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Evaluation of the adherence of distress screening with the distress thermometer in cancer patients 4years after implementation

Goetz, Anna and Kroener, A. and Jenewein, J. and Spirig, R.. (2019) Evaluation of the adherence of distress screening with the distress thermometer in cancer patients 4years after implementation. Supportive Care in Cancer, 27 (8). pp. 2799-2807.

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Official URL: https://edoc.unibas.ch/71807/

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Abstract

PurposeIdentifying and assessing psychosocial distress with an appropriate screening instrument is essential when caring for cancer patients. Since 2012, the distress thermometer (DT) has been used by nurses for all cancer inpatients at the Comprehensive Cancer Center Zurich. We wanted to identify nurses' adherence to the screening protocol, differences between screened and not screened patients and the relationship between screening rate and productivity.MethodsThis retrospective descriptive study used screening and referral data as well as socioeconomic and disease-related data of inpatients at the Comprehensive Cancer Center Zurich. This was collected from the electronic patient documentation system. Additionally, data showing the productivity of all wards was used. All data were analyzed descriptive.ResultsSince 2012, 40.6% (4541) of the 11,184 patients have been screened. The screening rate was initially significantly lower but settled at 40% after 2years. There was a higher screening rate among Swiss, married, male, and emergency patients and patients with hematology diseases, brain tumors, or head and neck cancer (p<0.001). Every fourth patient with a moderate to severe distress level requested referral to a psychosocial service. Significantly more screened patients were referred to the social service (44.7%) than to the psycho-oncology service (9.4%). Only 22.9% of all referrals were made on the day of screening or a day later. There were only two wards of 15 with a significant relationship between productivity and screening rate.ConclusionsScreening is useful in recognizing distress among patients, but screening practice needs to be reconsidered.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:Spirig, Rebecca
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Springer
ISSN:0941-4355
e-ISSN:1433-7339
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:08 Jul 2020 14:33
Deposited On:08 Jul 2020 14:33

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