PURPOSE: In oncology, chemotherapy treatment delays potentially jeopardize patient safety and impede progress toward disease remission. The purpose of this study was to examine the causes and consequences of chemotherapy treatment delays and possible solutions to improve quality of care. PARTICIPANTS & SETTING: The current authors selected a purposive sample of eight ambulatory oncology practices for ethnographic site visits, which lasted five days each. METHODOLOGIC APPROACH: The authors conducted 290 observation hours, including clinician shadowing, and 46 semistructured interviews with clinicians (oncology nurses, physicians, and advanced practice providers). Deductive and inductive thematic analysis was performed on all data. FINDINGS: The authors identified four primary themes from the analysis that affect delays. IMPLICATIONS FOR NURSING: Future investigations should examine nurses' communication practices in the context of timely chemotherapy administration because communication and documentation technologies within healthcare settings continuously evolve.
PURPOSE: In oncology, chemotherapy treatment delays potentially jeopardize patient safety and impede progress toward disease remission. The purpose of this study was to examine the causes and consequences of chemotherapy treatment delays and possible solutions to improve quality of care. PARTICIPANTS & SETTING: The current authors selected a purposive sample of eight ambulatory oncology practices for ethnographic site visits, which lasted five days each. METHODOLOGIC APPROACH: The authors conducted 290 observation hours, including clinician shadowing, and 46 semistructured interviews with clinicians (oncology nurses, physicians, and advanced practice providers). Deductive and inductive thematic analysis was performed on all data. FINDINGS: The authors identified four primary themes from the analysis that affect delays. IMPLICATIONS FOR NURSING: Future investigations should examine nurses' communication practices in the context of timely chemotherapy administration because communication and documentation technologies within healthcare settings continuously evolve.
Entities:
Keywords:
ambulatory oncology; chemotherapy; clinician communication; quality of health care
Authors: Thomas I Peng Soh; Yi Siew Tan; Zarinah Hairom; Mariana Ibrahim; Yao Yao; Yuet Peng Wong; Siew Woon Lim; Siew Eng Lim; Boon Cher Goh; Chee Seng Tan Journal: J Oncol Pract Date: 2014-12-02 Impact factor: 3.840
Authors: Minal R Patel; Christopher R Friese; Kari Mendelsohn-Victor; Alex J Fauer; Bidisha Ghosh; Louise Bedard; Jennifer J Griggs; Milisa Manojlovich Journal: J Oncol Pract Date: 2019-04-22 Impact factor: 3.840
Authors: Craig A Bunnell; Anne H Gross; Saul N Weingart; Michael Jason Kalfin; Ann Partridge; Sharon Lane; Harold J Burstein; Barbara Fine; Nancy A Hilton; Clare Sullivan; Erin E Hagemeister; Anne E Kelly; Lynn Colicchio; Audrea H Szabatura; Eric P Winer; Mary Salisbury; Susan Mann Journal: BMJ Qual Saf Date: 2013-01-24 Impact factor: 7.035
Authors: Gladys N Honein-AbouHaidar; Terri Stuart-McEwan; Tom Waddell; Alexandra Salvarrey; Jennifer Smylie; Mark J Dobrow; Melissa C Brouwers; Anna R Gagliardi Journal: BMJ Open Date: 2017-02-23 Impact factor: 2.692
Authors: Bróna Nic Giolla Easpaig; Yvonne Tran; Teresa Winata; Klay Lamprell; Diana Fajardo Pulido; Gaston Arnolda; Geoff P Delaney; Winston Liauw; Kylie Smith; Sandra Avery; Kim Rigg; Johanna Westbrook; Ian Olver; David Currow; Jonathan Karnon; Robyn L Ward; Jeffrey Braithwaite Journal: BMC Health Serv Res Date: 2022-02-12 Impact factor: 2.655