Overcoming barriers to cancer-helpline professionals providing decision support to callers: an implementation study

Stacey, Dawn, Chambers, Suzanne K., Jacobsen, Mary Jane and Dunn, Jeff (2008) Overcoming barriers to cancer-helpline professionals providing decision support to callers: an implementation study. Oncology Nursing Forum, 35 6: 961-969. doi:10.1188/08.ONF.961-969


Author Stacey, Dawn
Chambers, Suzanne K.
Jacobsen, Mary Jane
Dunn, Jeff
Title Overcoming barriers to cancer-helpline professionals providing decision support to callers: an implementation study
Journal name Oncology Nursing Forum   Check publisher's open access policy
ISSN 0190-535X
1538-0688
Publication date 2008-11
Sub-type Article (original research)
DOI 10.1188/08.ONF.961-969
Volume 35
Issue 6
Start page 961
End page 969
Total pages 9
Place of publication Pittsburgh, PA, United States
Publisher Oncology Nursing Society
Language eng
Subject 1112 Oncology and Carcinogenesis
170106 Health, Clinical and Counselling Psychology
Abstract Purpose/Objectives: To evaluate the effect of an intervention on healthcare professionals’ perceptions of barriers influencing their provision of decision support for callers facing cancer-related decisions. Design: A pre- and post-test study guided by the Ottawa Model of Research Use. Setting: Australian statewide cancer call center that provides public access to information and supportive cancer services. Sample: 34 nurses, psychologists, and other allied healthcare professionals at the cancer call center. Methods: Participants completed baseline measures and, subsequently, were exposed to an intervention that included a decision support tutorial, coaching protocol, and skill-building workshop. Strategies were implemented to address organizational barriers. Main Research Variables: Perceived barriers and facilitators influencing provision of decision support, decision support knowledge, quality of decision support provided to standardized callers, and call length. Findings: Postintervention participants felt more prepared, confident in providing decision support, and aware of decision support resources. They had a stronger belief that providing decision support was within their role. Participants significantly improved their knowledge and provided higher-quality decision support to standardized callers without changing call length. Conclusions: The implementation intervention overcame several identified barriers that influenced call center professionals when providing decision support. Implications for Nursing: Nurses and other helpline professionals have the potential to provide decision support designed to help callers understand cancer information, clarify their values associated with their options, and reduce decisional conflict. However, they require targeted education and organizational interventions to reduce their perceived barriers to providing decision support.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Social Science Publications
 
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