title: Overcoming barriers to cancer-helpline professionals providing decision support for callers: an implementation study.
abstract: OBJECTIVE
  To evaluate the effect of an intervention on healthcare professionals' perceptions of barriers influencing their provision of decision support for callers facing cancer-related decisions.
  
  
  METHODS
  A pre- and post-test study guided by the Ottawa Model of Research Use.
  
  
  METHODS
  Australian statewide cancer call center that provides public access to information and supportive cancer services.
  
  
  METHODS
  34 nurses, psychologists, and other allied healthcare professionals at the cancer call center.
  
  
  METHODS
  Participants completed baseline measures and, subsequently, were exposed to an intervention that included a decision support tutorial, coaching protocol, and skill-building workshop. Strategies were implemented to address organizational barriers.
  
  
  METHODS
  Perceived barriers and facilitators influencing provision of decision support, decision support knowledge, quality of decision support provided to standardized callers, and call length.
  
  
  RESULTS
  Postintervention participants felt more prepared, confident in providing decision support, and aware of decision support resources. They had a stronger belief that providing decision support was within their role. Participants significantly improved their knowledge and provided higher-quality decision support to standardized callers without changing call length.
  
  
  CONCLUSIONS
  The implementation intervention overcame several identified barriers that influenced call center professionals when providing decision support.
  
  
  CONCLUSIONS
  Nurses and other helpline professionals have the potential to provide decision support designed to help callers understand cancer information, clarify their values associated with their options, and reduce decisional conflict. However, they require targeted education and organizational interventions to reduce their perceived barriers to providing decision support.
authors.affiliation: School of Nursing, University of Ottawa, Ontario, Canada. dstacey@uottawa.ca
authors.forename: Dawn
authors.initials: D
authors.lastname: Stacey
authors.forename: Suzanne K
authors.initials: SK
authors.lastname: Chambers
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: Jacobsen
authors.forename: Jeff
authors.initials: J
authors.lastname: Dunn
mesh_terms: D000328:Adult; D000368:Aged; D000488:Allied Health Personnel / Q000193:education*; D001315:Australia; D003144:Communication Barriers; D003657:Decision Making; D004521:Educational Measurement; D005190:Family; D006379:Helping Behavior; D015277:Hotlines / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D009726:Nurses / Q000523:psychology; D009859:Oncology Nursing / Q000193:education; D010353:Patient Education as Topic / Q000379:methods*; D010361:Patients / Q000523:psychology; D015397:Program Evaluation; D011591:Psychology, Medical / Q000193:education; D013664:Teaching Materials