AutomedicationFrancoV1, Main, Exploration, bibRecord, 000953

Enhancing clinical practice in the management of distress: The Therapeutic Practices for Distress Management (TPDM) project.

Identifieur interne : 000953 ( Main/Exploration ); précédent : 000952; suivant : 000954

Enhancing clinical practice in the management of distress: The Therapeutic Practices for Distress Management (TPDM) project.

Auteurs : Deborah Mcleod [Canada] ; Mary Jane Esplen [Canada] ; Jiahui Wong [Canada] ; Thomas F. Hack [Canada] ; Lise Fillion [Canada] ; Doris Howell [Canada] ; Margaret Fitch [Canada] ; Julie Dufresne [Canada]

Source :

Psycho-oncology [ 1099-1611 ] ; 2018.

RBID : pubmed:29956392

Descripteurs français

KwdFr :
- Auto-efficacité (MeSH), Canada (MeSH), Dépression (thérapie), Dépression (étiologie), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Programme clinique (MeSH), Promotion de la santé (organisation et administration), Tumeurs (psychologie), Tumeurs (rééducation et réadaptation), Éducation du patient comme sujet (organisation et administration), Évaluation de programme (MeSH).
MESH :
- organisation et administration : Promotion de la santé, Éducation du patient comme sujet.
- psychologie : Tumeurs.
- rééducation et réadaptation : Tumeurs.
- thérapie : Dépression.
- étiologie : Dépression.
- Auto-efficacité, Canada, Guides de bonnes pratiques cliniques comme sujet, Humains, Programme clinique, Évaluation de programme.
Wicri :
- geographic : Canada.

English descriptors

KwdEn :
- Canada (MeSH), Critical Pathways (MeSH), Depression (etiology), Depression (therapy), Health Promotion (organization & administration), Humans (MeSH), Neoplasms (psychology), Neoplasms (rehabilitation), Patient Education as Topic (organization & administration), Practice Guidelines as Topic (MeSH), Program Evaluation (MeSH), Self Efficacy (MeSH).
MESH :
- geographic : Canada.
- etiology : Depression.
- organization & administration : Health Promotion, Patient Education as Topic.
- psychology : Neoplasms.
- rehabilitation : Neoplasms.
- therapy : Depression.
- Critical Pathways, Humans, Practice Guidelines as Topic, Program Evaluation, Self Efficacy.

Abstract

OBJECTIVE

The Therapeutic Practices for Distress Management (TPDM) project was carried out to support clinicians in integrating recommendations from four clinical practice guidelines (CPGs) in routine care at five Pan Canadian cancer care sites.

METHODS

Using a concurrent, mixed-method study design and knowledge translation (KT) activities, this project included two phases: phase I-a baseline/preparation phase and phase II-an intervention phase plus evaluation. The intervention phase (the focus of this report) included a one-year education and supervision program (24 hours in virtual class; 12-hour group supervision). Primary outcomes were knowledge and self-efficacy in practicing CPGs as measured by a Knowledge and Self-Efficacy Survey (KSES). A secondary outcome was observer-rated performances with standardized patients (objective structured clinical exams). Participants included 80 (90%) nurses, and 9 (10%) social workers (N = 89).

RESULTS

The TPDM program was effective in accomplishing change in knowledge, self-efficacy, and performance. All measures demonstrated significant change pre and post module, with evidence of increasing knowledge (P < .01) and confidence (P < .01) over time. Further, there was evidence of a shift in barriers and enablers to practicing in alignment with the CPGs.

CONCLUSIONS

A tailored education program using case-based learning and supervision over time improves knowledge and practice among front line clinicians. The findings have implications for quality improvement in cancer care.

