关键词: cancer cancer care cancer patient holistic care person-centered person-centered care radiologist radiology radiotherapist radiotherapy scoping review

来  源:   DOI:10.2196/51338   PDF(Pubmed)

Abstract:
BACKGROUND: Several types of health care professionals are responsible for the care of patients with cancer throughout their engagement with the health care system. One such type is the radiotherapist. The radiotherapist not only administers treatment but is also directly involved with the patient during treatment. Despite this direct contact with the patient, the narrative tends to focus more on technical tasks than the actual patient. This task-focused interaction is often due to the highly sophisticated equipment and complex radiotherapy treatment processes involved. This often results in not meeting the psychosocial needs of the patient, and patients have acknowledged noncompliance and delayed treatment as a result.
OBJECTIVE: The scoping review aims to explore, chart, and map the available literature on holistic person-centered care in radiotherapy and to identify and present key concepts, definitions, methodologies, knowledge gaps, and evidence related to holistic person-centered care in radiotherapy.
METHODS: This protocol was developed using previously described methodological frameworks for scoping studies. The review will include both peer-reviewed and gray literature regarding holistic, person-centered care in radiotherapy. A comprehensive search strategy has been developed for MEDLINE (Ovid), which will be translated into the other included databases: Scopus, CINAHL (EBSCO), MEDLINE (PubMed), Embase (Elsevier), Cochrane Library, and the Directory of Open Access Journals. Gray literature searching will include Google (Google Books and Google Scholar), ProQuest, the WorldWideScience website, the OpenGrey website, and various university dissertation and thesis repositories. The title and abstract screening, full-text review, and relevant data extraction will be performed independently by all 3 reviewers using the Covidence (Veritas Health Innovation) software, which will also be used to guide the resolution of conflicts. Sources selected will be imported into ATLAS.ti (ATLAS.ti Scientific Software Development GmbH) for analysis, which will consist of content analysis, narrative analysis, and descriptive synthesis. Results will be presented using narrative, diagrammatic, and tabular formats.
RESULTS: The review is expected to identify research gaps that will inform current and future holistic, person-centered care in radiotherapy. The review commenced in November 2023, and the formal literature search was completed by the end of February 2024. Final results are expected to be published in a peer-reviewed journal by 2025.
CONCLUSIONS: The findings of this review are expected to provide a wide variety of strategies aimed at providing holistic, person-centered care in radiotherapy, as well as to identify some gaps in the literature. These findings will be used to inform future studies aimed at designing, developing, evaluating, and implementing strategies toward improved holistic, person-centered care in radiotherapy.
UNASSIGNED: DERR1-10.2196/51338.
摘要:
背景:几种类型的医疗保健专业人员在参与医疗保健系统的整个过程中负责癌症患者的护理。一种这样的类型是放射治疗师。放射治疗师不仅管理治疗,而且在治疗期间还直接参与患者。尽管和病人有直接接触,叙事倾向于更多地关注技术任务,而不是实际患者。这种以任务为中心的相互作用通常是由于涉及高度复杂的设备和复杂的放射治疗过程。这通常会导致无法满足患者的心理社会需求,和患者承认不遵守和延迟治疗的结果。
目的:范围审查旨在探讨,图表,并绘制有关放射治疗中以人为中心的整体护理的现有文献,并确定和提出关键概念,定义,方法论,知识差距,以及与放射治疗中整体以人为本相关的证据。
方法:该方案是使用先前描述的范围界定研究的方法学框架开发的。审查将包括同行评审和灰色文献,关于整体,放射治疗中以人为本的护理。已经为MEDLINE(Ovid)制定了全面的搜索策略,它将被翻译成其他包含的数据库:Scopus,CINAHL(EBSCO),MEDLINE(PubMed),Embase(Elsevier),科克伦图书馆,和开放获取期刊目录。灰色文献检索将包括谷歌(谷歌图书和谷歌学者),ProQuest,万维网网站,OpenGrey网站,以及各种大学论文和论文库。标题和摘要筛选,全文回顾,相关数据提取将由所有3名审稿人使用Covidence(VeritasHealthInnovation)软件独立进行,这也将被用来指导冲突的解决。选定的源将导入ATLAS。ti(阿特拉斯。ti科学软件开发有限公司)用于分析,它将包括内容分析,叙事分析,和描述性综合。结果将使用叙述方式呈现,图解,和表格格式。
结果:该综述预计将发现研究差距,这些差距将为当前和未来的整体研究提供信息。放射治疗中以人为本的护理。审查于2023年11月开始,正式文献检索于2024年2月底完成。最终结果预计将在2025年之前发表在同行评审的期刊上。
结论:本综述的结果预计将提供各种各样的策略,旨在提供全面的,放射治疗中以人为本的护理,以及找出文献中的一些空白。这些发现将用于为未来的研究提供信息,旨在设计,发展,评估,并实施改善整体的战略,放射治疗中以人为本的护理。
DERR1-10.2196/51338。
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