scholarly journals Perceived factors influencing nurses' use of evidence-informed protocols for remote cancer treatment-related symptom management: A mixed methods study

2015 ◽  
Vol 19 (3) ◽  
pp. 268-277 ◽  
Author(s):  
Dawn Stacey ◽  
Meg Carley ◽  
Barbara Ballantyne ◽  
Myriam Skrutkowski ◽  
Angela Whynot
Keyword(s):  
Mixed Methods ◽  
Cancer Treatment ◽  
Symptom Management ◽  
Mixed Methods Study ◽  
Factors Influencing ◽  
Related Symptom

A Mixed-Methods Study of Multi-Level Factors Influencing Mammography Overuse: Implications for De-implementation.

2021 ◽  
Author(s):  
Jessica D. Austin ◽  
Parisa Tehranifar ◽  
Carmen B. Rodriguez ◽  
Laura Brotzman ◽  
Mariangela Agovino ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Older Women ◽  
Survey Data ◽  
Mammography Screening ◽  
Care Delivery ◽  
Interview Data ◽  
Mixed Methods Study ◽  
Spanish Speaking ◽  
Factors Influencing ◽  
Multi Level

Abstract Background There is growing concern that routine mammography screening is overused among older women. Successful and equitable de-implementation of mammography will require a multi-level understanding of the factors contributing to mammography overuse. Methods This explanatory, sequential, mixed-methods study collected survey data (n = 52, 73.1% Hispanic, 73.1% Spanish-speaking) from women ≥ 70 years of age at the time of screening mammography, followed by semi-structured interviews with a subset of older women completing the survey (n = 19, 63.2% Hispanic, 63.2% Spanish-speaking) and providers (n = 5, 4 primary care, 1 obstetrics and gynecology) to better understand multi-level factors influencing mammography overuse and inform potential de-implementation strategies. We conducted descriptive analysis of survey data and content analysis of qualitative interview data. Survey and interview data were examined separately, compared, integrated, and organized according to Norton and Chambers Continuum of Factors Influencing De-Implementation Process. Results Survey findings show that 87.2% of older women believe it is important to plan for an annual mammogram, 80.8% received a provider recommendation, and 78.9% received a reminder in the last 12 months to schedule a mammogram. Per interviews with older women, the majority were unaware of or did not experience overuse and intended to continue mammography screening. Findings from interviews with older women and providers suggest that there are multiple opportunities for older women to obtain a mammogram. Per provider interviews, almost all reported that overuse was not viewed as a priority by the system or other providers. Providers also discussed that variation in mammography screening practices across providers, fear of malpractice, and monetary incentives may be reasons for overuse. Providers identified potential strategies including patient and provider education around harms of screening, leveraging the electronic health record to identify women who may no longer benefit from screening, customizing system-generated reminder letters, and organizing workgroups to develop a standard process of care around mammography screening. Conclusions Multi-level factors contributing to mammography overuse are dynamic and reinforced. To ensure equitable de-implementation, there is a need for more refined theories, models, and frameworks for de-implementation with a strong patient-level component that considers the interplay between multilevel factors and the larger care delivery process.

scholarly journals Exploring Factors Influencing Immunization Utilization in Nigeria—A Mixed Methods Study

2019 ◽  
Vol 7 ◽  
Author(s):  
Ngozi N. Akwataghibe ◽  
Elijah A. Ogunsola ◽  
Jacqueline E. W. Broerse ◽  
Oluwafemi A. Popoola ◽  
Adanna I. Agbo ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Factors Influencing

scholarly journals Perceptions of factors influencing the introduction and adoption of electronic immunization registries in Tanzania and Zambia: a mixed methods study

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Samantha B. Dolan ◽  
Mary E. Alao ◽  
Francis Dien Mwansa ◽  
Dafrossa C. Lymo ◽  
Ngwegwe Bulula ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Mixed Methods Study ◽  
Factors Influencing

scholarly journals Life after prostate cancer treatment: a mixed methods study of the experiences of men with sexual dysfunction and their partners

BMC Urology ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Jeffrey A. Albaugh ◽  
Nat Sufrin ◽  
Brittany R. Lapin ◽  
Jacqueline Petkewicz ◽  
Sandi Tenfelde
Keyword(s):  
Prostate Cancer ◽  
Mixed Methods ◽  
Sexual Dysfunction ◽  
Cancer Treatment ◽  
Mixed Methods Study ◽  
Prostate Cancer Treatment

scholarly journals Factors Influencing the Use by Radiation Therapists of Cancer Symptom Guides: A Mixed-Methods Study

2019 ◽  
Vol 26 (1) ◽  
pp. 56-64
Author(s):  
C. Ludwig ◽  
J. Renaud ◽  
L. Barbera ◽  
M. Carley ◽  
C. Henry ◽  
...  
Keyword(s):  
Content Analysis ◽  
Mixed Methods ◽  
Organizational Support ◽  
Symptom Management ◽  
Background Radiation ◽  
Radiation Treatment ◽  
Scope Of Practice ◽  
Moral Norms ◽  
Frequency Distributions ◽  
Factors Influencing

Background: Radiation therapists play an important role in helping patients to safely manage and triage potentially life-threatening symptoms. The purpose of the present study was to assess factors influencing the use by radiation therapists of evidence-informed symptom practice guides for patients experiencing cancer treatment–related symptoms. Methods: In a mixed-methods descriptive study guided by the Knowledge-to-Action framework, interviews and a barriers survey were conducted. Two independent reviewers conducted a content analysis of interview transcripts. Barriers survey data were analyzed using frequency distributions and univariate descriptive statistics. Open-ended data from the surveys underwent content analysis and were triangulated with interview findings. Results: Of 90 radiation therapists approached, 58 completed the survey (64%), and 14 were interviewed. Of the 98% who reported providing symptom management to patients undergoing radiation treatment, 53% used evidence-informed practice guidelines. Radiation therapists had moderate moral norms (4.6 of 7) and beliefs about the consequences of using costars (pan-Canadian Oncology Symptom Triage and Remote Support) practice guides (4.8), but neutral intention (3.4) and beliefs about their own capabilities (3.9). Environmental barriers included lack of time (2.0), lack of access (2.5), and neutral organizational support (3.0). Radiation therapists identified a need for training (5.5). Common unique barriers to practice guide use were lack of time during radiation treatments, unclear fit with scope of practice, disparate focus on site-specific symptoms, and lack of medication knowledge. Conclusions: The symptom practice guides were perceived by the radiation therapists to benefit patients, enhance their own knowledge of symptom management, and promote consistent practice. Additional work is required to identify the scope of practice of radiation therapists within the interprofessional team.

scholarly journals Prevalence of Mobile Phones and Factors Influencing Usage by Caregivers of Young Children in Daily Life and for Health Care in Rural China: A Mixed Methods Study

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0116216 ◽  
Author(s):  
Michelle Helena van Velthoven ◽  
Ye Li ◽  
Wei Wang ◽  
Li Chen ◽  
Xiaozhen Du ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Young Children ◽  
Mobile Phones ◽  
Daily Life ◽  
Rural China ◽  
Mixed Methods Study ◽  
Factors Influencing
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