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Cancer Care Team Functioning During the Coronavirus 19 Pandemic and Beyond : A Mixed Method Study /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Cancer Care Team Functioning During the Coronavirus 19 Pandemic and Beyond : A Mixed Method Study // Samar Attieh.
Author:	Attieh, Samar,
Description:	1 electronic resource (278 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 86-04, Section: B.
Contained By:	Dissertations Abstracts International86-04B.
Subject:	Cognitive models. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31527054
ISBN:	9798342119252

Cancer Care Team Functioning During the Coronavirus 19 Pandemic and Beyond : A Mixed Method Study /
Attieh, Samar,

Cancer Care Team Functioning During the Coronavirus 19 Pandemic and Beyond : A Mixed Method Study /Samar Attieh. - 1 electronic resource (278 pages)

Source: Dissertations Abstracts International, Volume: 86-04, Section: B.

With the rapidly evolving and demanding nature of cancer treatment and overall care (e.g., new treatment options, distinct patient profiles and needs, higher caseloads, changes in clinical practice recommendations, and staff shortages), cancer care teams often report feeling ill-equipped to meet new demands. The COVID-19 pandemic posed additional challenges, both short and long-term, including significant work-related disruptions, rapid shifts in practices, as well as workforce resignation. Within this context, it is crucial to better understand cancer care team functioning during acute crises such as the pandemic and identify factors that may predict optimal functioning. This dissertation work aimed to 1) Identify key features of cancer team functioning during health crises through an in-depth narrative review, 2) Measure multi-stakeholder perceptions of team functioning during COVID-19 and through its transition and document if patient perceptions of team functioning are significantly associated with their cancer care experiences, and 3) Identify key contributors to optimal team functioning as perceived by the diverse stakeholders queried.Accordingly, the dissertation comprises three manuscripts, addressing the aforementioned research objectives. Manuscript #1 titled "Cancer care team functioning during COVID-19: A narrative literature review and synthesis" (Published in Current Oncology) provides a comprehensive overview of the existing literature on specific cancer team functioning attributes during the COVID-19 pandemic. Three themes were identified as key to overall cancer care team functioning during this period: 1) Swiftly adopting virtual technology for communication and interprofessional collaboration, 2) Promoting team resilience, and 3) Encouraging self-care and optimizing team support. Manuscript #2 titled "Measuring team functioning during the COVID-19 pandemic: perspectives of cancer care team members"(submitted to the Journal of Multidisciplinary Healthcare),reports on multi-stakeholder perceptions regarding key indicators of team functioning: Team Effectiveness (TE) and Team Relational Coordination (TRC) during COVID-19 (T1) and while transitioning out of the pandemic (T2). In addition, potential associations between patient perceptions and their cancer care experiences are explored. Overall, participants (N = 66) representing four distinct groups (i.e., 13 healthcare professionals, 40 patients, 6 informal caregivers, and 7 volunteers), were recruited from two outpatient cancer clinics at a large University-affiliated hospital, in Montreal, Qc, Canada, and invited to complete the study e-measures at T1 (N = 66) and T2 (n = 44). At T1, participants reported high perceptions of Team Effectiveness (scale 1 to 6) M = 4.47; SD = 0.71 (Mdn = 4.54; IQR: 4.06-5) and Relational Coordination (scale 1 to 5) M = 3.77; SD = 0.77 (Mdn = 3.81; IQR: 3.12-4.38). Perceptions were relatively unchanged while transitioning out of the pandemic and no significant differences across the stakeholder groups were found. Interestingly, at both time points, patient perceptions were positively correlated with their experience with cancer care (Spearman rank correlation ranging from 0.69 to 0.83; p < 0.01)Manuscript #3 titled "Using fuzzy cognitive mapping to explore stakeholders' mental models of cancer team functioning during COVID-19 and beyond" (submitted to the International Journal of Care Coordination),explored multi-stakeholders' perceptions of attributes contributing to cancer care team functioning during and while transitioning out of the pandemic and beyond. Thirteen participants (i.e., 5 HCPs, 3 patients, 2 informal caregivers and 3 volunteers) took part in separate fuzzy cognitive mapping virtual sessions which consisted of creating mental model maps for optimal cancer team functioning. These sessions lasted for an hour each while participants collaboratively identified factors linked to optimal functioning, defined relationships between various factors, and assigned weights to determine the extent of influence these relationships had on team functioning. Combining the distinct maps from each stakeholders' group led to a shared mental model pinpointing the five strongest attributes related to optimal team functioning: Effective communication, enhanced cancer care experiences, the philosophy of care (i.e., empathy, compassion, respect), support for patients and HCPs' psychosocial needs and role clarity of cancer care team members.Taken together, this dissertation work provides much-needed data on cancer team functioning during the pandemic and beyond. More specifically, the series of studies provide quantitative and qualitative evidence to support the integration of multi-stakeholder input in co-creating guidelines for optimal cancer team functioning when facing significant challenges such as a pandemic. Insights gained underscore the need to expand existing conceptual frameworks related to cancer team functioning and re-examine healthcare priorities for enhanced team functional preparedness for future pandemics. Comprehensive and standardized assessments would then further inform, monitor, and guide team functional improvements. The COVID-19 pandemic has undeniably reshaped the landscape of healthcare, offering critical lessons for cancer teams, and shedding light on key insights that can serve to optimize team functioning. In sum, findings herein provide valuable insights to build back more resilient teams post-pandemic and beyond.

