Perspectives on Applying Organizational Psychology to Improve Rural Oncology Care

Main Article Content

Clair Reynolds Kueny, MS PhD

Abstract

This editorial provides an interdisciplinary look at rural oncology care, blending healthcare delivery research, public health literature related to rural healthcare, and organizational science to better understand the benefits and challenges associated with rural cancer care. In particular, I provide a brief overview of how organizational psychology can and should be leveraged to better support rural oncology, including rural cancer centers, rural oncology teams, and individual healthcare professionals that practice in rural settings. This continued convergence of disciplines will further enhance oncology care provision for patients, improve rural healthcare professionals’ work experience, and provide sustainable practices for rural cancer care centers. Recommendations, specifically from the lens of organizational psychology, blended with expertise in rural healthcare, are provided to help researchers, leaders, and healthcare professionals continue to move forward with exemplary rural healthcare.

Article Details

How to Cite
KUENY, Clair Reynolds. Perspectives on Applying Organizational Psychology to Improve Rural Oncology Care. Medical Research Archives, [S.l.], v. 12, n. 6, june 2024. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/5452>. Date accessed: 22 july 2024. doi: https://doi.org/10.18103/mra.v12i6.5452.
Section
Research Articles

References

1. Machado SR, Jayawardana S, Mossialos E, Vaduganathan M. Physician density by specialty type in urban and rural counties in the US, 2010 to 2017. JAMA Net Open. 2021;4(1):e2033994. https://doi.org/10.1001/jamanetworkopen.2020.33994
2. Moore H, Dishman L, Fick J. The challenge of employee retention in medical practices across the United State: An exploratory investigation into the relationship between operational succession planning and employee turnover. Adv Health Care Manag. 2022;20:45-76.
3. American Hospital Association. Rural hospital closures threaten access: Solutions to preserve care in local communities. American Hosp Assoc Guides & Reports. www.aha.org/2022-09-07-rural-hospital-closures-threaten-access
4. Douthit N, Kiv S, Dwolatzky T, Biswas S. Exposing some important barriers to health care access in the rural USA. Public Health. 2015;129(6):611-620 https://doi.org/10.1016/j.puhe.2015.04.001
5. Rosko MD. Profitability of rural hospitals: An analysis of government payment policies. Adv Health Care Manag. 2020;19:25-42.
6. Waibel KH, Perry TT. Telehealth and allergy services in rural and regional locations that lack specialty services. J Allergy Clinic Immun. 2022;10:2507-2513. https://doi.org/10.1016/j.jaip.2022.06.025
7. Cancer Program Standards: Ensuring Patient-Centered Care. Chicago, IL, American College of Surgeons, 2016. https://www.facs.org/quality-programs/cancer/coc/standards/2016
8. Bunnell C, Weingart S, Swanson S, et al: Models of multidisciplinary cancer care: Physician and patient perceptions in a comprehensive cancer center. JCO Oncol Pract. 2010;6:283-288.
9. Clauser SB, Johnson MR, O’Brien DM, et al. Improving clinical research and cancer care delivery in community settings: Evaluating the NCI community cancer centers program. Implementation Sci. 2009;4:63.
10. Majumdar D, Kueny CR, Anderson M. Impact of merging into a comprehensive cancer center on health care teams and subsequent team-member and patient experiences. JCO Oncol Practice. 2022;19(1). https://doi.org/10.1200/OP.22.00280
11. Meit M, Knudson A, Gilber T, et al. The 2014 update of the rural-urban chartbook. Rural Health Reform Pol Res Cent. 2014. http://www.ruralhealthresearch.org/
12. Dobis EA, Krumel TP, Cromartie J, Conley KL, Sanders A, Ortiz R. Rural America at a glance: 2021 edition. US Dept Ag: Econ Res Serv. 2021;1962-2021-3125.
13. Kueny CAR, Majumdar D, Spencer C. A qualitative assessment of the impact of the rural setting on healthcare professionals’ work experiences. Occup Health Sci. 2020;4:375-399. https://doi.org/10.1007/s41542-020-00061-6
14. NC Rural Health Research Program. Rural hospital closures database. The Cecil G. Sheps Cent Health Serv Res. 2022. https://www.shepscenter.unc.edu/programsprojects/rural-health/rural-hospital-closures/
15. Rural Health Information Hub. Health access in rural communities. 2024. https://www.ruralhealthinfo.org/topics/healthcare-access
16. Price AP, Canfield C, Hugo GD, et al. Techno-economic feasibility analysis of a fully mobile radiation oncology system using Monte Carlo simulation. JCO Glob Oncol. 2022;8:e2100284. https://doi.org/10.1200%2FGO.21.00284
