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Title: Barriers and enablers to implementing scalp cooling in Australia: a qualitative study of health professionals' attitudes to and experience with scalp cooling.
Epworth Authors: O'Brien, Jane
Chua, Susan
De Boer, Richard
Other Authors: Shaw, Joanne
Dear, Rachel
Murray, Nicholas
Boyle, Fran
Keywords: Breast Cancer
Health Professionals
Scalp Cooling
Chemotherapy-Induced Alopecia
Barriers to Implementation
Enablers to Implementation
Patient Equity
Logistical Considerations
Organisational Support
Epworth Eastern Breast Service, Epworth Eastern, Box Hill, Australia
Epworth Breast Service, Epworth Centre, Richmond, Australia
Issue Date: Aug-2017
Publisher: Springer
Citation: Support Care Cancer. 2017 Aug 29
Abstract: BACKGROUND: Chemotherapy-induced alopecia is a common and distressing adverse event for patients. Scalp cooling to reduce this alopecia has been available in Europe for more than a decade, but only recently introduced in Australia. The aim of this study was to qualitatively explore health professionals’ perceptions of the barriers and enablers to the implementation of scalp cooling in Australian cancer centres. METHODS: Using a qualitative methodology, telephone interviews were conducted with 21 health professionals working in a tumour stream where chemotherapy-induced alopecia is an adverse event of treatment. Participants were recruited from five centres in Australia where scalp cooling is currently available and one centre without access to the technology. RESULTS: Four interrelated themes were identified: (1) health professional attitudes, (2) concerns for patient equity, (3) logistical considerations and (4) organisational support. CONCLUSIONS: This qualitative study provides the first methodological exploration of Australian health professionals’ perceptions of barriers and enablers to scalp cooling uptake. The results highlighted health professional support drives the introduction of scalp cooling. Integration of the technology requires adjustments to nursing practice to manage the increased time, workload and change in patient flow. Strategies to manage the change in practice and organisational support for change in work flow are essential for successful implementation into routine care.
DOI: 10.1007/s00520-017-3849-7
PubMed URL:
ISSN: 1433-7339
Journal Title: Supportive Care in Cancer
Type: Journal Article
Affiliated Organisations: Psycho-oncology Co-operative Research Group (PoCoG), School of Psychology, The University of Sydney, Sydney, Australia
The Kinghorn Cancer Centre, St Vincent’s Hospital, Darlinghurst, Australia
Medical Oncology, Royal Adelaide Hospital, Adelaide, Australia
The Patricia Ritchie Centre for Cancer Care and Research, The Mater Hospital, North Sydney, Australia
Sydney Medical School, The University of Sydney, Sydney, Australia
Type of Clinical Study or Trial: Survey
Appears in Collections:Cancer Services

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