English

ISBN: 9798342119252Subjects--Topical Terms:

3686958
Cognitive models.

Cancer Care Team Functioning During the Coronavirus 19 Pandemic and Beyond : A Mixed Method Study /
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520 $a With the rapidly evolving and demanding nature of cancer treatment and overall care (e.g., new treatment options, distinct patient profiles and needs, higher caseloads, changes in clinical practice recommendations, and staff shortages), cancer care teams often report feeling ill-equipped to meet new demands. The COVID-19 pandemic posed additional challenges, both short and long-term, including significant work-related disruptions, rapid shifts in practices, as well as workforce resignation. Within this context, it is crucial to better understand cancer care team functioning during acute crises such as the pandemic and identify factors that may predict optimal functioning. This dissertation work aimed to 1) Identify key features of cancer team functioning during health crises through an in-depth narrative review, 2) Measure multi-stakeholder perceptions of team functioning during COVID-19 and through its transition and document if patient perceptions of team functioning are significantly associated with their cancer care experiences, and 3) Identify key contributors to optimal team functioning as perceived by the diverse stakeholders queried.Accordingly, the dissertation comprises three manuscripts, addressing the aforementioned research objectives. Manuscript #1 titled "Cancer care team functioning during COVID-19: A narrative literature review and synthesis" (Published in Current Oncology) provides a comprehensive overview of the existing literature on specific cancer team functioning attributes during the COVID-19 pandemic. Three themes were identified as key to overall cancer care team functioning during this period: 1) Swiftly adopting virtual technology for communication and interprofessional collaboration, 2) Promoting team resilience, and 3) Encouraging self-care and optimizing team support. Manuscript #2 titled "Measuring team functioning during the COVID-19 pandemic: perspectives of cancer care team members"(submitted to the Journal of Multidisciplinary Healthcare),reports on multi-stakeholder perceptions regarding key indicators of team functioning: Team Effectiveness (TE) and Team Relational Coordination (TRC) during COVID-19 (T1) and while transitioning out of the pandemic (T2). In addition, potential associations between patient perceptions and their cancer care experiences are explored. Overall, participants (N = 66) representing four distinct groups (i.e., 13 healthcare professionals, 40 patients, 6 informal caregivers, and 7 volunteers), were recruited from two outpatient cancer clinics at a large University-affiliated hospital, in Montreal, Qc, Canada, and invited to complete the study e-measures at T1 (N = 66) and T2 (n = 44). At T1, participants reported high perceptions of Team Effectiveness (scale 1 to 6) M = 4.47; SD = 0.71 (Mdn = 4.54; IQR: 4.06-5) and Relational Coordination (scale 1 to 5) M = 3.77; SD = 0.77 (Mdn = 3.81; IQR: 3.12-4.38). Perceptions were relatively unchanged while transitioning out of the pandemic and no significant differences across the stakeholder groups were found. Interestingly, at both time points, patient perceptions were positively correlated with their experience with cancer care (Spearman rank correlation ranging from 0.69 to 0.83; p < 0.01)Manuscript #3 titled "Using fuzzy cognitive mapping to explore stakeholders' mental models of cancer team functioning during COVID-19 and beyond" (submitted to the International Journal of Care Coordination),explored multi-stakeholders' perceptions of attributes contributing to cancer care team functioning during and while transitioning out of the pandemic and beyond. Thirteen participants (i.e., 5 HCPs, 3 patients, 2 informal caregivers and 3 volunteers) took part in separate fuzzy cognitive mapping virtual sessions which consisted of creating mental model maps for optimal cancer team