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Erschienen in: Journal of Cancer Education 4/2015

01.12.2015

An Assessment to Inform Pediatric Cancer Provider Development and Delivery of Survivor Care Plans

verfasst von: Echo L. Warner, Yelena P. Wu, Claire C. Hacking, Jennifer Wright, Holly L. Spraker-Perlman, Emmie Gardner, Anne C. Kirchhoff

Erschienen in: Journal of Cancer Education | Ausgabe 4/2015

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Abstract

Current guidelines recommend all pediatric cancer survivors receive a survivor care plan (SCP) for optimal health management, yet clinical delivery of SCPs varies. We evaluated oncology providers’ familiarity with and preferences for delivering SCPs to inform the implementation of a future SCP program at our institution. From November 2013 to April 2014, oncology providers from the Primary Children’s Hospital in Salt Lake City, UT, completed a survey (n = 41) and a 45-min focus group (n = 18). Participants reported their familiarity with and training in SCP guidelines, opinions on SCPs, and barriers to delivering SCPs. As a secondary analysis, we examined differences in survey responses between physicians and nurses with Fisher’s exact tests. Focus group transcripts and open-ended survey responses were content analyzed. Participants reported high familiarity with late effects of cancer treatment (87.8 %) and follow-up care that cancer survivors should receive (82.5 %). Few providers had delivered an SCP (oncologists 35.3 % and nurses 5.0 %; p = 0.03). Barriers to providing SCPs included lack of knowledge (66.7 %), SCP delivery is not expected in their clinic (53.9 %), and no champion (48.7 %). In qualitative comments, providers expressed that patient age variation complicated SCP delivery. Participants supported testing an SCP intervention program (95.1 %) and felt this should be a team-based approach. Strategies for optimal delivery of SCPs are needed. Participants supported testing an SCP program to improve the quality of patient care. Team-based approaches, including nurses and physicians, that incorporate provider training on and support for SCP delivery are needed to improve pediatric cancer care.
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Metadaten
Titel
An Assessment to Inform Pediatric Cancer Provider Development and Delivery of Survivor Care Plans
verfasst von
Echo L. Warner
Yelena P. Wu
Claire C. Hacking
Jennifer Wright
Holly L. Spraker-Perlman
Emmie Gardner
Anne C. Kirchhoff
Publikationsdatum
01.12.2015
Verlag
Springer US
Erschienen in
Journal of Cancer Education / Ausgabe 4/2015
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI
https://doi.org/10.1007/s13187-015-0829-9

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