17. Reynolds Kueny C, Price A, Canfield C. Measure twice, change once: Using simulation to support change management in rural healthcare delivery. Adv Health Care Manag. 2024;22,29-53. 10.1108/S1474-823120240000022002
18. Pham TV, Beasley CM, Gagliardi JP, Koenig HG, Stanifer JW. Spirituality, coping, and resilience among rural residents living with chronic kidney disease. J Religion Health. 2020;59(6):2951-2968.
19. Heifetz LJ, Christensen SD, deVere-White RW, Meyers FJ. A model for rural oncology. J Oncol Prac. 2011;7(3):168-171. 10.1200/JOP.2010.000167
20. Chen X, Orom H, Hay JK, et al. Differences in rural and urban health information access and use. J Rural Health. 2019;35:405-417. https://doi.org/10.1111/jrh.12335
21. Johnson AM, Hines RB, Johnson JA, Bayakly AR. Treatment and survival disparities in lung cancer: The effect of social environment and place of residence. Lung Canc. 2014;83(3):401-407. https://doi.org/10.1016/j.lungcan.2014.01.008
22. Arimon-Pagès E, Torres-Puig-Gors J, Fernández-Ortega P, Canela-Soler J. Emotional impact and compassion fatigue in oncology nurses: Results of a multicenter study. Euro J Oncol Nur. 2019. https://doi.org/10.1016/j.ejon.2019.09.007
23. Arimon-Pagès E, Fernández-Ortega P, Fabrella-Padrés N, Castro-García AM, Canela-Soler J. Dealing with emotional vulnerability and anxiety in nurses from high-risk units – A multicenter study. Int J Environ Res Public Health. 2022;19:5569. https://doi.org/10.3390/ijerph19095569
24. Bui S, Pelosi A, Mazzaschi G, et al. Burnout and oncology: an irreparable paradigm or a manageable condition? Prevention strategies to reduce burnout in oncology health care professionals. Acta. 2021;92(3):e2021091. 10.23750/abm.v92i3.9738
25. Brems C, Johnson ME, Warner TD, Roberts LW. Barriers to healthcare as reported by rural and urban interprofessional providers. J Interprofes Care. 2006;20(2):105e18.
26. Society for Industrial and Organizational Psychology. About the Society for Industrial and Organizational Psychology (SIOP). Retrieved from https://www.siop.org/About-SIOP
27. DeMeuse KP, Marks ML, Dai G. Organizational downsizing, mergers and acquisitions, and strategic alliances: Using theory and research to enhance practice. APA Handbook of Industrial and Organizational Psychology. 2011;3:729-768.
28. Beaulieu ND, Dafny LS, Landon BE, et al: Changes in quality of care after hospital mergers and acquisitions. N Engl J Med. 2020;2382:51-59.
29. Cummings TG, Worley CG. Organization Development & Change. Cengage Learning. 2015;10.
30. Stouten J, Rousseau DM, De Cremer D. Successful organizational change: Integrating the management practice and scholarly literatures. Acad Manag Annals. 2018;12:752-788. https://doi.org/10.5465/annals.2016.0095
31. National Research Council. 2015. Enhancing the effectiveness of team science. Washington, DC: The National Academies Press. https://doi.org/10.17226/19007.
32. National Cancer Institute: Division of Cancer Control & Population Sciences. Healthcare teams & teamwork processes in cancer care delivery. April 19, 2024. Retrieved from https://healthcaredelivery.cancer.gov/healthcare/
33. Hall KL, Vogel AL, Croyle RT. Strategies for team science success: Handbook of evidence-based principles for cross-disciplinary science and practical lessons learned from health researchers. Springer. 10.1007/978-3-030-20992-6
34. Kozlowski SWJ, Bell BS. Work groups and teams in organizations. Handbook of Psychology. 2013;12(12):412–469.
35. National Cancer Institute: Division of Cancer Control & Population Sciences. Team Science Toolkit. May 27, 2021. Retrieved from https://cancercontrol.cancer.gov/brp/research/team-science-toolkit
36. Mathieu JE, Luciano MM, D’Innocenzo LD, Klock EA, LePine JA. The development and construct validity of a team process survey measure. Org Res Methods. 2020;23(3):399-431. 10.1177/1094428119840801
37. The Schwartz Center for compassionate care. 2024. Retrieved from http://www.theschwartzcenter.org/
38. Chadwick RJ, Muncer SJ, Hannon BC, Goodrich J, & Cornwell J. Support for compassionate care: Quantitative and qualitative evaluation of Schwartz Center Rounds in an acute general hospital. J Royal Society Med. 2016;7(7). https://doi.org/10.1177/2054270416648043
39. De Beer LT, van der Vaart L, Esaffi-Schwarz M, De Witte H, Schaufeli WB. Maslach Burnout Inventory – General Survey: A systematic review and meta-analysis of measurement properties. Euro J Psych Assess. 2024. 10.1027/1015-5759/a000797
40. Grandey AA, Melloy RC. The state of the heart: Emotional labor as emotion regulation reviewed and revised. J Occup Health Psy. 2017;22(3):407-422. http://dx.doi.org/10.1037/ocp0000067