Research priorities for the pan-Canadian Oncology Symptom Triage and Remote Support practice guides: a modified nominal group consensus

Current oncology

T. Truant¹  E. Green²  C. Ludwig³  L. Jolicoeur⁴  M. Carley⁵  L. A. Jibb⁶  I. D. Graham⁷  C. Kuziemsky⁸  D. Stacey⁹  A. Davis^1,10 

[1] BC Cancer;Canadian Partnership Against Cancer;Patient advisor;The Ottawa Hospital;The Ottawa Hospital Research Institute;University of Ottawa;University of Ottawa, Ottawa Hospital Research Institute;University of Ottawa, Telfer School of Management;University of Ottawa, The Ottawa HospitalResearch Institute;Washington State University College of Nursing

关键词: Supportive care;    symptom management;    nurse triage;    research priorities;    consensus meetings;   

DOI  :  10.3747/co.26.4247

学科分类：肿瘤学

来源: Multimed, Inc.

【 摘 要 】

IntroductionThe pan-Canadian Oncology Symptom Triage and Remote Support (costars) team is studying how to improve the quality and consistency of cancer symptom management. MethodsA 1-day invitational meeting was held 24 October 2017 in Ottawa, Ontario, to review the current evidence from costars projects and to establish research priorities for a future largescale implementation study. The meeting included 36 participants who were clinicians from adult oncology, pediatric oncology, and homecare; policymakers from national, provincial, and regional organizations; researchers; and a patient. Half the day involved summarizing evidence from four costars studies and experiences with implementing the costars symptom practice guides. The second half of the day used a modified nominal group technique to generate research questions within small groups, presentation of research questions to all participants, and two rounds of voting to reach consensus on research priorities. ResultsParticipants proposed 4 research categories:■ User-centred augmentation to enhance usability (for example, designing a mobile costars solution)■ Outcome measurement (for example, determining key competencies for clinicians)■ Regular renewal of costars to keep pace with evolving evidence (for example, updates for novel therapies)■ Integration into clinical practice (for example, meaningful engagement of patients and caregivers in study design) ConclusionsAcross categories, the top 3 priorities were effect on health services use, competency development, and a mobile costars solution. Future research will address identified priorities, reflecting the needs and perspectives of diverse stakeholders. Stakeholder collaboration will continue to guide our approach to operationalizing this priority research agenda.

【 授权许可】

Unknown