3
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Using video consultations for clinical assessment and decision of treatment readiness before chemotherapy: A mixed-methods study among patients with gastrointestinal cancer and oncology nurses

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Objective

          To investigate the feasibility of clinical assessment and decision of treatment readiness before chemotherapy using video consultations, as perceived by gastrointestinal cancer patients and oncology nurses. In addition, to estimate reductions in travel time for patients and environmental carbon dioxide (CO 2) emissions.

          Methods

          In a mixed-method study, patients with gastrointestinal cancer who participated in at least one video consultation during April–October 2019 completed a questionnaire on socioeconomic status, time and kilometers saved on travel. Kilometers saved were converted into reduced CO 2 emissions. Descriptive statistics were used for analysis. Patients ( n = 15) participated in semi-structured individual interviews, and five oncology nurses participated in a focus group interview.

          Results

          A total of 84/119 patients (71%) consented to video consultation and responded to the questionnaire. 69% were male, with a mean age of 66 years. For 46% of patients, a video consultation saved more than an hour of travel time. Avoiding a median travel distance of 120 km per patient (range, 2–450 km) reduced CO 2 emissions by 7018 lb. Video consultations had other positive effects on patients, including avoiding waiting rooms, having more energy, and experiencing more focused interactions with nurses. Technical issues occurred rarely. Nurses found technical issues more troublesome, sometimes precluding complete assessments. They reported a need to rethink nursing practice to effectively provide care during video consultations.

          Conclusions

          Video consultations reduced CO 2 emissions. In addition, they were beneficial for patients with gastrointestinal cancer. However, providing an optimal clinical assessment and decision of treatment readiness before chemotherapy requires testing patient equipment, technical skills and new oncology nursing competencies.

          Related collections

          Most cited references31

          • Record: found
          • Abstract: found
          • Article: not found

          Standards for reporting qualitative research: a synthesis of recommendations.

          Standards for reporting exist for many types of quantitative research, but currently none exist for the broad spectrum of qualitative research. The purpose of the present study was to formulate and define standards for reporting qualitative research while preserving the requisite flexibility to accommodate various paradigms, approaches, and methods.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study.

            Qualitative content analysis and thematic analysis are two commonly used approaches in data analysis of nursing research, but boundaries between the two have not been clearly specified. In other words, they are being used interchangeably and it seems difficult for the researcher to choose between them. In this respect, this paper describes and discusses the boundaries between qualitative content analysis and thematic analysis and presents implications to improve the consistency between the purpose of related studies and the method of data analyses. This is a discussion paper, comprising an analytical overview and discussion of the definitions, aims, philosophical background, data gathering, and analysis of content analysis and thematic analysis, and addressing their methodological subtleties. It is concluded that in spite of many similarities between the approaches, including cutting across data and searching for patterns and themes, their main difference lies in the opportunity for quantification of data. It means that measuring the frequency of different categories and themes is possible in content analysis with caution as a proxy for significance. © 2013 Wiley Publishing Asia Pty Ltd.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              ESMO consensus guidelines for the management of patients with metastatic colorectal cancer.

              Colorectal cancer (CRC) is one of the most common malignancies in Western countries. Over the last 20 years, and the last decade in particular, the clinical outcome for patients with metastatic CRC (mCRC) has improved greatly due not only to an increase in the number of patients being referred for and undergoing surgical resection of their localised metastatic disease but also to a more strategic approach to the delivery of systemic therapy and an expansion in the use of ablative techniques. This reflects the increase in the number of patients that are being managed within a multidisciplinary team environment and specialist cancer centres, and the emergence over the same time period not only of improved imaging techniques but also prognostic and predictive molecular markers. Treatment decisions for patients with mCRC must be evidence-based. Thus, these ESMO consensus guidelines have been developed based on the current available evidence to provide a series of evidence-based recommendations to assist in the treatment and management of patients with mCRC in this rapidly evolving treatment setting.
                Bookmark

                Author and article information

                Journal
                Digit Health
                Digit Health
                DHJ
                spdhj
                Digital Health
                SAGE Publications (Sage UK: London, England )
                2055-2076
                3 September 2023
                Jan-Dec 2023
                : 9
                : 20552076231197415
                Affiliations
                [1 ]Research Unit of Oncology, The Academy of Geriatric Cancer Research (www.agecare.org), Ringgold 11286, universityOdense University Hospital; , Odense C, Denmark
                [2 ]Family Focused Healthcare Research Center (FaCe), Odense C, Denmark
                [3 ]Department of Clinical Research, Ringgold 6174, universityUniversity of Southern Denmark; , Odense C, Denmark
                Author notes
                [*]Karin B. Department of Oncology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, and Department of Clinical Research, University of Southern Denmark, Campusvej 55, 5230 Odense M, Denmark. Email: karin.dieperink@ 123456rsyd.dk
                Author information
                https://orcid.org/0000-0003-4766-3242
                Article
                10.1177_20552076231197415
                10.1177/20552076231197415
                10478534
                37675059
                a8d9aef8-0aa5-4404-a4f9-215bc54327ed
                © The Author(s) 2023

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 12 December 2022
                : 9 August 2023
                Categories
                Original Research
                Custom metadata
                ts19
                January-December 2023

                telemedicine,video consultation,oncology,cancer,nursing,communication,symptom assessment,side effects,treatment readiness,co2 emission

                Comments

                Comment on this article