Medizinische Universität Graz - Research portal
Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Götz, A; Kröner, A; Jenewein, J; Spirig, R.
Evaluation of the adherence of distress screening with the distress thermometer in cancer patients 4 years after implementation.
Support Care Cancer. 2019; 27(8):2799-2807
Doi: 10.1007/s00520-018-4579-1
Web of Science
PubMed
FullText
FullText_MUG
- Co-authors Med Uni Graz
- Jenewein Josef
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- Abstract:
- Identifying 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. This 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. Since 2012, 40.6% (4541) of the 11,184 patients have been screened. The screening rate was initially significantly lower but settled at 40% after 2 years. 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. Screening is useful in recognizing distress among patients, but screening practice needs to be reconsidered.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Aged, 80 and over -
- Female -
- Guideline Adherence - standards
- Guideline Adherence - statistics & numerical data
- Health Plan Implementation -
- Humans -
- Male -
- Mass Screening - methods
- Mass Screening - nursing
- Mass Screening - standards
- Mass Screening - statistics & numerical data
- Middle Aged -
- Neoplasms - complications
- Neoplasms - diagnosis
- Neoplasms - nursing
- Neoplasms - psychology
- Practice Patterns, Nurses' - standards
- Practice Patterns, Nurses' - statistics & numerical data
- Psycho-Oncology - statistics & numerical data
- Referral and Consultation - statistics & numerical data
- Retrospective Studies -
- Social Work - statistics & numerical data
- Stress, Psychological - diagnosis
- Stress, Psychological - epidemiology
- Stress, Psychological - etiology
- Stress, Psychological - nursing
- Time Factors -
- Find related publications in this database (Keywords)
- Distress screening
- Psychosocial support
- Distress thermometer