研究动态
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放射肿瘤学家和跨专业放射治疗护理团队的患者教育实践和偏好:一项混合方法研究,探索有效的患者教育实施策略。

Patient Education Practices and Preferences of Radiation Oncologists and Interprofessional Radiation Therapy Care Teams: A Mixed Methods Study Exploring Strategies for Effective Patient Education Delivery.

发表日期:2024 Mar 02
作者: Jie Jane Chen, Anna M Brown, Allison E Garda, Ellen Kim, Sarah A McAvoy, Subha Perni, Michael K Rooney, Kevin Shiue, Kristi L Tonning, Laura E Warren, Daniel W Golden, Jennifer M Croke,
来源: Int J Radiat Oncol

摘要:

患者对放射治疗 (RT) 的理解以及有关放射肿瘤学 (RO) 内患者教育 (PE) 最佳方法的数据有限。我们的目的是评估放射肿瘤学家和跨专业 RT 护理团队成员的 PE 实践,为提供包容性和可及性的 PE 提供建议。对所有放射肿瘤学教育合作研究组 (ROECSG) 成员进行了匿名调查 (10/5/22-11 /23/22)。收集了受访者的人口统计数据、个人实践/偏好和机构实践。定性项目探讨了 PE 的策略、挑战和所需资源。描述性统计总结了调查答复。费舍尔的精确测试通过受访者角色和 PE 时间比较了 PE 实践。主题分析用于定性答复。113 名 ROECSG 成员完成了调查(答复率为 28.2%); RO 出席人数占受访者的 68.1%。大多数在北美 (80.5%) 的学术环境中实践 (85.8%)。机构特定材料是放射肿瘤学家最常用的 PE 资源 (67.6%)。近一半 (40.2%) 表示,他们的 PE 实践根据临床就诊类型的不同而有所不同,纸质讲义通常用于现场医疗,而多媒体则用于远程医疗就诊。只有 57.7% 的受访者表示接触过非英文体育材料。放射肿瘤科医生的 PE 实践根据 RT 临床工作流程时间安排(分别为会诊、模拟和首次 RT)而有所不同: 一对一教学:88.5% vs 49.4% vs 56.3%,p<0.01 和纸质讲义:69.0% vs 28.7 % 与 16.1%,p<0.01。 PE 交付面临的挑战包括时间有限、开发或实施新材料或实践的行政障碍以及缺乏定制 PE 的定制资源。 PE 的有效策略包括利用可视化图表、多媒体和创新教育技术,为不同的患者群体提供个性化的 PE 交付/资源,以及促进跨专业合作以强化教育内容。放射肿瘤学家和跨专业 RO 团队成员参与 PE、大多数使用机构特定的材料通常只有英文版本。 PE 实践根据临床情况类型和 RT 工作流程时间安排而有所不同。需要更多地采用多媒体材料并与患者建立伙伴关系来定制 PE 资源,以促进高质量、以患者为中心的 PE 交付。版权所有 © 2024 作者。由爱思唯尔公司出版。保留所有权利。
Patients' understanding of radiotherapy (RT) and data regarding optimal approaches to patient education (PE) within radiation oncology (RO) are limited. We aimed to evaluate PE practices of radiation oncologists and interprofessional RT care team members to inform recommendations for delivering inclusive and accessible PE.An anonymous survey was administered to all Radiation Oncology Education Collaborative Study Group (ROECSG) members (10/5/22-11/23/22). Respondent demographics, individual practices/preferences, and institutional practices were collected. Qualitative items explored strategies, challenges, and desired resources for PE. Descriptive statistics summarized survey responses. Fisher's exact test compared PE practices by respondent role and PE timing. Thematic analysis was used for qualitative responses.113 ROECSG members completed the survey (28.2% response rate); RO attendings comprised 68.1% of respondents. Most practiced in an academic setting (85.8%) in North America (80.5%). Institution-specific materials were the most common PE resource used by radiation oncologists (67.6%). Almost half (40.2%) reported that their PE practices differed based on clinical encounter type, with paper handouts commonly used for in-person and multimedia for telehealth visits. Only 57.7% reported access to non-English PE materials. PE practices amongst radiation oncologists differed according to RT clinical workflow timing (consultation vs simulation vs first RT, respectively): one-on-one teaching: 88.5% vs 49.4% vs 56.3%, p<0.01 and paper handouts: 69.0% vs 28.7% vs 16.1%, p<0.01. Identified challenges for PE delivery included limited time, administrative barriers to the development or implementation of new materials or practices, and a lack of customized resources for tailored PE. Effective strategies for PE included utilization of visual diagrams, multimedia, and innovative education techniques to personalize PE delivery/resources for a diverse patient population, as well as fostering interprofessional collaboration to reinforce educational content.Radiation oncologists and interprofessional RO team members engage in PE, with most utilizing institution-specific materials often available only in English. PE practices differ according to clinical encounter type and RT workflow timing. Increased adoption of multimedia materials and partnerships with patients to tailor PE resources are needed to foster high-quality, patient-centered PE delivery.Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.