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首页> 外文期刊>Journal of the advanced practitioner in oncology >Using a Quality Improvement Model to Implement Distress Screening in a Community Cancer Setting
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Using a Quality Improvement Model to Implement Distress Screening in a Community Cancer Setting

机译：利用质量改进模型在社区癌症环境中实施痛苦筛查

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Background: Quality cancer care includes routine screening for psy-chosocial distress. This quality improvement project focused on the implementation of distress screening at a licensed affiliate of Cancer Support Community, a community-based non-profit organization that provides professionally led cancer support. Methods: An advanced practice oncology nurse assisted the staff in implementing and evaluating the process of distress screening. CancerSupportSource (CSS), a validated web-based distress screening program developed by Cancer Support Community for use in community cancer settings, was employed to screen for distress, identify potential resources, and improve in-house and community referrals. For purposes of this quality improvement project, CSS was administered in interview format by staff. The Plan-Do-Study-Act (PDSA) quality improvement approach was used to implement CSS. Results: To implement the practice of distress screening, 21 patient participants were initially screened and evaluated for distress, including risk for clinically significant levels of depression, using CSS. The tool identified participant concerns and flagged thirteen persons as at risk for depression. After implementation and evaluation of distress screening using PDSA, in a year, 51 participants were screened. Participants stated that distress screening allowed for discussion of intimate questions that may not have otherwise occurred in an intake interview. Conclusion: It was demonstrated that CSS identified psychosocial and practical needs, facilitating the referral process and identification of community resources. Application of the PDSA model was an effective quality improvement model that can be used for the implementation and sustainability of distress screening across settings.
机译：背景：高质量的癌症护理包括psy和社会困扰的常规筛查。这一质量改进项目的重点是在癌症支持社区的一个授权分支机构实施痛苦筛查。癌症支持社区是一个以社区为基础的非营利组织，提供专业领导的癌症支持。方法：一名高级肿瘤科护士协助工作人员实施和评估痛苦筛查流程。CancerSupportSource（CSS）是由癌症支持社区开发的一个经验证的基于网络的痛苦筛查项目，用于社区癌症设置，用于筛查痛苦，识别潜在资源，并改善内部和社区转诊。为了这个质量改进项目的目的，员工以面谈的形式管理CSS。实施CSS时采用了《计划-执行-研究法案》（PDSA）质量改进方法。结果：为了实施抑郁筛查实践，21名患者参与者最初使用CSS进行了抑郁筛查和评估，包括临床显著抑郁水平的风险。该工具确定了参与者的担忧，并将13人标记为有抑郁风险的人。在使用PDSA实施和评估痛苦筛查后，一年内，51名参与者接受了筛查。参与者表示，焦虑筛查允许讨论在接受采访时可能不会出现的亲密问题。结论：CSS能够识别心理社会和实际需求，促进转诊过程和社区资源的识别。PDSA模型的应用是一种有效的质量改进模型，可用于在不同环境下实施和持续进行遇险筛查。

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