DOI: 10.1002/pon.4831
PubMed: 29956392

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000798
to stream Main, to step Curation: 000798

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Enhancing clinical practice in the management of distress: The Therapeutic Practices for Distress Management (TPDM) project.</title>
<author><name sortKey="Mcleod, Deborah" sort="Mcleod, Deborah" uniqKey="Mcleod D" first="Deborah" last="Mcleod">Deborah Mcleod</name>
<affiliation wicri:level="1"><nlm:affiliation>Psychosocial Oncology, NS Health Authority, School of Nursing, Dalhousie University, Halifax, NS, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Psychosocial Oncology, NS Health Authority, School of Nursing, Dalhousie University, Halifax, NS</wicri:regionArea>
<wicri:noRegion>NS</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Esplen, Mary Jane" sort="Esplen, Mary Jane" uniqKey="Esplen M" first="Mary Jane" last="Esplen">Mary Jane Esplen</name>
<affiliation wicri:level="3"><nlm:affiliation>de Souza Institute, University Health Network, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>de Souza Institute, University Health Network, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Faculty of Medicine, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Faculty of Medicine, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Princess Margaret Cancer Centre, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Princess Margaret Cancer Centre, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wong, Jiahui" sort="Wong, Jiahui" uniqKey="Wong J" first="Jiahui" last="Wong">Jiahui Wong</name>
<affiliation wicri:level="3"><nlm:affiliation>de Souza Institute, University Health Network, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>de Souza Institute, University Health Network, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Faculty of Medicine, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Faculty of Medicine, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Princess Margaret Cancer Centre, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Princess Margaret Cancer Centre, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hack, Thomas F" sort="Hack, Thomas F" uniqKey="Hack T" first="Thomas F" last="Hack">Thomas F. Hack</name>
<affiliation wicri:level="4"><nlm:affiliation>College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnepeg, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnepeg</wicri:regionArea>
<orgName type="university">Université du Manitoba</orgName>
<placeName><settlement type="city">Winnipeg</settlement>
<region type="state">Manitoba</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnepeg, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnepeg</wicri:regionArea>
<wicri:noRegion>Winnepeg</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Psychosocial Oncology & Cancer Nursing Research, I.H. Asper Clinical Research Institute, Winnepeg, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Psychosocial Oncology & Cancer Nursing Research, I.H. Asper Clinical Research Institute, Winnepeg</wicri:regionArea>
<wicri:noRegion>Winnepeg</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fillion, Lise" sort="Fillion, Lise" uniqKey="Fillion L" first="Lise" last="Fillion">Lise Fillion</name>
<affiliation wicri:level="1"><nlm:affiliation>Nursing Research Unit, Centre de Recherche du CHU de Québec, L'Hôtel Dieu de Québec, Quebec, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Nursing Research Unit, Centre de Recherche du CHU de Québec, L'Hôtel Dieu de Québec, Quebec</wicri:regionArea>
<wicri:noRegion>Quebec</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Howell, Doris" sort="Howell, Doris" uniqKey="Howell D" first="Doris" last="Howell">Doris Howell</name>
<affiliation wicri:level="3"><nlm:affiliation>Oncology Nursing Research and Education, University Health Networks, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Oncology Nursing Research and Education, University Health Networks, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Institute for Clinical Evaluative Sciences, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Institute for Clinical Evaluative Sciences, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fitch, Margaret" sort="Fitch, Margaret" uniqKey="Fitch M" first="Margaret" last="Fitch">Margaret Fitch</name>
<affiliation wicri:level="4"><nlm:affiliation>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Canadian Association of Nurses in Oncology, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Canadian Association of Nurses in Oncology, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dufresne, Julie" sort="Dufresne, Julie" uniqKey="Dufresne J" first="Julie" last="Dufresne">Julie Dufresne</name>
<affiliation wicri:level="1"><nlm:affiliation>Yukon Chamber of Commerce, Whitehorse, Yukon, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Yukon Chamber of Commerce, Whitehorse, Yukon</wicri:regionArea>
<wicri:noRegion>Yukon</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Touché Consulting, Whitehorse, Yukon, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Touché Consulting, Whitehorse, Yukon</wicri:regionArea>
<wicri:noRegion>Yukon</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2018">2018</date>
