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Features that hindered the capacity development of a national prostate cancer service

INTRODUCTION: In Scotland, prostate cancer services have struggled to meet demand, and urological cancer services have missed Scottish Government waiting time targets to a greater extent than other cancer services. This study provides understanding of the capacity development needs of a national pro...

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Autores principales: Ward, Ashleigh Lauren, Cruickshank, Susanne, Forbat, Liz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391644/
https://www.ncbi.nlm.nih.gov/pubmed/37533703
http://dx.doi.org/10.3389/frhs.2023.1173143
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author Ward, Ashleigh Lauren
Cruickshank, Susanne
Forbat, Liz
author_facet Ward, Ashleigh Lauren
Cruickshank, Susanne
Forbat, Liz
author_sort Ward, Ashleigh Lauren
collection PubMed
description INTRODUCTION: In Scotland, prostate cancer services have struggled to meet demand, and urological cancer services have missed Scottish Government waiting time targets to a greater extent than other cancer services. This study provides understanding of the capacity development needs of a national prostate cancer service including why the service had been unable to adapt to meet demand and how capacity could be developed. METHODS: Delphi technique was applied to a purposive sample of prostate cancer clinicians working across Scotland between 2015 and 2017. Interviews were conducted with healthcare professionals involved in delivery of care to people with prostate cancer including General Practitioners, followed by questionnaires which were distributed to Specialist Nurses, Oncologists and Urologists involved in delivering specialist prostate cancer services within NHS Scotland. Findings are reported from interviews analysed using a directed approach to content analysis, followed by three rounds of iterative online questionnaires analysed using descriptive statistics. RESULTS: Reform is needed to meet demand within prostate cancer services in Scotland. Barriers to capacity development included: lack of shared understanding of quality of care between policy makers and healthcare professionals; lack of leadership of service developments nationally and regionally; and difficulties in drawing on other capacities to support the service. Cohesive working and a need for efficient training for nurse specialists were needed to develop capacity. Consensus was reached for development of national working groups to set standards for quality care (100% agreement) and further development of existing regional working groups (100% agreement) to implement this care (91% agreement), which should include input from primary and community care practitioners (100% agreement) to meet demand. DISCUSSION: This work provides important understanding of barriers and facilitators to service development across a national service, including highlighting the importance of a shared vision for quality care between policy makers and healthcare professionals. Mechanisms to support service change are identified.
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spelling pubmed-103916442023-08-02 Features that hindered the capacity development of a national prostate cancer service Ward, Ashleigh Lauren Cruickshank, Susanne Forbat, Liz Front Health Serv Health Services INTRODUCTION: In Scotland, prostate cancer services have struggled to meet demand, and urological cancer services have missed Scottish Government waiting time targets to a greater extent than other cancer services. This study provides understanding of the capacity development needs of a national prostate cancer service including why the service had been unable to adapt to meet demand and how capacity could be developed. METHODS: Delphi technique was applied to a purposive sample of prostate cancer clinicians working across Scotland between 2015 and 2017. Interviews were conducted with healthcare professionals involved in delivery of care to people with prostate cancer including General Practitioners, followed by questionnaires which were distributed to Specialist Nurses, Oncologists and Urologists involved in delivering specialist prostate cancer services within NHS Scotland. Findings are reported from interviews analysed using a directed approach to content analysis, followed by three rounds of iterative online questionnaires analysed using descriptive statistics. RESULTS: Reform is needed to meet demand within prostate cancer services in Scotland. Barriers to capacity development included: lack of shared understanding of quality of care between policy makers and healthcare professionals; lack of leadership of service developments nationally and regionally; and difficulties in drawing on other capacities to support the service. Cohesive working and a need for efficient training for nurse specialists were needed to develop capacity. Consensus was reached for development of national working groups to set standards for quality care (100% agreement) and further development of existing regional working groups (100% agreement) to implement this care (91% agreement), which should include input from primary and community care practitioners (100% agreement) to meet demand. DISCUSSION: This work provides important understanding of barriers and facilitators to service development across a national service, including highlighting the importance of a shared vision for quality care between policy makers and healthcare professionals. Mechanisms to support service change are identified. Frontiers Media S.A. 2023-07-18 /pmc/articles/PMC10391644/ /pubmed/37533703 http://dx.doi.org/10.3389/frhs.2023.1173143 Text en © 2023 Ward, Cruickshank and Forbat. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Services
Ward, Ashleigh Lauren
Cruickshank, Susanne
Forbat, Liz
Features that hindered the capacity development of a national prostate cancer service
title Features that hindered the capacity development of a national prostate cancer service
title_full Features that hindered the capacity development of a national prostate cancer service
title_fullStr Features that hindered the capacity development of a national prostate cancer service
title_full_unstemmed Features that hindered the capacity development of a national prostate cancer service
title_short Features that hindered the capacity development of a national prostate cancer service
title_sort features that hindered the capacity development of a national prostate cancer service
topic Health Services
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391644/
https://www.ncbi.nlm.nih.gov/pubmed/37533703
http://dx.doi.org/10.3389/frhs.2023.1173143
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