Implementing screening for distress, the 6th vital sign: a Canadian strategy for changing practice.

Abstract:

OBJECTIVE:Distress is prevalent among cancer patients at all stages of illness and has been endorsed as the 6th Vital Sign in cancer care. Despite its prevalence, and calls to be monitored, few cancer programs are Screening for Distress in a standardized manner. In this paper, the implementation strategy employed in Canada to change practice by integrating Screening for Distress in routine care is described. METHODS:The process from inception of the concept of distress to the implementation of Screening for Distress is discussed. Pioneering work pertinent in laying the foundation for Screening for Distress as a National initiative is highlighted. Additionally, the experience of four jurisdictions currently Screening for Distress is utilized to demonstrate steps to successful implementation and strategies for overcoming challenges. RESULTS:Integrating Screening for Distress into practice requires endorsements from key stakeholders, developing and disseminating national recommendations and guidelines, and utilizing a coordinated and standardized method focused on practice change. At a local level successful implementations engage stakeholders, provide thorough and targeted education, establish interprofesionnal teams, and utilize a phased approach to implementation. Common challenges cited include time, buy-in and lack of resources. CONCLUSIONS:Establishing a national approach to implementing Screening for Distress is both feasible and beneficial. A coordinated approach encourages collaboration beyond the walls of any particular center and provides the opportunity for all patients to be provided with improved person-centered care.

journal_name

Psychooncology

journal_title

Psycho-oncology

authors

Bultz BD,Groff SL,Fitch M,Blais MC,Howes J,Levy K,Mayer C

doi

10.1002/pon.1932

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

463-9

issue

5

eissn

1057-9249

issn

1099-1611

journal_volume

20

pub_type

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