<idno type="RBID">pubmed:29956392</idno>
<idno type="pmid">29956392</idno>
<idno type="doi">10.1002/pon.4831</idno>
<idno type="wicri:Area/Main/Corpus">000798</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000798</idno>
<idno type="wicri:Area/Main/Curation">000798</idno>
<idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000798</idno>
<idno type="wicri:Area/Main/Exploration">000798</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Enhancing clinical practice in the management of distress: The Therapeutic Practices for Distress Management (TPDM) project.</title>
<author><name sortKey="Mcleod, Deborah" sort="Mcleod, Deborah" uniqKey="Mcleod D" first="Deborah" last="Mcleod">Deborah Mcleod</name>
<affiliation wicri:level="1"><nlm:affiliation>Psychosocial Oncology, NS Health Authority, School of Nursing, Dalhousie University, Halifax, NS, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Psychosocial Oncology, NS Health Authority, School of Nursing, Dalhousie University, Halifax, NS</wicri:regionArea>
<wicri:noRegion>NS</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Esplen, Mary Jane" sort="Esplen, Mary Jane" uniqKey="Esplen M" first="Mary Jane" last="Esplen">Mary Jane Esplen</name>
<affiliation wicri:level="3"><nlm:affiliation>de Souza Institute, University Health Network, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>de Souza Institute, University Health Network, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Faculty of Medicine, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Faculty of Medicine, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Princess Margaret Cancer Centre, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Princess Margaret Cancer Centre, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wong, Jiahui" sort="Wong, Jiahui" uniqKey="Wong J" first="Jiahui" last="Wong">Jiahui Wong</name>
<affiliation wicri:level="3"><nlm:affiliation>de Souza Institute, University Health Network, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>de Souza Institute, University Health Network, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Faculty of Medicine, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Faculty of Medicine, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Princess Margaret Cancer Centre, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Princess Margaret Cancer Centre, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hack, Thomas F" sort="Hack, Thomas F" uniqKey="Hack T" first="Thomas F" last="Hack">Thomas F. Hack</name>
<affiliation wicri:level="4"><nlm:affiliation>College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnepeg, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnepeg</wicri:regionArea>
<orgName type="university">Université du Manitoba</orgName>
<placeName><settlement type="city">Winnipeg</settlement>
<region type="state">Manitoba</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnepeg, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnepeg</wicri:regionArea>
<wicri:noRegion>Winnepeg</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Psychosocial Oncology & Cancer Nursing Research, I.H. Asper Clinical Research Institute, Winnepeg, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Psychosocial Oncology & Cancer Nursing Research, I.H. Asper Clinical Research Institute, Winnepeg</wicri:regionArea>
<wicri:noRegion>Winnepeg</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Fillion, Lise" sort="Fillion, Lise" uniqKey="Fillion L" first="Lise" last="Fillion">Lise Fillion</name>
<affiliation wicri:level="1"><nlm:affiliation>Nursing Research Unit, Centre de Recherche du CHU de Québec, L'Hôtel Dieu de Québec, Quebec, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Nursing Research Unit, Centre de Recherche du CHU de Québec, L'Hôtel Dieu de Québec, Quebec</wicri:regionArea>
<wicri:noRegion>Quebec</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Howell, Doris" sort="Howell, Doris" uniqKey="Howell D" first="Doris" last="Howell">Doris Howell</name>
<affiliation wicri:level="3"><nlm:affiliation>Oncology Nursing Research and Education, University Health Networks, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Oncology Nursing Research and Education, University Health Networks, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:affiliation>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Institute for Clinical Evaluative Sciences, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Institute for Clinical Evaluative Sciences, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Fitch, Margaret" sort="Fitch, Margaret" uniqKey="Fitch M" first="Margaret" last="Fitch">Margaret Fitch</name>
<affiliation wicri:level="4"><nlm:affiliation>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
<orgName type="university">Université de Toronto</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:affiliation>Canadian Association of Nurses in Oncology, Toronto, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Canadian Association of Nurses in Oncology, Toronto</wicri:regionArea>
<placeName><settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Dufresne, Julie" sort="Dufresne, Julie" uniqKey="Dufresne J" first="Julie" last="Dufresne">Julie Dufresne</name>
