Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers’ Perspectives on Diagnosing Cancer in the Emergency Setting

Cancer is the leading cause of death in Canada, with diagnoses increasing annually. In Alberta, many cancer cases are detected in emergency departments, often at advanced stages. Despite the significant role of emergency departments in cancer diagnosis, limited research exists on the experiences of...

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Main Authors: Anna Pujadas Botey, Cassandra Carrier, Eddy Lang, Paula J. Robson
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/32/1/5
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author Anna Pujadas Botey
Cassandra Carrier
Eddy Lang
Paula J. Robson
author_facet Anna Pujadas Botey
Cassandra Carrier
Eddy Lang
Paula J. Robson
author_sort Anna Pujadas Botey
collection DOAJ
description Cancer is the leading cause of death in Canada, with diagnoses increasing annually. In Alberta, many cancer cases are detected in emergency departments, often at advanced stages. Despite the significant role of emergency departments in cancer diagnosis, limited research exists on the experiences of healthcare providers in this context. This qualitative study aimed to explore the perspectives of physicians and nurses working in emergency departments in Edmonton and Calgary regarding cancer diagnosis. Semi-structured interviews were conducted with 17 physicians and nurses, recruited through convenience and snowball sampling. Data collection continued until thematic saturation was reached. Interviews were analyzed thematically using an inductive, iterative process. Three main themes emerged: the acute care focus of the emergency department, its unsuitability for cancer diagnosis, and the need for systemic improvements to better support patients with suspected cancer. Participants highlighted challenges related to high patient volumes, the emotional burden of delivering cancer diagnoses, and barriers to effective communication and patient interaction in a fast-paced, high-pressure environment. The findings suggest the need for systemic reforms, including stronger primary care and improved care coordination, to alleviate pressure on emergency departments and enhance both patient outcomes and healthcare provider well-being.
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series Current Oncology
spelling doaj-art-c9aaf6e309564337a563bca3b1c1e4582025-01-24T13:28:19ZengMDPI AGCurrent Oncology1198-00521718-77292024-12-01321510.3390/curroncol32010005Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers’ Perspectives on Diagnosing Cancer in the Emergency SettingAnna Pujadas Botey0Cassandra Carrier1Eddy Lang2Paula J. Robson3Cancer Research & Analytics, Cancer Care Alberta, Alberta Health Services, Calgary, AB T2N 2T9, CanadaEmergency Department, South Health Campus, Alberta Health Services, Calgary, AB T3M 1M4, CanadaDepartment of Emergency Medicine, Cumming School of Medicine, University of Calgary, Rockyview General Hospital, Calgary, AB T2V 1P9, CanadaSchool of Public Health, University of Alberta, Edmonton, AB T6G 1C9, CanadaCancer is the leading cause of death in Canada, with diagnoses increasing annually. In Alberta, many cancer cases are detected in emergency departments, often at advanced stages. Despite the significant role of emergency departments in cancer diagnosis, limited research exists on the experiences of healthcare providers in this context. This qualitative study aimed to explore the perspectives of physicians and nurses working in emergency departments in Edmonton and Calgary regarding cancer diagnosis. Semi-structured interviews were conducted with 17 physicians and nurses, recruited through convenience and snowball sampling. Data collection continued until thematic saturation was reached. Interviews were analyzed thematically using an inductive, iterative process. Three main themes emerged: the acute care focus of the emergency department, its unsuitability for cancer diagnosis, and the need for systemic improvements to better support patients with suspected cancer. Participants highlighted challenges related to high patient volumes, the emotional burden of delivering cancer diagnoses, and barriers to effective communication and patient interaction in a fast-paced, high-pressure environment. The findings suggest the need for systemic reforms, including stronger primary care and improved care coordination, to alleviate pressure on emergency departments and enhance both patient outcomes and healthcare provider well-being.https://www.mdpi.com/1718-7729/32/1/5cancer diagnosiscancer carediagnostic processemergency departmentqualitative researchhealthcare providers’ perspectives
spellingShingle Anna Pujadas Botey
Cassandra Carrier
Eddy Lang
Paula J. Robson
Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers’ Perspectives on Diagnosing Cancer in the Emergency Setting
Current Oncology
cancer diagnosis
cancer care
diagnostic process
emergency department
qualitative research
healthcare providers’ perspectives
title Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers’ Perspectives on Diagnosing Cancer in the Emergency Setting
title_full Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers’ Perspectives on Diagnosing Cancer in the Emergency Setting
title_fullStr Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers’ Perspectives on Diagnosing Cancer in the Emergency Setting
title_full_unstemmed Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers’ Perspectives on Diagnosing Cancer in the Emergency Setting
title_short Improving Cancer Diagnosis in Alberta, Canada: A Qualitative Study of Emergency Department Healthcare Providers’ Perspectives on Diagnosing Cancer in the Emergency Setting
title_sort improving cancer diagnosis in alberta canada a qualitative study of emergency department healthcare providers perspectives on diagnosing cancer in the emergency setting
topic cancer diagnosis
cancer care
diagnostic process
emergency department
qualitative research
healthcare providers’ perspectives
url https://www.mdpi.com/1718-7729/32/1/5
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