Development and Evaluation of a Data-driven, Interactive Workshop to Facilitate Communication and Teamwork in Ambulatory Medical Oncology Settings

Abstract

Background: While adverse events and toxicities related to cancer drug therapy in the ambulatory oncology setting are common and often rooted in communication challenges, few studies have examined the problems of communication or tested tools to improve communication in this unique, high-risk setting. Objective: To determine the feasibility and acceptability of a virtual interdisciplinary communication workshop designed to strengthen communication across ambulatory oncology team members. Methods: Surveys of patients and clinicians in 1 ambulatory oncology clinic were analyzed and informed the communication intervention: an interdisciplinary virtual workshop. Workshop evaluation included an implementation survey measure and a structured debrief with workshop attendees. Results: In total 87 patients and 56 clinicians participated in preworkshop surveys that revealed patient satisfaction with timely care and information, yet a range of rating communication experiences with the clinical team, and clinicians perceiving a high amount of organizational safety, yet rated discussion of alternatives to normal work processes low. Survey results guided reflection and discussion within the workshop. Six clinicians participated in the interactive workshop. Feasibility and acceptability of the virtual workshop were supported by formative and summative data, along with suggestions for improvement. Conclusions: The patient and clinician surveys coupled with an interactive virtual workshop were feasible and acceptable. Implications for Practice: The workshop identified opportunities for the individual- and system-level improvements in clinical team communication. This promising strategy requires replication in larger, diverse practice samples. Foundational: Clinicians accepted an interactive workshop that incorporated clinic-specific data and communication strategies. The program is feasible and acceptable in ambulatory oncology settings.