Abstract
Despite the significant progress in implementing palliative care interventions for cancer patients, few intervention studies seek healthcare clinicians’ input prior to implementation. The purpose of this research was then to explore palliative care and oncology clinicians’ (e.g., physicians, nurses, social workers, and chaplains) perspectives on current challenges and useful practices in meeting the quality of life needs of lung cancer patients and family caregivers, and to increase the likelihood of the adoption of a palliative care intervention based on understanding current trends in palliative care delivery at three outpatient oncology sites. The conceptual framework used for this study was the RE-AIM Model: Reach, efficacy, adoption, implementation, and maintenance of intervention research to successfully translate and sustain evidence-based practice. This was a multi-site qualitative study using focus group and key informant interviews with oncology and palliative care clinicians. Focus groups and individual phone interviews were conducted with 19 clinicians, who addressed useful practices and challenges in the following areas: (a) early palliative care; (b) interdisciplinary care planning; (c) symptom management; (d) addressing psychological and social needs; and (e) providing culturally respectful care, including spiritual care. In preparation for the intervention, specific education needs and organizational challenges were revealed through focus group and individual interviews with clinicians. These challenges included timing and staffing constraints, the need for clinician education on palliative care services to increase organizational buy-in and referrals, and support and education in providing spiritual support for patients and family caregivers. These findings highlight an important, often overlooked, step in the translation of palliative care intervention studies and may inform education and training in the areas of palliative care and spiritual care for lung cancer patients. Further, these findings pattern the adoption component of the Re-AIM Model for intervention studies in eliciting organizational support prior to implementation.
LLU Discipline
Nursing
Department
Nursing
School
School of Nursing
First Advisor
Mamier, Iris
Second Advisor
Ferrell, Betty
Third Advisor
Winslow, Betty W.
Degree Name
Doctor of Philosophy (PhD)
Degree Level
Ph.D.
Year Degree Awarded
2017
Date (Title Page)
6-2017
Language
English
Library of Congress/MESH Subject Headings
Palliative treatment; Nursing; Lung Neoplasms; Oncology
Subject - Local
Lung Cancer; Palliative Care; Oncology Clinicians
Type
Dissertation
Page Count
147
Digital Format
Digital Publisher
Loma Linda University Libraries
Copyright
Author
Usage Rights
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Recommended Citation
Siler, Shaunna, "Clinicians’ Perspectives on Adopting a Lung Cancer Palliative Care Intervention" (2017). Loma Linda University Electronic Theses, Dissertations & Projects. 480.
https://scholarsrepository.llu.edu/etd/480
Collection
Loma Linda University Electronic Theses and Dissertations
Collection Website
http://scholarsrepository.llu.edu/etd/
Repository
Loma Linda University. Del E. Webb Memorial Library. University Archives
Included in
Neoplasms Commons, Nursing Commons, Oncology Commons, Palliative Care Commons