<affiliation wicri:level="1"><nlm:affiliation>Yukon Chamber of Commerce, Whitehorse, Yukon, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Yukon Chamber of Commerce, Whitehorse, Yukon</wicri:regionArea>
<wicri:noRegion>Yukon</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>Touché Consulting, Whitehorse, Yukon, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Touché Consulting, Whitehorse, Yukon</wicri:regionArea>
<wicri:noRegion>Yukon</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Psycho-oncology</title>
<idno type="eISSN">1099-1611</idno>
<imprint><date when="2018" type="published">2018</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Canada (MeSH)</term>
<term>Critical Pathways (MeSH)</term>
<term>Depression (etiology)</term>
<term>Depression (therapy)</term>
<term>Health Promotion (organization & administration)</term>
<term>Humans (MeSH)</term>
<term>Neoplasms (psychology)</term>
<term>Neoplasms (rehabilitation)</term>
<term>Patient Education as Topic (organization & administration)</term>
<term>Practice Guidelines as Topic (MeSH)</term>
<term>Program Evaluation (MeSH)</term>
<term>Self Efficacy (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Auto-efficacité (MeSH)</term>
<term>Canada (MeSH)</term>
<term>Dépression (thérapie)</term>
<term>Dépression (étiologie)</term>
<term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Programme clinique (MeSH)</term>
<term>Promotion de la santé (organisation et administration)</term>
<term>Tumeurs (psychologie)</term>
<term>Tumeurs (rééducation et réadaptation)</term>
<term>Éducation du patient comme sujet (organisation et administration)</term>
<term>Évaluation de programme (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Depression</term>
</keywords>
<keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Promotion de la santé</term>
<term>Éducation du patient comme sujet</term>
</keywords>
<keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Health Promotion</term>
<term>Patient Education as Topic</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Tumeurs</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Tumeurs</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Depression</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Dépression</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Dépression</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Critical Pathways</term>
<term>Humans</term>
<term>Practice Guidelines as Topic</term>
<term>Program Evaluation</term>
<term>Self Efficacy</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Auto-efficacité</term>
<term>Canada</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Humains</term>
<term>Programme clinique</term>
<term>Évaluation de programme</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>The Therapeutic Practices for Distress Management (TPDM) project was carried out to support clinicians in integrating recommendations from four clinical practice guidelines (CPGs) in routine care at five Pan Canadian cancer care sites.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Using a concurrent, mixed-method study design and knowledge translation (KT) activities, this project included two phases: phase I-a baseline/preparation phase and phase II-an intervention phase plus evaluation. The intervention phase (the focus of this report) included a one-year education and supervision program (24 hours in virtual class; 12-hour group supervision). Primary outcomes were knowledge and self-efficacy in practicing CPGs as measured by a Knowledge and Self-Efficacy Survey (KSES). A secondary outcome was observer-rated performances with standardized patients (objective structured clinical exams). Participants included 80 (90%) nurses, and 9 (10%) social workers (N = 89).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>The TPDM program was effective in accomplishing change in knowledge, self-efficacy, and performance. All measures demonstrated significant change pre and post module, with evidence of increasing knowledge (P < .01) and confidence (P < .01) over time. Further, there was evidence of a shift in barriers and enablers to practicing in alignment with the CPGs.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>A tailored education program using case-based learning and supervision over time improves knowledge and practice among front line clinicians. The findings have implications for quality improvement in cancer care.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">29956392</PMID>
<DateCompleted><Year>2019</Year>
<Month>08</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2019</Year>
<Month>08</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1099-1611</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>27</Volume>
<Issue>9</Issue>
<PubDate><Year>2018</Year>
<Month>09</Month>
</PubDate>
</JournalIssue>
<Title>Psycho-oncology</Title>
<ISOAbbreviation>Psychooncology</ISOAbbreviation>
</Journal>
<ArticleTitle>Enhancing clinical practice in the management of distress: The Therapeutic Practices for Distress Management (TPDM) project.</ArticleTitle>
