PMID- 27697980
OWN - NLM
STAT- MEDLINE
DCOM- 20170929
LR  - 20190918
IS  - 1540-1413 (Electronic)
IS  - 1540-1405 (Linking)
VI  - 14
IP  - 10
DP  - 2016 Oct
TI  - Effects of a Provincial-Wide Implementation of Screening for Distress on 
      Healthcare Professionals' Confidence and Understanding of Person-Centered Care in 
      Oncology.
PG  - 1259-1266
AB  - BACKGROUND: Although published studies report that screening for distress (SFD) 
      improves the quality of care for patients with cancer, little is known about how 
      SFD impacts healthcare professionals (HCPs). OBJECTIVES: This quality improvement 
      project examined the impact of implementing the SFD intervention on HCPs' 
      confidence in addressing patient distress and awareness of person-centered care. 
      PATIENTS AND METHODS: This project involved pre-evaluation and post-evaluation of 
      the impact of implementing SFD. A total of 254 HCPs (cohort 1) were recruited 
      from 17 facilities across the province to complete questionnaires. SFD was then 
      implemented at all cancer care facilities over a 10-month implementation period, 
      after which 157 HCPs (cohort 2) completed post-implementation questionnaires. At 
      regional and community care centers, navigators supported the integration of SFD 
      into routine practice; therefore, the impact of navigators was examined. RESULTS: 
      HCPs in cohort 2 reported significantly greater confidence in managing patients' 
      distress and greater awareness about person-centered care relative to HCPs in 
      cohort 1. HCPs at regional and community sites reported greater awareness in 
      person-centeredness before and after the intervention, and reported fewer 
      negative impacts of SFD relative to HCPs at tertiary sites. Caring for single or 
      multiple tumor types was an effect modifier, with effects observed only in the 
      HCPs treating multiple tumors. CONCLUSIONS: Implementation of SFD was beneficial 
      for HCPs' confidence and awareness of person-centeredness. Factors comprising 
      different models of care, such as having site-based navigators and caring for 
      single or multiple tumors, influenced outcomes.
CI  - Copyright (c) 2016 by the National Comprehensive Cancer Network.
FAU - Tamagawa, Rie
AU  - Tamagawa R
AD  - From CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.
FAU - Groff, Shannon
AU  - Groff S
AD  - From CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.
FAU - Anderson, Jennifer
AU  - Anderson J
AD  - From CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.
FAU - Champ, Sarah
AU  - Champ S
AD  - From CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.
FAU - Deiure, Andrea
AU  - Deiure A
AD  - From CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.
FAU - Looyis, Jennifer
AU  - Looyis J
AD  - From CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.
FAU - Faris, Peter
AU  - Faris P
AD  - From CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.
FAU - Watson, Linda
AU  - Watson L
AD  - From CancerControl Alberta, Alberta Health Services, Calgary, Alberta, Canada.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Natl Compr Canc Netw
JT  - Journal of the National Comprehensive Cancer Network : JNCCN
JID - 101162515
SB  - IM
MH  - *Attitude of Health Personnel
MH  - Cohort Studies
MH  - Female
MH  - Health Personnel
MH  - Humans
MH  - Male
MH  - Mass Screening/*methods
MH  - Medical Oncology/*standards
MH  - Person-Centered Psychotherapy/*methods
MH  - Surveys and Questionnaires
EDAT- 2016/10/05 06:00
MHDA- 2017/09/30 06:00
CRDT- 2016/10/05 06:00
PHST- 2015/11/20 00:00 [received]
PHST- 2016/06/14 00:00 [accepted]
PHST- 2016/10/05 06:00 [entrez]
PHST- 2016/10/05 06:00 [pubmed]
PHST- 2017/09/30 06:00 [medline]
AID - 14/10/1259 [pii]
AID - 10.6004/jnccn.2016.0135 [doi]
PST - ppublish
SO  - J Natl Compr Canc Netw. 2016 Oct;14(10):1259-1266. doi: 10.6004/jnccn.2016.0135.