Exploring Clinical Decision-Making among the Uro-oncology Multidisciplinary Team: A Qualitative Study

被引:1
作者
Askelin, Blake [1 ,2 ]
Hind, Alicia [2 ,3 ]
Paterson, Catherine [2 ,3 ,4 ,5 ]
机构
[1] Univ Canberra, Fac Hlth, Bruce, ACT, Australia
[2] Univ Canberra, Sch Nursing Midwifery & Publ Hlth, 1 Broula St Corner Broula & Allawoona St, Canberra, ACT 2617, Australia
[3] Univ Canberra, Fac Hlth Prehabilitat Act Canc Exercise Survivorsh, Bruce, ACT, Australia
[4] Canberra Hosp, SYNERGY Nursing & Midwifery Res Ctr, Canberra Hlth Serv & ACT Hlth, Canberra, ACT, Australia
[5] Robert Gordon Univ, Aberdeen, Scotland
关键词
Board meeting; Cancer care genitourinary; Multidisciplinary; Person -centered care; Patient referral; virtual discussion; SUPPORTIVE CARE NEEDS; HEALTH-CARE; CANCER; MEETINGS; OUTCOMES; IMPACT;
D O I
10.1016/j.soncn.2023.151447
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: The aim of this qualitative study was to understand the clinical decision-making process among the genitourinary oncology (GU) multidisciplinary team (MDT) and how patients are engaged in the process.Data Sources: A qualitative descriptive study design was conducted and has been reported according to the Consolidated Criteria for Reporting Qualitative Studies (COREQ). Members of the GU MDT were recruited from a metropolitan tertiary hospital and cancer regional center in Australia serving a population of 550,000. Semistructured interviews were conducted, and the audiorecordings were transcribed; an inductive the-matic analysis was used to provide insight from multiple perspectives.Conclusion: Three themes emerged: (1) the role and scope of the uro-oncology MDT, (2) lack of person -cen-tered clinical decision-making, and (3) the barriers and facilitators. Amid the COVID-19 pandemic, the MDT discussions transitioned to virtual application, which was found to be convenient and efficient and improved attendance. The GU cancer MDT had a prominent biomedical focus that lacked person-centered considera-tions. Additional research is needed to explore how person-centered outcomes can be incorporated into the clinical decision-making process.Implication for Nursing Practice: The GU MDT is increasingly important in the care of uro-oncology patients. There appears to be barriers to the implementation of person-centered discussions in the MDT. The effective delivery of multidisciplinary care is contingent on an appropriate mechanism for collaborative communica-tion between all MDT members and patients given the limited involvement of the patient in the MDT itself.& COPY; 2023 Elsevier Inc. All rights reserved.
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页数:9
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