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Feasibility of implementing the ‘Screening for Distress and Referral Need’ process in 23 Dutch hospitals

PURPOSE: In the Netherlands, the three-step process ‘Screening for Distress and Referral Need’ (SDRN) was developed for helping identifying, and referring cancer patients suffering from clinically relevant distress or needing a referral. This process includes (1) instrument completion, (2) patient-c...

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Autores principales: van Nuenen, F. M., Donofrio, S. M., Tuinman, M. A., van de Wiel, H. B. M., Hoekstra-Weebers, J. E. H. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127859/
https://www.ncbi.nlm.nih.gov/pubmed/27565789
http://dx.doi.org/10.1007/s00520-016-3387-8
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author van Nuenen, F. M.
Donofrio, S. M.
Tuinman, M. A.
van de Wiel, H. B. M.
Hoekstra-Weebers, J. E. H. M.
author_facet van Nuenen, F. M.
Donofrio, S. M.
Tuinman, M. A.
van de Wiel, H. B. M.
Hoekstra-Weebers, J. E. H. M.
author_sort van Nuenen, F. M.
collection PubMed
description PURPOSE: In the Netherlands, the three-step process ‘Screening for Distress and Referral Need’ (SDRN) was developed for helping identifying, and referring cancer patients suffering from clinically relevant distress or needing a referral. This process includes (1) instrument completion, (2) patient-care provider discussion of the responses, and (3) referral based on 1 and 2. The Netherlands Comprehensive Cancer Organisation, location Groningen (IKNL-G), initiated the implementation of SDRN and developed an implementation roadmap, including procedure and materials. This exploratory study examines the feasibility of SDRN implementation in hospitals, seen from healthcare providers’ perspective, responsible for implementation, and those executing SDRN. METHODS: Healthcare providers, from 22 hospitals and from 5 oncology departments of the University Medical Center Groningen (=25 % of Dutch hospitals), evaluated their experiences by responding to a 26-item internet survey. RESULTS: Twenty-five participants (response = 93 %) completed the survey. SDRN was implemented in 21 hospitals (implementation = 91 %), in two thirds of these hospitals in more than one patient group. Adoption of IKNL-G’s roadmap elements varied between 84 and 100 %. Participants’ average satisfaction score with SDRN was 6.5 (possible range = 0–10, range found = 5–8). Significant positive relationships were found between this satisfaction and participants’ satisfaction with frequency of SDRN (p = 0.02), and keeping logistical agreements (p = 0.04). Participants were dissatisfied with SDRN’s limited current availability to only select patient groups and only certain disease phases. CONCLUSIONS: The implementation of SDRN in daily practice, supported by a pre-developed implementation roadmap, is highly feasible. Continuous attention to SDRN execution, broadening implementation to all forms of cancer, and during the total disease trajectory seems vital to improve healthcare providers’ satisfaction.
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spelling pubmed-51278592016-12-19 Feasibility of implementing the ‘Screening for Distress and Referral Need’ process in 23 Dutch hospitals van Nuenen, F. M. Donofrio, S. M. Tuinman, M. A. van de Wiel, H. B. M. Hoekstra-Weebers, J. E. H. M. Support Care Cancer Original Article PURPOSE: In the Netherlands, the three-step process ‘Screening for Distress and Referral Need’ (SDRN) was developed for helping identifying, and referring cancer patients suffering from clinically relevant distress or needing a referral. This process includes (1) instrument completion, (2) patient-care provider discussion of the responses, and (3) referral based on 1 and 2. The Netherlands Comprehensive Cancer Organisation, location Groningen (IKNL-G), initiated the implementation of SDRN and developed an implementation roadmap, including procedure and materials. This exploratory study examines the feasibility of SDRN implementation in hospitals, seen from healthcare providers’ perspective, responsible for implementation, and those executing SDRN. METHODS: Healthcare providers, from 22 hospitals and from 5 oncology departments of the University Medical Center Groningen (=25 % of Dutch hospitals), evaluated their experiences by responding to a 26-item internet survey. RESULTS: Twenty-five participants (response = 93 %) completed the survey. SDRN was implemented in 21 hospitals (implementation = 91 %), in two thirds of these hospitals in more than one patient group. Adoption of IKNL-G’s roadmap elements varied between 84 and 100 %. Participants’ average satisfaction score with SDRN was 6.5 (possible range = 0–10, range found = 5–8). Significant positive relationships were found between this satisfaction and participants’ satisfaction with frequency of SDRN (p = 0.02), and keeping logistical agreements (p = 0.04). Participants were dissatisfied with SDRN’s limited current availability to only select patient groups and only certain disease phases. CONCLUSIONS: The implementation of SDRN in daily practice, supported by a pre-developed implementation roadmap, is highly feasible. Continuous attention to SDRN execution, broadening implementation to all forms of cancer, and during the total disease trajectory seems vital to improve healthcare providers’ satisfaction. Springer Berlin Heidelberg 2016-08-26 2017 /pmc/articles/PMC5127859/ /pubmed/27565789 http://dx.doi.org/10.1007/s00520-016-3387-8 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
van Nuenen, F. M.
Donofrio, S. M.
Tuinman, M. A.
van de Wiel, H. B. M.
Hoekstra-Weebers, J. E. H. M.
Feasibility of implementing the ‘Screening for Distress and Referral Need’ process in 23 Dutch hospitals
title Feasibility of implementing the ‘Screening for Distress and Referral Need’ process in 23 Dutch hospitals
title_full Feasibility of implementing the ‘Screening for Distress and Referral Need’ process in 23 Dutch hospitals
title_fullStr Feasibility of implementing the ‘Screening for Distress and Referral Need’ process in 23 Dutch hospitals
title_full_unstemmed Feasibility of implementing the ‘Screening for Distress and Referral Need’ process in 23 Dutch hospitals
title_short Feasibility of implementing the ‘Screening for Distress and Referral Need’ process in 23 Dutch hospitals
title_sort feasibility of implementing the ‘screening for distress and referral need’ process in 23 dutch hospitals
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5127859/
https://www.ncbi.nlm.nih.gov/pubmed/27565789
http://dx.doi.org/10.1007/s00520-016-3387-8
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