Lelond Stephanie, Kim Christina A
CancerCare Manitoba, Winnipeg, MB, Canada.
College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Support Care Cancer. 2025 Feb 10;33(3):168. doi: 10.1007/s00520-025-09193-3.
Although the benefits of early palliative care have been established in advanced cancers, there remains a lack of access to and poor uptake of these services. Barriers include healthcare provider attitudes, lack of standardized referral approach, misaligned policy limited resources, and lack of palliative care expertise.
In consideration of these barriers, a description of the development and implementation of an early palliative care initiative at CancerCare Manitoba in Canada is presented. Explanations of innovative planning, processes, teams, and interventions are offered to facilitate insight for those intending to offer early palliative care.
Barriers and facilitators to integrating a nurse-led early palliative care initiative are discussed. Considerations to mitigate common barriers encountered and leveraging existing resources are offered.
This information may be beneficial to those working to facilitate access to palliative care in oncology for patients with advanced cancers. This model has been successful at our institution with pre and post implementation data presented in an upcoming publication.
尽管早期姑息治疗在晚期癌症中的益处已得到证实，但这些服务的可及性仍然不足且利用率低下。障碍包括医疗服务提供者的态度、缺乏标准化的转诊方法、政策不一致、资源有限以及缺乏姑息治疗专业知识。
鉴于这些障碍，本文介绍了加拿大曼尼托巴癌症关爱中心早期姑息治疗倡议的发展与实施情况。对创新规划、流程、团队及干预措施进行了解释，以便为有意提供早期姑息治疗的人员提供参考。
探讨了整合由护士主导的早期姑息治疗倡议的障碍与促进因素。提出了减轻常见障碍及利用现有资源的相关考虑因素。
这些信息可能对致力于为晚期癌症患者提供肿瘤学姑息治疗的人员有益。该模式在我们机构已取得成功，实施前后的数据将在即将发表的一篇文章中呈现。