<Pagination><MedlinePgn>2289-2295</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/pon.4831</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">The Therapeutic Practices for Distress Management (TPDM) project was carried out to support clinicians in integrating recommendations from four clinical practice guidelines (CPGs) in routine care at five Pan Canadian cancer care sites.</AbstractText>
<AbstractText Label="METHODS">Using a concurrent, mixed-method study design and knowledge translation (KT) activities, this project included two phases: phase I-a baseline/preparation phase and phase II-an intervention phase plus evaluation. The intervention phase (the focus of this report) included a one-year education and supervision program (24 hours in virtual class; 12-hour group supervision). Primary outcomes were knowledge and self-efficacy in practicing CPGs as measured by a Knowledge and Self-Efficacy Survey (KSES). A secondary outcome was observer-rated performances with standardized patients (objective structured clinical exams). Participants included 80 (90%) nurses, and 9 (10%) social workers (N = 89).</AbstractText>
<AbstractText Label="RESULTS">The TPDM program was effective in accomplishing change in knowledge, self-efficacy, and performance. All measures demonstrated significant change pre and post module, with evidence of increasing knowledge (P < .01) and confidence (P < .01) over time. Further, there was evidence of a shift in barriers and enablers to practicing in alignment with the CPGs.</AbstractText>
<AbstractText Label="CONCLUSIONS">A tailored education program using case-based learning and supervision over time improves knowledge and practice among front line clinicians. The findings have implications for quality improvement in cancer care.</AbstractText>
<CopyrightInformation>© 2018 John Wiley & Sons, Ltd.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McLeod</LastName>
<ForeName>Deborah</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Psychosocial Oncology, NS Health Authority, School of Nursing, Dalhousie University, Halifax, NS, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Esplen</LastName>
<ForeName>Mary Jane</ForeName>
<Initials>MJ</Initials>
<Identifier Source="ORCID">0000-0002-6034-2235</Identifier>
<AffiliationInfo><Affiliation>de Souza Institute, University Health Network, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Faculty of Medicine, University of Toronto, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Princess Margaret Cancer Centre, Toronto, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wong</LastName>
<ForeName>Jiahui</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>de Souza Institute, University Health Network, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Faculty of Medicine, University of Toronto, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Clinical and Basic Sciences, Department of Psychiatry, University of Toronto, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Princess Margaret Cancer Centre, Toronto, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hack</LastName>
<ForeName>Thomas F</ForeName>
<Initials>TF</Initials>
<AffiliationInfo><Affiliation>College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, Winnepeg, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Research Institute in Oncology and Hematology, CancerCare Manitoba, Winnepeg, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Psychosocial Oncology & Cancer Nursing Research, I.H. Asper Clinical Research Institute, Winnepeg, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fillion</LastName>
<ForeName>Lise</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Nursing Research Unit, Centre de Recherche du CHU de Québec, L'Hôtel Dieu de Québec, Quebec, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Howell</LastName>
<ForeName>Doris</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Oncology Nursing Research and Education, University Health Networks, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Institute for Clinical Evaluative Sciences, Toronto, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fitch</LastName>
<ForeName>Margaret</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Canadian Association of Nurses in Oncology, Toronto, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dufresne</LastName>
<ForeName>Julie</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Yukon Chamber of Commerce, Whitehorse, Yukon, Canada.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Touché Consulting, Whitehorse, Yukon, Canada.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>0001964</GrantID>
<Agency>Canadian Institute of Health Research</Agency>
<Country>International</Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2018</Year>
<Month>07</Month>
<Day>31</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Psychooncology</MedlineTA>
<NlmUniqueID>9214524</NlmUniqueID>
<ISSNLinking>1057-9249</ISSNLinking>
</MedlineJournalInfo>
<MeshHeadingList><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019091" MajorTopicYN="N">Critical Pathways</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006293" MajorTopicYN="N">Health Promotion</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009369" MajorTopicYN="N">Neoplasms</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName>
<QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017410" MajorTopicYN="N">Practice Guidelines as Topic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015397" MajorTopicYN="N">Program Evaluation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D020377" MajorTopicYN="N">Self Efficacy</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">clinical practice guideline</Keyword>
<Keyword MajorTopicYN="Y">distress management</Keyword>
<Keyword MajorTopicYN="Y">knowledge translation</Keyword>
<Keyword MajorTopicYN="Y">mentorship</Keyword>
<Keyword MajorTopicYN="Y">online continuing professional development</Keyword>
<Keyword MajorTopicYN="Y">quality improvement</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year>
<Month>02</Month>
<Day>07</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2018</Year>
<Month>06</Month>
<Day>16</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2018</Year>
<Month>06</Month>
<Day>19</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2018</Year>
<Month>6</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2019</Year>
<Month>8</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2018</Year>
<Month>6</Month>
<Day>30</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">29956392</ArticleId>
<ArticleId IdType="doi">10.1002/pon.4831</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Canada</li>
</country>
<region><li>Manitoba</li>
<li>Ontario</li>
</region>
<settlement><li>Toronto</li>
<li>Winnipeg</li>
</settlement>
<orgName><li>Université de Toronto</li>
<li>Université du Manitoba</li>
</orgName>
</list>
<tree><country name="Canada"><noRegion><name sortKey="Mcleod, Deborah" sort="Mcleod, Deborah" uniqKey="Mcleod D" first="Deborah" last="Mcleod">Deborah Mcleod</name>
</noRegion>
<name sortKey="Dufresne, Julie" sort="Dufresne, Julie" uniqKey="Dufresne J" first="Julie" last="Dufresne">Julie Dufresne</name>
<name sortKey="Dufresne, Julie" sort="Dufresne, Julie" uniqKey="Dufresne J" first="Julie" last="Dufresne">Julie Dufresne</name>
<name sortKey="Esplen, Mary Jane" sort="Esplen, Mary Jane" uniqKey="Esplen M" first="Mary Jane" last="Esplen">Mary Jane Esplen</name>
<name sortKey="Esplen, Mary Jane" sort="Esplen, Mary Jane" uniqKey="Esplen M" first="Mary Jane" last="Esplen">Mary Jane Esplen</name>
<name sortKey="Esplen, Mary Jane" sort="Esplen, Mary Jane" uniqKey="Esplen M" first="Mary Jane" last="Esplen">Mary Jane Esplen</name>
<name sortKey="Esplen, Mary Jane" sort="Esplen, Mary Jane" uniqKey="Esplen M" first="Mary Jane" last="Esplen">Mary Jane Esplen</name>
<name sortKey="Fillion, Lise" sort="Fillion, Lise" uniqKey="Fillion L" first="Lise" last="Fillion">Lise Fillion</name>
<name sortKey="Fitch, Margaret" sort="Fitch, Margaret" uniqKey="Fitch M" first="Margaret" last="Fitch">Margaret Fitch</name>
<name sortKey="Fitch, Margaret" sort="Fitch, Margaret" uniqKey="Fitch M" first="Margaret" last="Fitch">Margaret Fitch</name>
<name sortKey="Hack, Thomas F" sort="Hack, Thomas F" uniqKey="Hack T" first="Thomas F" last="Hack">Thomas F. Hack</name>
<name sortKey="Hack, Thomas F" sort="Hack, Thomas F" uniqKey="Hack T" first="Thomas F" last="Hack">Thomas F. Hack</name>
<name sortKey="Hack, Thomas F" sort="Hack, Thomas F" uniqKey="Hack T" first="Thomas F" last="Hack">Thomas F. Hack</name>
<name sortKey="Howell, Doris" sort="Howell, Doris" uniqKey="Howell D" first="Doris" last="Howell">Doris Howell</name>
<name sortKey="Howell, Doris" sort="Howell, Doris" uniqKey="Howell D" first="Doris" last="Howell">Doris Howell</name>
<name sortKey="Howell, Doris" sort="Howell, Doris" uniqKey="Howell D" first="Doris" last="Howell">Doris Howell</name>
<name sortKey="Wong, Jiahui" sort="Wong, Jiahui" uniqKey="Wong J" first="Jiahui" last="Wong">Jiahui Wong</name>
<name sortKey="Wong, Jiahui" sort="Wong, Jiahui" uniqKey="Wong J" first="Jiahui" last="Wong">Jiahui Wong</name>
<name sortKey="Wong, Jiahui" sort="Wong, Jiahui" uniqKey="Wong J" first="Jiahui" last="Wong">Jiahui Wong</name>
<name sortKey="Wong, Jiahui" sort="Wong, Jiahui" uniqKey="Wong J" first="Jiahui" last="Wong">Jiahui Wong</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Sante/explor/AutomedicationFrancoV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000953 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000953 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Sante
   |area=    AutomedicationFrancoV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:29956392
   |texte=   Enhancing clinical practice in the management of distress: The Therapeutic Practices for Distress Management (TPDM) project.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:29956392" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a AutomedicationFrancoV1

This area was generated with Dilib version V0.6.38.
Data generation: Mon Mar 15 15:24:36 2021. Site generation: Mon Mar 15 15:32:03 2021

	Serveur d'exploration sur l'automédication dans le monde francophone
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur l'automédication dans le monde francophone

Enhancing clinical practice in the management of distress: The Therapeutic Practices for Distress Management (TPDM) project.

Enhancing clinical practice in the management of distress: The Therapeutic Practices for Distress Management (TPDM) project.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki