielded four main themes: (1) gaining leadership, clinician, and staff buy-in and support is essential; (2) cost and clinician burden are major factors to program implementation; (3) training should help with adapting and marketing programs to local context and culture; and (4) the Accelerator strategy is comprehensive and would benefit from key organizational partnerships and policy standards.
Findings will be used to inform and refine the Accelerator implementation strategy to facilitate the adoption and growth of evidence-based cancer caregiver support in U.S. cancer centers.
描述美国癌症中心实施家庭护理人员支持服务的关键因素和培训需求。
采用序贯解释性混合方法设计，包括：（1）对美国癌症委员会认证癌症中心的临床医生和管理人员进行全国调查（N=238），了解建立新的护理人员计划所需的因素和培训；（2）对调查受访者的一个子样本进行定性访谈（N=30），以了解对调查结果和实施策略大纲的反馈，该策略大纲旨在促进基于证据的家庭护理人员支持的实施（护理人员支持加速器）。使用描述性统计对调查数据进行制表，使用主题分析对转录访谈进行分析。
制定新的护理人员计划的首要因素是该计划要与癌症中心的使命和战略计划保持一致（87%），得到临床领导（86.5%）和医务人员及工作人员（85.7%）的支持，且具有成本效益（84.9%）。培训的首要需求是如何培训员工以实施计划（72.3%），获取计划材料（63.0%）以及评估计划结果（62.6%）。只有 3.8%的人表示不需要培训。定性访谈产生了四个主要主题：（1）获得领导层、临床医生和员工的认可和支持至关重要；（2）成本和临床医生的负担是计划实施的主要因素；（3）培训应帮助适应和推广计划以适应当地的背景和文化；（4）加速器策略全面，将受益于关键的组织合作关系和政策标准。
调查结果将用于为加速器实施策略提供信息并进行改进，以促进美国癌症中心采用和推广基于证据的癌症护理人员支持。