functioning. These sessions lasted for an hour each while participants collaboratively identified factors linked to optimal functioning, defined relationships between various factors, and assigned weights to determine the extent of influence these relationships had on team functioning. Combining the distinct maps from each stakeholders' group led to a shared mental model pinpointing the five strongest attributes related to optimal team functioning: Effective communication, enhanced cancer care experiences, the philosophy of care (i.e., empathy, compassion, respect), support for patients and HCPs' psychosocial needs and role clarity of cancer care team members.Taken together, this dissertation work provides much-needed data on cancer team functioning during the pandemic and beyond. More specifically, the series of studies provide quantitative and qualitative evidence to support the integration of multi-stakeholder input in co-creating guidelines for optimal cancer team functioning when facing significant challenges such as a pandemic. Insights gained underscore the need to expand existing conceptual frameworks related to cancer team functioning and re-examine healthcare priorities for enhanced team functional preparedness for future pandemics. Comprehensive and standardized assessments would then further inform, monitor, and guide team functional improvements. The COVID-19 pandemic has undeniably reshaped the landscape of healthcare, offering critical lessons for cancer teams, and shedding light on key insights that can serve to optimize team functioning. In sum, findings herein provide valuable insights to build back more resilient teams post-pandemic and beyond.
520 $a Compte tenu de l'evolution rapide et de la nature exigeante des soins courants en cancerologie (p. ex., nouvelles options de traitement, profils et besoins distincts des patients, charge de travail plus elevee, changements en pratique clinique et penuries de personnel), les equipes de soins se sentent souvent mal outillees pour repondre a ces nouveaux defis. La pandemie de COVID-19 pose aussi des defis considerables, a court et a long terme, notamment d'importantes perturbations liees au travail, des changements rapides dans les pratiques ainsi que des reductions de la main-d'oeuvre. Dans ce contexte, il est important de mieux comprendre le fonctionnement des equipes de soins en cancerologie lors des pandemies et d'identifier les facteurs qui peuvent predire un fonctionnement optimal. Cette these de doctorat visait a: 1) Identifier les caracteristiques cles du fonctionnement de l'equipe de soins en cancerologie pendant les crises sanitaires grace a une synthese narrative de la litterature, 2) Mesurer les perceptions des parties prenantes du fonctionnement des equipes pendant la COVID-19 et dans sa transition, et evaluer si les perceptions des patients a l'egard du fonctionnement de l'equipe sont significativement associees a leurs experiences de soins, et 3) identifier les attributs cles du fonctionnement optimal de l'equipe, tels qu'ils sont percus par les participants interroges. En consequence, la these comprend trois manuscrits, chacun repondant aux objectifs de recherche susmentionnes. Le manuscrit #1 intitule « Fonctionnement de l'equipe de soins en cancerologie pendant la COVID-19 : une litterature et synthese narrative » (Publie dans Current Oncology), fournit un apercu de la litterature existante sur les caracteristiques specifiques du fonctionnement des equipes en cancerologie pendant la pandemie de COVID-19. Trois themes ont ete identifies comme etant essentiels au fonctionnement global de l'equipe de soins contre le cancer au cours de cette periode : 1) l'adoption rapide de la technologie virtuelle pour la communication et la collaboration interprofessionnelle, 2) la promotion de la resilience de l'equipe, et 3) l'encouragement a prendre soin de soi et l'optimisation du soutien de l'equipe. Le manuscrit #2 intitule « Mesurer le fonctionnement des equipes au cours de la pandemie COVID-19: points de vue des membres de l'equipe de soins