Developing and maintaining the resilience of interdisciplinary cancer care teams: an interventional study

BMC Health Services Research

Bernard Lespérance¹  Sara Soldera²  Marie-Andrée Fortin³  Sébastien Grenier⁴  Roxane Borgès Da Silva⁵  Carl-Ardy Dubois⁵  Mélanie Lavoie-Tremblay⁶  Christine Maheu⁶  Alain Marchand⁷  Kathleen Bentein⁸ 

[1] Centre de recherche en santé publique, CIUSSS du Centre-Sud-de-l’Île-de-Montréal et Université de Montréal, Montreal, Canada;Centre hospitalier Charles-Le Moyne, CISSS de la Montérégie-Centre, Longueuil, Canada;Centre intégré de cancérologie de Laval, CISSS de Laval, Laval, Canada;Département de Psychologie, Université de Montréal, Montreal, Canada;Département de gestion, d’évaluation et de politique de santé, École de santé publique de l’Université de Montréal, Montreal, Canada;Centre de recherche en santé publique, CIUSSS du Centre-Sud-de-l’Île-de-Montréal et Université de Montréal, Montreal, Canada;Ingram School of Nursing, McGill University, Montreal, Canada;École de relations industrielles, Université de Montréal, Montreal, Canada;École des sciences de la gestion, Département d’organisation et ressources humaines, Université du Québec à Montréal, Montreal, Canada;

关键词: Multidimensional intervention;    Co-construction;    Resilience;    Occupational mental health;    Oncology;    Multidisciplinary team;    Implementation analysis;    Effects analysis;    Cost-benefit analysis;    Longitudinal design;   

DOI  :  10.1186/s12913-020-05882-3

来源: Springer

【 摘 要 】

BackgroundProviding care to cancer patients is associated with a substantial psychological and emotional load on oncology workers. The purpose of this project is to co-construct, implement and assess multidimensional intervention continuums that contribute to developing the resilience of interdisciplinary cancer care teams and thereby reduce the burden associated with mental health problems. The project is based on resources theories and theories of empowerment.MethodsThe study will involve cancer care teams at four institutions and will use a mixed-model design. It will be organized into three components:(1) Intervention development. Rather than impose a single way of doing things, the project will take a participatory approach involving a variety of mechanisms (workshops, discussion forums, surveys, observations) to develop interventions that take into account the specific contexts of each of the four participating institutions.(2) Intervention implementation and assessment. The purpose of this component is to implement the four interventions developed in the preceding component, assess their effects and whether they are cost effective. A longitudinal quasi-experimental design will be used. Intervention monitoring will extend over 12 months. The effects will be assessed by means of generalized estimating equation regressions. A cost-benefit analysis will be performed to assess the cost-effectiveness of the interventions, taking an institutional perspective (costs and benefits associated with the intervention).(3) Analysis of co-construction and implementation process. The purpose of this component is to (1) describe and assess the approaches used to engage stakeholders in the co-construction and implementation process; (2) identify the factors that have fostered or impeded the co-construction, implementation and long-term sustainability of the interventions. The proposed design is a longitudinal multiple case study.DiscussionIn the four participating institutions, the project will provide an opportunity to develop new abilities that will strengthen team resilience and create more suitable work environments. Beyond these institutions, the project will generate a variety of resources (e.g.: work situation analysis tools; method of operationalizing the intervention co-development process; communications tools; assessment tools) that other oncology teams will be able to adapt and deploy elsewhere.

【 授权许可】

CC BY