Provider Perspectives on the Implementation of Psychosocial Risk Screening in Pediatric Cancer

被引:34
作者
Kazak, Anne E. [1 ,2 ]
Barakat, Lamia P. [1 ,3 ,4 ]
Askins, Martha A. [1 ,5 ]
McCafferty, Maureen [1 ]
Lattomus, Alyssa [1 ]
Ruppe, Nicole [1 ]
Deatrick, Janet [1 ,6 ]
机构
[1] Nemours Childrens Hlth Syst, Ctr Healthcare Delivery Sci, 1701 Rockland Rd,Suite 160, Wilmington, DE 19803 USA
[2] Thomas Jefferson Univ, Sidney Kimmel Med Sch, Dept Pediat, Philadelphia, PA 19107 USA
[3] Childrens Hosp Philadelphia, Div Oncol, Philadelphia, PA 19104 USA
[4] Univ Penn, Perelman Sch Med, Dept Pediat, Philadelphia, PA 19104 USA
[5] Univ Texas MD Anderson Canc Ctr, Dept Pediat, Houston, TX 77030 USA
[6] Univ Penn, Sch Nursing, Dept Family & Community Hlth, Philadelphia, PA 19104 USA
关键词
cancer; health-care delivery; health-care providers; implementation; oncology; pediatric; Psychosocial Assessment Tool A (c) (PAT); risk screening; PSYCHOMETRIC PROPERTIES; FAMILIES; CHILDREN; HEALTH; ADOLESCENTS; DIAGNOSIS; CONSENSUS; SERVICES; VALIDITY; QUALITY;
D O I
10.1093/jpepsy/jsw110
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
ObjectiveaEuro integral Psychosocial risk screening is an important initial step in delivering evidence-based care. This qualitative descriptive study identified how multidisciplinary pediatric oncology health-care providers perceive psychosocial risk screening to identify factors in uptake and implementation. MethodsaEuro integral A script guided digitally recorded (transcribed) interviews regarding psychosocial screening and challenges to facilitators of screening. Participants were 15 multidisciplinary staff (physicians, nurses, social workers, psychologists, physician assistant) at nine sites, three using the Psychosocial Assessment ToolA (c) for research and six for clinical care. Constant comparative analysis was used to analyze the independently coded interviews. ResultsaEuro integral Thematic content analysis identified an overarching theme - Screening is important because it facilitates clinical care - and four subthemes: Optimizing Psychosocial Care, Implementing Screening, Engaging Families, and Utilizing Clinical Pathways. ConclusionsaEuro integral Findings support the importance of integrating psychosocial risk screening into clinical care and offer strategies for implementation of screening across a range of settings.
引用
收藏
页码:700 / 710
页数:11
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