en cancerologie » (soumis au Journal of Multidisciplinary Healthcare) rend compte des perceptions des participants concernant les indicateurs cles du fonctionnement de l'equipe : Efficacite de l'equipe et la coordination relationnelle de l'equipe pendant la COVID-19 (T1) et pendant la transition hors de la pandemie (T2). De plus, les associations potentielles entre les perceptions des patients et leurs experiences de soins en cancerologie sont explorees. Dans l'ensemble, les participants (N = 66) representant quatre groupes (13 professionnels de la sante, 40 patients, 6 aidants naturels et 7 benevoles) ont ete recrutes dans deux cliniques externes de cancerologie d'un hopital universitaire a Montreal (Quebec, Canada), et invites a completer les questionnaires auto-rapportes a T1 (N = 66) et T2 (n = 44). A T1, les participants ont fait etat d'une perception elevee de l'efficacite de l'equipe (echelle de 1 a 6) M = 4.47 ; ET = 0.71 (Mdn = 4.54 ; EIQ : 4.06-5) et coordination relationnelle (echelle de 1 a 5) M = 3.77 ; ET = 0.77 (Mdn = 3.81 ; EIQ : 3.12 a 4.38). Les perceptions sont demeurees relativement inchangees pendant la transition, et aucune difference significative n'a ete constatee entre les quatre groupes. Il est interessant de noter qu'aux deux moments, les perceptions des patients etaient positivement correlees a leur experience des soins (correlations de Spearman allant de 0.69 a 0.83 ; p < 0.01)Manuscrit #3 intitule « Utilisation de la cartographie cognitive pour explorer les modeles mentaux des parties prenantes du fonctionnement de l'equipe de cancerologie pendant et apres la COVID-19 »(soumis au International Journal of Care Coordination),explore les perceptions des intervenants sur les attributs contribuant au fonctionnement de l'equipe de soins en cancerologie pendant COVID-19 et en transition. Treize participants (5 professionnels de la sante, 3 patients, 2 aidants naturels et 3 benevoles) ont pris part a des seances virtuelles distinctes de cartographie cognitive qui consistent a creer des cartes de modeles mentaux pour un fonctionnement optimal de l'equipe en cancerologie. Ces seances (d'une duree approximative d'une heure chacune), au cours desquelles les participants ont identifie les facteurs lies au fonctionnement optimal, ont servi a cerner les relations entre divers facteurs. Des ponderations furent attribuees quant a la force de l'influence des relations sur le fonctionnement de l'equipe. La combinaison des cartes distinctes de chaque groupe a conduit a un modele mental partage identifiant les cinq attributs les plus forts lies au fonctionnement optimal de l'equipe : Une communication efficace, des experiences ameliorees en matiere de soins, la philosophie de soins (c.-a-d. empathie, compassion, respect), un soutien aux besoins psychosociaux des patients et des professionnels de sante et une clarte du role des membres de l'equipe.Dans l'ensemble, cette these fournit des donnees indispensables sur le fonctionnement de l'equipe de cancerologie pendant et au-dela de la pandemie. Elle fournit aussi des evidences quantitatives et qualitatives a l'appui de l'integration des perceptions de plusieurs parties dans la cocreation de lignes directrices pour un fonctionnement optimal des equipes alors qu'elles font face a des defis importants tels qu'une pandemie. Les connaissances acquises soulignent la necessite d'elargir les cadres conceptuels existants lies au fonctionnement de l'equipe et de reexaminer les priorites en matiere de soins afin d'ameliorer la preparation de l'equipe quant aux futures pandemies. Des mesures standardisees permettraient ensuite d'informer, de suivre et d'orienter les ameliorations fonctionnelles de l'equipe. La pandemie de COVID-19 a certainement remodele le paysage des soins revelant des lecons essentielles pour les equipes, et de l'information cle qui peut servir a optimiser leur fonctionnement. Les resultats presentes ici fournissent des pistes precieuses afin de construire des equipes futures plus resilientes.
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