Before the Blue—Implementing the SAGE Team to Support Oncology Clinicians
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
PURPOSE: Frontline staff frequently experience discomfort caring for patients with cancer nearing the end of life who have no further treatment options and request cardiopulmonary resuscitation (CPR). We developed a program to address staff concerns while honoring patient/family preferences for CPR. METHODS: Following the Institute for Healthcare Improvement Model for Improvement, a 24/7 interdisciplinary response team, the Staff Assistance Guiding End-of-life resuscitation and care (SAGE) Team, was created to provide support and minimize staff distress before anticipated cardiopulmonary arrest. The SAGE Team is composed of a rapid response advance practice provider, rapid response nurse, respiratory therapy supervisor, social worker, and spiritual care provider. Together, they identify needed resources for staff, provide education to perform patient care, recommend team composition and roles in advance, address perceived ethical dilemmas and moral distress, and provide psychosocial support to frontline staff before impending resuscitation. The program was evaluated by monitoring team activations, case reviews, and postactivation surveys measuring staff comfort. RESULTS: The SAGE Team was activated 62 times within its first year-three times the expected yearly volume. Nurses primarily used the resource, along with members of the interdisciplinary team across specialties. Thirteen patients required resuscitation and expired within the hospital. The team was activated earlier than expected 54% of the time. Postactivation surveys revealed a 31% increase in staff comfort caring for this patient population. CONCLUSION: Patients with terminal illness are often medically complex, and aligning goals of care and preferences regarding CPR at end of life is nuanced and distressing to clinicians. Supporting frontline staff before cardiopulmonary arrest in this population can increase comfort in providing direct care. SAGE offers a holistic approach to support and decrease staff distress.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Before the Blue—Implementing the SAGE Team to Support Oncology Clinicians
- Date Crossref
- 15/09/2026
- Éditeur
- American Society of Clinical Oncology (ASCO)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Memorial Sloan Kettering Cancer Center pays non établi dans la noticeÉtablissement de santé
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Cornell University pays non établi dans la noticeUniversité ou école supérieure
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Department of Nursing pays non établi dans la noticeInstitution
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Department of Anesthesiology & pays non établi dans la noticeInstitution
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Department of Medicine pays non établi dans la noticeInstitution
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Weill Cornell Medical College Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Department of Social Work pays non établi dans la noticeInstitution
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Hospital Administration Department of Nursing pays non établi dans la noticeÉtablissement de santé
Memorial Sloan Kettering Cancer Center, Cornell University et Department of Nursing, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.