Provider Perspectives on the Implementation of Psychosocial Risk Screening in Pediatric Cancer.
Psychosocial risk screening is an important initial step in delivering evidence-based care. This qualitative descriptive study identified how multidisciplinary pediatric oncology health-care providers perceive psychosocial risk screening to identify factors in uptake and implementation.



A script guided digitally recorded (transcribed) interviews regarding psychosocial screening and challenges to facilitators of screening. Participants were 15 multidisciplinary staff (physicians, nurses, social workers, psychologists, physician assistant) at nine sites, three using the Psychosocial Assessment Tool© for research and six for clinical care. Constant comparative analysis was used to analyze the independently coded interviews.



Thematic content analysis identified an overarching theme - Screening is important because it facilitates clinical care - and four subthemes: Optimizing Psychosocial Care, Implementing Screening, Engaging Families, and Utilizing Clinical Pathways.



Findings support the importance of integrating psychosocial risk screening into clinical care and offer strategies for implementation of screening across a range of settings.
Center for Healthcare Delivery Science, Nemours Children's Health System.|Department of Pediatrics, Sidney Kimmel Medical School of Thomas Jefferson University.
Anne E
AE
Kazak
Division of Oncology, The Children's Hospital of Philadelphia.|Department of Pediatrics, Perelman School of Medicine of the University of Pennsylvania.
Lamia P
LP
Barakat
Department of Pediatrics, The University of Texas M.D. Anderson Cancer Center.
Martha A
MA
Askins
Center for Healthcare Delivery Science, Nemours Children's Health System.
Maureen
M
McCafferty
Center for Healthcare Delivery Science, Nemours Children's Health System.
Alyssa
A
Lattomus
Center for Healthcare Delivery Science, Nemours Children's Health System.
Nicole
N
Ruppe
Department of Family and Community Health, University of Pennsylvania School of Nursing.
Janet
J
Deatrick
D001291:Attitude of Health Personnel; D002648:Child; D003695:Delivery of Health Care; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D008297:Male; D009369:Neoplasms / Q000523:psychology*; D010372:Pediatrics; D011569:Psychiatric Status Rating Scales; D000073320:Psycho-Oncology; D036301:Qualitative Research; D018570:Risk Assessment
Psychosocial Assessment Tool © (PAT); cancer; health-care delivery; health-care providers; implementation; oncology; pediatric; risk screening