Implementing a psychosocial intervention in cancer care: an examination of the change process through a discourse analysis of clinical supervision

Dilworth, Sophie, Higgins, Isabel, Parker, Vicki, Kelly, Brian and Turner, Jane (2014). Implementing a psychosocial intervention in cancer care: an examination of the change process through a discourse analysis of clinical supervision. In: Special Issue: Abstracts of the IPOS 16th World Congress of Psycho-Oncology and Psychosocial Academy. IPOS 2014: 16th World Congress of Psycho-Oncology and Psychosocial Academy, Lisbon, Portugal, (87-88). 20-24 October, 2014. doi:10.1111/j.1099-1611.2014.3694


Author Dilworth, Sophie
Higgins, Isabel
Parker, Vicki
Kelly, Brian
Turner, Jane
Title of paper Implementing a psychosocial intervention in cancer care: an examination of the change process through a discourse analysis of clinical supervision
Conference name IPOS 2014: 16th World Congress of Psycho-Oncology and Psychosocial Academy
Conference location Lisbon, Portugal
Conference dates 20-24 October, 2014
Proceedings title Special Issue: Abstracts of the IPOS 16th World Congress of Psycho-Oncology and Psychosocial Academy   Check publisher's open access policy
Journal name Psycho-Oncology   Check publisher's open access policy
Place of Publication Chichester, West Sussex, United Kingdom
Publisher John Wiley & Sons
Publication Year 2014
Sub-type Published abstract
DOI 10.1111/j.1099-1611.2014.3694
Open Access Status
ISSN 1057-9249
1099-1611
Volume 23
Issue Supp. s3
Start page 87
End page 88
Total pages 2
Language eng
Formatted Abstract/Summary
BACKGROUND: Clinical practice guidelines for the psychosocial care of adults with cancer are not reflected in routine clinical care. Clinical supervision is recommended as a means to support Health Professionals in providing the recommended psychosocial support. This presentation will explore what influence clinical supervision had on the discourses of Health Professionals trained to deliver a new psychosocial Intervention to adults with cancer.

METHOD: This was a qualitative design embedded within a step wedged randomised control trial.The study used discourse analysis to analyse audio-recorded data collected within multidisciplinary, group format clinical supervision sessions that were delivered as one element of a randomised control trial. Data was collected from November 2011 to December 2012.

RESULTS: 30 Health Professionals (23 nurses, four physio therapists, two radiation therapists and one occupational therapist) and three clinical supervisors took part in 96 clinical supervision sessions. 17 sessions were selected for analysis. Three themes represent the discourse of change. The first described changes in the Health Professionals willingness to accommodate new knowledge and skill. The second theme related to Health Professionals’ desire to solve the participant’s problems. The third theme related to changes in the way Health Professionals approached distressing situations in their daily clinical practices.

CONCLUSIONS: Health Professionals language was used to challenge, or accommodate tensions that arise in practice that influence their ability to deliver psychosocial care in the form of a brief tailored psychosocial Intervention. Discourses within supervision negotiated ways of practicing that may accommodate the tensions allowing change in practice.

RESEARCH IMPLICATIONS: This was a novel and useful way to combine quantitative and qualitative methods. The critical analysis has extended the findings of the RCT.

CLINICAL IMPLICATIONS: The critical analysis describes change indicated by Health Professionals words about benefits, changes in daily clinical care, and a shift in thinking about distress. The Health Professionals words also suggest that the tensions and stress and pressures in the work place remain. Clinical supervision provided the opportunity for investigators to have ongoing input and influence over the delivery of the Intervention.

ACKNOWLEDGEMENT OF FUNDING: Beyondblue and University of Newcastle
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Conference Paper
Collection: School of Medicine Publications
 
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Created: Thu, 09 Apr 2015, 13:22:34 EST by Dr Jane Turner on behalf of Psychiatry - Royal Brisbane and Women's Hospital