Everybody wants it done but nobody wants to do it: an exploration of the barrier and enablers of critical components towards creating a clinical pathway for anxiety and depression in cancer

BMC Health Services Research

Peter Grimison²  Tim Shaw³  Kerrie Clover¹  Melanie A Price⁵  Joanne M Shaw⁵  Tracy Robinson³  Thida Thein⁵  Phyllis N Butow⁵  Nicole M Rankin⁴ 

[1] Calvary Mater Newcastle Hospital, Newcastle, Australia;Chris O’Brien Lifehouse, Missenden Road, Camperdown, NSW, Australia;Workforce Education and Development Group, Sydney Medical School, The University of Sydney, Sydney, Australia;Translational Research Fellow, Sydney Catalyst, The University of Sydney, Chris O’Brien Lifehouse, Level 6, 119-143 Missenden Road, Camperdown 2050, NSW, Australia;Psycho-Oncology Co-operative Research Group, School of Psychology, The University of Sydney, Sydney, Australia

关键词: Depression;    Anxiety;    Barrier analysis;    Critical pathway;    Oncology;    Cancer;   

Others  :  1089793
DOI  :  10.1186/s12913-015-0691-9

 received in 2014-09-25, accepted in 2015-01-09,  发布年份 2015

【 摘 要 】

Background

This study aimed to explore barriers to and enablers for future implementation of a draft clinical pathway for anxiety and depression in cancer patients in the Australian context.

Methods

Health professionals reviewed a draft clinical pathway and participated in qualitative interviews about the delivery of psychosocial care in their setting, individual components of the draft pathway, and barriers and enablers for its future implementation.

Results

Five interrelated themes were identified: ownership; resources and responsibility; education and training; patient reluctance; and integration with health services beyond oncology.

Conclusions

The five themes were perceived as both barriers and enablers and provide a basis for an implementation plan that includes strategies to overcome barriers. The next steps are to design and deliver the clinical pathway with specific implementation strategies that address team ownership, endorsement by leaders, education and training modules designed for health professionals and patients and identify ways to integrate the pathway into existing cancer services.

【 授权许可】

   
2015 Rankin et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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