PURPOSE Cancer care team attitudes towards distress screening are key to its success and sustainability. Previous qualitative research has interviewed staff mostly around the startup phase. We evaluate oncology teams' perspectives on psychosocial distress screening, including perceived strengths and challenges, in settings where it has been operational for years. METHODS We conducted, transcribed, and analyzed semi-structured interviews with 71 cancer care team members (e.g., MDs, RNs, MSWs) at 18 Commission on Cancer-accredited cancer programs including those serving underrepresented populations. RESULTS Strengths of distress screening identified by participants included identifying patient needs and testing provider assumptions. Staff indicated it improved patient-provider communication and other aspects of care. Challenges to distress screening included patient barriers (e.g., respondent burden) and lack of electronic system interoperability. Participants expressed the strengths of distress screening (n = 291) more than challenges (n = 86). Suggested improvements included use of technology to collect data, report results, and make referrals; complete screenings prior to appointments; longitudinal assessment; additional staff training; and improve resources to address patient needs. CONCLUSION Cancer care team members' perspectives on well-established distress screening programs largely replicate findings of previous studies focusing on the startup phase, but there are important differences: team members expressed more strengths than challenges, suggesting a positive attitude. While our sample described many challenges described previously, they did not indicate challenges with scoring and interpreting the distress screening questionnaire. The differences in attitudes expressed in response to mature versus startup implementations provide important insights to inform efforts to sustain and optimize distress screening.

中文翻译：

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肿瘤学团队对窘迫筛查的看法：一项多中心研究，充分利用患者报告的结果进行临床评估。

目的 癌症护理团队对痛苦筛查的态度是其成功和可持续性的关键。以前的定性研究主要在启动阶段采访了员工。我们评估了肿瘤学团队对社会心理困扰筛查的看法，包括感知优势和挑战，在它已经运行多年的环境中。方法 我们对 18 个癌症委员会认可的癌症项目（包括服务于代表性不足的人群）的 71 名癌症护理团队成员（例如，MD、RN、MSW）进行、转录和分析半结构化访谈。结果 参与者确定的痛苦筛查的优势包括确定患者需求和测试提供者的假设。工作人员表示，它改善了患者与提供者的沟通和护理的其他方面。痛苦筛查面临的挑战包括患者障碍（例如，受访者负担）和缺乏电子系统互操作性。与挑战（n = 86）相比，参与者表达了遇险筛查（n = 291）的优势。建议的改进包括使用技术来收集数据、报告结果和进行推荐；预约前完成筛查；纵向评估；额外的员工培训；并改善资源以满足患者需求。结论 癌症护理团队成员对已建立的痛苦筛查计划的看法在很大程度上复制了先前针对启动阶段的研究的结果，但存在重要差异：团队成员表达的优势多于挑战，表明态度积极。虽然我们的样本描述了前面描述的许多挑战，他们没有指出对痛苦筛查问卷进行评分和解释的挑战。对成熟与初创实施的反应所表达的态度差异为维持和优化遇险筛查的努力提供了重要的见解。