"There's a lot of talent in the room but it's only really the medical talent that gets heard": a qualitative exploration of multidisciplinary clinicians' perspectives of optimal nutrition care of patients with head and neck cancer.

摘要: The high prevalence of malnutrition in patients with head and neck cancer (HNC) negatively impacts outcomes. best-available evidence has been published clinical nutrition guidelines; however, translation into practice lagged. This project aimed to explore multidisciplinary team (MDT) clinicians’ perspectives regarding barriers enablers best-practice care order inform the design a new model care. Qualitative interviews were conducted clinicians who purposively sampled from major HNC tertiary referral centre Sydney, Australia. To elicit information facilitators change, semi-structured interview schedule was developed, transcribed verbatim analyzed employing an inductive thematic approach. Consolidated Framework for Implementation Research (CFIR) used guide data analysis interpretation key themes identified. Nineteen participants (11 supportive eight medical clinicians) representing allied health, medical, nursing disciplines participated. Five identified: (1) acknowledgement dietetics expertise access resources deliver care; (2) proactive versus reactive (3) integrated coordinated care—“The One Stop Shop”; (4) MDT favours model; (5) leadership—within disciplines, within MDT. expressed similar views delivering optimal this nutritional risk patient group. However, differed at times between clinicians, attributable perceptions that current service structure model. In evidence-based care, specific strategies will be required ensure: early ongoing expert processes are proactive; leadership, both intra- inter-disciplinary. novel exploration provides supporting multi-component implementation comprising individual, system-level approaches essential leverage sustainable change.