当前位置: X-MOL 学术Psycho-Oncology › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
What are the mechanisms underlying the delivery of survivorship care information in Australia? A realist review
Psycho-Oncology ( IF 3.6 ) Pub Date : 2024-03-16 , DOI: 10.1002/pon.6321
Larry Myers 1, 2 , Elizabeth A. Johnston 1, 3, 4 , Leah Zajdlewicz 1 , Bianca Viljoen 1, 5, 6 , Sarah Kelly 1 , Nicole Perry 1 , Anna Stiller 1 , Fiona Crawford‐Williams 7 , Raymond J. Chan 7 , Jon D. Emery 8, 9 , Rebecca J. Bergin 8, 10 , Joanne F. Aitken 1, 11, 12 , Belinda C. Goodwin 1, 6, 13
Affiliation  

ObjectiveQuality survivorship information is an essential component of cancer care. However, survivors often report not receiving this information and healthcare professionals report limited practical guidance on how to effectively deliver survivorship information. Therefore, this study used realist review methods to identify mechanisms reported within the published literature for communicating survivorship information and to understand the contextual factors that make these mechanisms effective.MethodsFull‐text papers published in CINAHL, PubMed, Web of Science, Scopus, Cochrane Library, and Academic Search Ultimate were included. Studies included in this review were conducted in Australia between January 2006 and December 2023, and reported on how information regarding survivorship care was communicated to adult cancer survivors living in the community. This review utilized realist methodologies: text extracts were converted to if‐then statements used to generate context‐mechanism‐outcome theories.ResultsFifty‐one studies were included and six theories for mechanisms that underpin the effective delivery of survivorship information were formed. These include: (1) tailoring information based on the survivors' background, (2) enhancing communication among providers, (3) employing dedicated survivorship staff, (4) providing survivorship training, (5) reducing the burden on survivors to navigate their care, and (6) using multiple modalities to provide information.ConclusionsFindings can inform practical guidance for how survivorship care information is best delivered in practice. Clinicians can apply this guidance to improve their individual interactions with cancer survivors, as can policymakers to develop healthcare systems and procedures that support effective communication of cancer survivorship information.

中文翻译:

在澳大利亚提供幸存者护理信息的机制是什么?现实主义的评论

目的高质量生存信息是癌症护理的重要组成部分。然而,幸存者经常报告没有收到这些信息,而医疗保健专业人员则报告说,关于如何有效提供幸存者信息的实际指导有限。因此,本研究使用现实主义审查方法来识别已发表文献中报告的用于传达生存信息的机制,并了解使这些机制有效的背景因素。方法全文论文发表于 CINAHL、PubMed、Web of Science、Scopus、Cochrane 图书馆,和学术搜索终极版都包括在内。本次综述中纳入的研究于 2006 年 1 月至 2023 年 12 月在澳大利亚进行,报告了如何向生活在社区的成年癌症幸存者传达有关幸存者护理的信息。该评论采用了现实主义方法:文本摘录被转换为如果-那么用于生成背景-机制-结果理论的陈述。结果纳入了 51 项研究,形成了支持生存信息有效传递的六种机制理论。其中包括:(1) 根据幸存者的背景定制信息,(2) 加强提供者之间的沟通,(3) 雇用专门的幸存者工作人员,(4) 提供幸存者培训,(5) 减轻幸存者进行护理的负担,(6)使用多种方式提供信息。结论调查结果可以为如何在实践中最好地提供幸存者护理信息提供实际指导。临床医生可以应用此指南来改善他们与癌症幸存者的个人互动,政策制定者也可以开发支持癌症生存信息有效沟通的医疗保健系统和程序。
更新日期:2024-03-16
down
wechat
bug