PDF(Pubmed)
Abstract：
BACKGROUND: Globally, children with cancer often experience delays in palliative care referral or are infrequently referred. Therefore, we conducted a qualitative study to gain insight from paediatric oncologists into what enables or deters palliative care referral. Strategic solutions to develop integrated palliative care was a critical study theme. In this paper, we have explained and interpreted these strategic solutions through the lens of feedback intervention theory.
METHODS: The study findings were interpreted using Kumar\'s six-step approach that enabled systematic evaluation of a theory\'s appropriateness and alignment with the researcher\'s paradigm, methodology, and study findings. It also explained how theory informed analysis and elucidated challenges or the development of new models. The feedback intervention theory appraises the discrepancy between actual and desired goals and provides feedback to improve it.
RESULTS: Strategic solutions generated from the study findings were coherent with the aspects elucidated in theory, like coping mechanisms, levels of feedback hierarchy, and factors determining the effect of the feedback intervention on performance. Paediatric oncologists suggested integrating palliative care providers in the team innocuously, improving communication between teams, relabelling palliative care as symptom control, and working with a skilled and accessible palliative care team. The paper proposes an infinite loop model developed from the study, which has the potential to foster integrated palliative care through excellent collaboration and continuous feedback.
CONCLUSIONS: Applying feedback intervention theory can bridge the gap between actual and desired practice for integrated cancer palliative care in paediatric oncology.
METHODS: The study findings were interpreted using Kumar\'s six-step approach that enabled systematic evaluation of a theory\'s appropriateness and alignment with the researcher\'s paradigm, methodology, and study findings. It also explained how theory informed analysis and elucidated challenges or the development of new models. The feedback intervention theory appraises the discrepancy between actual and desired goals and provides feedback to improve it.
RESULTS: Strategic solutions generated from the study findings were coherent with the aspects elucidated in theory, like coping mechanisms, levels of feedback hierarchy, and factors determining the effect of the feedback intervention on performance. Paediatric oncologists suggested integrating palliative care providers in the team innocuously, improving communication between teams, relabelling palliative care as symptom control, and working with a skilled and accessible palliative care team. The paper proposes an infinite loop model developed from the study, which has the potential to foster integrated palliative care through excellent collaboration and continuous feedback.
CONCLUSIONS: Applying feedback intervention theory can bridge the gap between actual and desired practice for integrated cancer palliative care in paediatric oncology.
摘要：
背景：在全球范围内，患有癌症的儿童在姑息治疗转诊中经常出现延迟或很少出现转诊.因此,我们进行了一项定性研究,目的是让儿科肿瘤学家深入了解什么能够实现或阻止姑息治疗转诊.制定综合姑息治疗的战略解决方案是一个关键的研究主题。在本文中,我们已经通过反馈干预理论的视角解释和解释了这些战略解决方案。
方法：使用Kumar的六步方法对研究结果进行了解释，该方法可以对理论的适当性进行系统评估，并与研究人员的范式保持一致。方法论，和研究结果。它还解释了理论如何为分析提供信息，并阐明了挑战或新模型的开发。反馈干预理论评估实际目标和预期目标之间的差异，并提供反馈以改善它。
结果：从研究结果中产生的战略解决方案与理论上阐明的方面一致，比如应对机制，反馈层次的层次，以及决定反馈干预对绩效影响的因素。儿科肿瘤学家建议将姑息治疗提供者无害地纳入团队，改善团队之间的沟通，将姑息治疗重新标记为症状控制，并与熟练且易于使用的姑息治疗团队合作。本文提出了在研究基础上发展起来的无限循环模型，通过出色的协作和持续的反馈，有可能促进综合姑息治疗。
结论：应用反馈干预理论可以弥合儿科肿瘤学综合癌症姑息治疗的实际和预期实践之间的差距。
方法：使用Kumar的六步方法对研究结果进行了解释，该方法可以对理论的适当性进行系统评估，并与研究人员的范式保持一致。方法论，和研究结果。它还解释了理论如何为分析提供信息，并阐明了挑战或新模型的开发。反馈干预理论评估实际目标和预期目标之间的差异，并提供反馈以改善它。
结果：从研究结果中产生的战略解决方案与理论上阐明的方面一致，比如应对机制，反馈层次的层次，以及决定反馈干预对绩效影响的因素。儿科肿瘤学家建议将姑息治疗提供者无害地纳入团队，改善团队之间的沟通，将姑息治疗重新标记为症状控制，并与熟练且易于使用的姑息治疗团队合作。本文提出了在研究基础上发展起来的无限循环模型，通过出色的协作和持续的反馈，有可能促进综合姑息治疗。
结论：应用反馈干预理论可以弥合儿科肿瘤学综合癌症姑息治疗的实际和预期实践之间的差距。
