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dc.contributor.authorO'Brien, Jane-
dc.contributor.authorChua, Susan-
dc.contributor.authorDe Boer, Richard-
dc.contributor.otherShaw, Joanne-
dc.contributor.otherDear, Rachel-
dc.contributor.otherMurray, Nicholas-
dc.contributor.otherBoyle, Fran-
dc.identifier.citationSupport Care Cancer. 2017 Aug 29en_US
dc.description.abstractBACKGROUND: 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.en_US
dc.subjectBreast Canceren_US
dc.subjectHealth Professionalsen_US
dc.subjectScalp Coolingen_US
dc.subjectChemotherapy-Induced Alopeciaen_US
dc.subjectBarriers to Implementationen_US
dc.subjectEnablers to Implementationen_US
dc.subjectPatient Equityen_US
dc.subjectLogistical Considerationsen_US
dc.subjectOrganisational Supporten_US
dc.subjectEpworth Eastern Breast Service, Epworth Eastern, Box Hill, Australiaen_US
dc.subjectEpworth Breast Service, Epworth Centre, Richmond, Australiaen_US
dc.titleBarriers and enablers to implementing scalp cooling in Australia: a qualitative study of health professionals' attitudes to and experience with scalp cooling.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleSupportive Care in Canceren_US
dc.description.affiliatesPsycho-oncology Co-operative Research Group (PoCoG), School of Psychology, The University of Sydney, Sydney, Australiaen_US
dc.description.affiliatesThe Kinghorn Cancer Centre, St Vincent’s Hospital, Darlinghurst, Australiaen_US
dc.description.affiliatesMedical Oncology, Royal Adelaide Hospital, Adelaide, Australiaen_US
dc.description.affiliatesThe Patricia Ritchie Centre for Cancer Care and Research, The Mater Hospital, North Sydney, Australiaen_US
dc.description.affiliatesSydney Medical School, The University of Sydney, Sydney, Australiaen_US
Appears in Collections:Cancer Services

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