At Hôtel-Dieu de Québec (HDQ) under CHUQ, systematic distress screening was introduced under a clinical project that began in April 2009. A committee had worked previously to develop a French-language tool consistent with the reality of our facility. The tool was finalized in cooperation with the Canadian Partnership Against Cancer, which provided support to facilitate the implementation process. Every effort was made to systematize distress screening and ensure the sustainability of this program. The implementation strategy involved various groups of professionals (oncology nurse navigators, nurses, technologists) to ensure screening at various strategic points in the patient’s care path. A distress response path (algorithm) was also developed to equip professionals in the orientation and referral process following screening. Distress screening more effectively identifies the needs and concerns of people with cancer who use our institution. It also contributes to the overall assessment of the person. It targets the orientation and referral process. This is a tool for communicating with the patient as well as between professionals. Distress screening fosters inter-professional cooperation and initiates a link with external facilities.

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