scholarly journals Spiritual care by nurses in curative cancer care: Protocol for a national, multicentre, mixed method study

2017 ◽  
Vol 73 (9) ◽  
pp. 2201-2207 ◽  
Author(s):  
Marieke Groot ◽  
Anne F. Ebenau ◽  
Helen Koning ◽  
Anja Visser ◽  
Carlo Leget ◽  
...  
2021 ◽  
pp. bmjqs-2020-012051
Author(s):  
Doris Howell ◽  
Melanie Powis ◽  
Ryan Kirkby ◽  
Heidi Amernic ◽  
Lesley Moody ◽  
...  

IntroductionImproving the quality of self-management support (SMS) for treatment-related toxicities is a priority in cancer care. Successful implementation of SMS programmes depends on tailoring implementation strategies to organisational readiness factors and barriers/enablers, however, a systematic process for this is lacking. In this formative phase of our implementation-effectiveness trial, Self-Management and Activation to Reduce Treatment-Related Toxicities, we evaluated readiness based on constructs in the Consolidated Framework for Implementation Research (CFIR) and Normalisation Process Theory (NPT) and developed a process for mapping implementation strategies to local contexts.MethodsIn this convergent mixed-method study, surveys and interviews were used to assess readiness and barriers/enablers for SMS among stakeholders in 3 disease site groups at 3 regional cancer centres (RCCs) in Ontario, Canada. Median survey responses were classified as a barrier, enabler or neutral based on a priori cut-off values. Barriers/enablers at each centre were mapped to CFIR and then inputted into the CFIR-Expert Recommendations for Implementing Change Strategy Matching Tool V.1.0 (CFIR-ERIC) to identify centre-specific implementation strategies. Qualitative data were separately analysed and themes mapped to CFIR constructs to provide a deeper understanding of barriers/enablers.ResultsSMS in most of the RCCs was not systematically delivered, yet most stakeholders (n=78; respondent rate=50%) valued SMS. For centre 1, 7 barriers/12 enablers were identified, 14 barriers/9 enablers for centre 2 and 11 barriers/5 enablers for centre 3. Of the total 46 strategies identified, 30 (65%) were common across centres as core implementation strategies and 5 tailored implementation recommendations were identified for centres 1 and 3, and 4 for centre 2.ConclusionsThe CFIR and CFIR-ERIC were valuable tools for tailoring SMS implementation to readiness and barriers/enablers, whereas NPT helped to clarify the clinical work of implementation. Our approach to tailoring of implementation strategies may have relevance for other studies.


2019 ◽  
Vol 34 (1) ◽  
pp. 96-107 ◽  
Author(s):  
Anne Ebenau ◽  
Marieke Groot ◽  
Anja Visser ◽  
Hanneke W. M. Laarhoven ◽  
René Leeuwen ◽  
...  

2013 ◽  
Author(s):  
David Martinez Alpizar ◽  
Patricia Cabral ◽  
Mohena Moreno ◽  
Nouha H. Hallak ◽  
Luciana Lagana

2012 ◽  
Vol 74 (08/09) ◽  
Author(s):  
C Holmberg ◽  
G Sarganas ◽  
N Mittring ◽  
V Braun ◽  
L Dini ◽  
...  

Author(s):  
Abu Yazid Abu Bakar ◽  
Dayang Nurfaezah Abang Ahmad ◽  
Melor Md Yunus

Research has shown that using graphic novels in the classroom is one of useful approaches to promote the understanding of learners especially for lengthy and difficult literature texts. This study reports the extent of graphic novel in facilitating students’ understanding of literature and the students’ perceptions towards using graphic novel in learning literature (L2) as compared to other genre of texts. This is a mixed method study which employs quantitative and qualitative methods to obtain data. The findings indicate that most students found that graphic novel helped them to enrich their vocabularies and understand the text better. The findings also reveal that students were attracted to the illustrations in the literature text in which this helps to boost their motivation to learn literature in the classroom. The findings provide useful insights for English as Second Language (ESL) teachers in incorporating and expanding the literature learning through graphic novels in the future. The findings also imply the need of ESL teachers to use graphic novels effectively in facilitating their teaching and learning of literature in L2 classrooms particularly to suit the 21<sup>st</sup> century teaching and learning.


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