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Building resilience in oncology teams: Protocol for a realist evaluation of multiple cases.

Title: Building resilience in oncology teams: Protocol for a realist evaluation of multiple cases.
Authors: Tremblay D; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Centre de Recherche Charles-Le Moyne, Longueuil, Québec, Canada.; Touati N; École Nationale d'administration Publique, Montréal, Québec, Canada.; Kilpatrick K; Faculty of Medicine and Health Sciences, McGill University, Montréal, Québec, Canada.; Susan E. French Chair in Nursing Research and Innovative Practice, Montréal, Québec, Canada.; Durand MJ; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Centre de Recherche Charles-Le Moyne, Longueuil, Québec, Canada.; Turcotte A; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Centre de Recherche Charles-Le Moyne, Longueuil, Québec, Canada.; Prady C; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Poder TG; Department of Management, Evaluation and Health Policy, School of Public Health, Université de Montréal, Montréal, Québec, Canada.; Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Centre Intégré Universitaire de Santé et de Services Sociaux de l'Est-de-l'Île-de-Montréal, Montréal, Québec, Canada.; Richard PO; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Soldera S; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Berbiche D; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Centre de Recherche Charles-Le Moyne, Longueuil, Québec, Canada.; Généreux M; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Roy M; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Institut National de Santé Publique du Québec, Montréal, Québec, Canada.; Laflamme B; Maison Michel-Sarrazin, Québec, Québec, Canada.; Lessard S; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Centre de Recherche Charles-Le Moyne, Longueuil, Québec, Canada.; Landry M; Department of Nursing, Université du Québec à Trois-Rivières, Trois-Rivières, Québec, Canada.; Centre de Recherche du CHUS, Sherbrooke, Québec, Canada.; Giordano É; Faculty of Medicine and Health Sciences, Université de Sherbrooke, Longueuil, Québec, Canada.; Centre de Recherche Charles-Le Moyne, Longueuil, Québec, Canada.
Source: PloS one [PLoS One] 2022 May 12; Vol. 17 (5), pp. e0268393. Date of Electronic Publication: 2022 May 12 (Print Publication: 2022).
Publication Type: Journal Article; Research Support, Non-U.S. Gov't
Language: English
Journal Info: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
Imprint Name(s): Original Publication: San Francisco, CA : Public Library of Science
MeSH Terms: Neoplasms*/therapy ; Medical Oncology*; Delivery of Health Care ; Humans ; Palliative Care ; Surveys and Questionnaires
Abstract: Background: Teams caring for people living with cancer face many difficult clinical situations that are compounded by the pandemic and can have serious consequences on professional and personal life. This study aims to better understand how a multi-component intervention builds resilience in oncology teams. The intervention is based on a salutogenic approach, theories and empirical research on team resilience at work. This intervention research involves partnership between researchers and stakeholders in defining situations of adversity and solutions appropriate to context.; Methods: The principles of realist evaluation are used to develop context-mechanism-outcome configurations of a multi-component intervention developed by researchers and field partners concerned with the resilience of oncology teams. The multiple case study involves oncology teams in natural contexts in four healthcare establishments in Québec (Canada). Qualitative and quantitative methods are employed. Qualitative data from individual interviews, group interviews and observation are analyzed using thematic content analysis. Quantitative data are collected through validated questionnaires measuring team resilience at work and its effect on teaming processes and cost-effectiveness. Integration of these data enables the elucidation of associations between intervention, context, mechanism and outcome.; Discussion: The study will provide original data on contextual factors and mechanisms that promote team resilience in oncology settings. It suggests courses of action to better manage difficult situations that arise in a specialized care sector, minimize their negative effects and learn from them, during and after the waves of the pandemic. The mechanisms for problem resolution and arriving at realistic solutions to professional workforce and team effectiveness challenges can help improve practices in other settings.
Competing Interests: The authors have declared that no competing interests exist.
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Grant Information: 202104PJT Canada CIHR
Entry Date(s): Date Created: 20220513 Date Completed: 20220517 Latest Revision: 20220716
Update Code: 20260130
PubMed Central ID: PMC9098052
DOI: 10.1371/journal.pone.0268393
PMID: 35551336
Database: MEDLINE

Journal Article; Research Support, Non-U.S. Gov't