Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Patients' and clinicians' experiences of holistic needs assessment using a cancer distress thermometer and problem list : A qualitative study (2016) |
Auteurs : | Lucy Biddle ; Sangeetha Paramasivan ; Susan Harris ; et al. |
Type de document : | Article |
Dans : | European Journal of Oncology Nursing (Vol. 23, August 2016) |
Article en page(s) : | p. 59-65 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Dépistage systématique ; Entretien ; Oncologie médicale ; Recherche qualitative ; Santé holistique ; Thérapeutique ; Thermomètre |
Résumé : |
Purpose
Psychosocial needs assessment is recommended for patients undergoing cancer treatment, but trials of effectiveness of assessment tools provide mixed results. This qualitative study aimed to understand how such tools are experienced by patients and clinicians in order to optimise use in the future. Methods Qualitative interviews were used in a mixed-methods sequential design following a randomised controlled trial of needs assessment using the Distress Thermometer and Problem List (DT&PL), and explored patients' and clinicians' evaluations of the needs assessment process. Results Benefits of needs assessment using the DT&PL included the potential to detect hidden distress, allow opportunity for distress to be discussed, and to deliver outcomes to address problems. However, effectiveness and patient willingness to report all forms of distress could be hindered by: clinicians feeling ill-equipped to deal with non-physical distress and patients questioning their appropriateness to do so; time constraints; insufficient support services and referral guidelines; inappropriate timing; and lack of follow-up. Conclusions The benefits of a holistic needs assessment cannot be realised without matching time and frequency of administration to the dynamic nature of distress during cancer, and making changes to the context of delivery for instance, providing protected time, increasing referral options and clinician training. Significant investment is needed to optimise potential benefits for patients. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |