Educating Health Care Professionals to Provide Institutional Changes in Cancer Survivorship Care
Educating Health Care Professionals to Provide Institutional Changes in Cancer Survivorship Care
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DOI：
10.1007/s13187-012-0314-7
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发表时间：
2012-06-01
影响因子：
1.6
通讯作者：
Uman, Gwen
中科院分区：
文献类型：
--
作者：
Grant, Marcia;Economou, Denice;Uman, Gwen
医学研究所（IOM）2006年报告，从癌症患者到癌症幸存者：在过渡中迷失。休伊特，S.格林菲尔德和E. Stovall（Eds.），（第100页）9-186）。华盛顿特区：国家科学院出版社，2006年）确定了有助于癌症幸存者生活质量的护理的关键组成部分。随着癌症生存护理成为高质量癌症护理的重要组成部分，肿瘤学专业人员需要接受教育，为提供这种护理做好准备。幸存者护理需要根据幸存者人口、治疗方案和护理环境采取不同的方法。该计划的目标是鼓励机构改革，将生存护理纳入参与中心。一个由国家癌症研究所资助的教育项目：高质量癌症护理的生存教育为多学科的两人团队提供了一个机会，利用目标导向的团队方法获得这一重要知识。2006年至2009年，教育方案每年都得到资助。幸存者护理课程是围绕国际移民组织的建议，以生活质量模式为核心开发的。收集所有参与者的基线数据。在课程结束后6个月、12个月和18个月对团队进行跟踪，以评估目标实现情况和机构评估。从基线到18个月的比较数据提供了204个多学科团队参与了4年的信息。参加的团队包括行政人员、社会工作者、执业护士、注册护士、医生和其他人。参与中心主要包括社区癌症中心和学术中心，其次是儿科中心、门诊/医生办公室和独立癌症中心。在参与者环境中，术后12个月，生存护理的有效性、接受性和舒适度在= < 0.05的水平上观察到统计学显著变化。机构评估发现，与机构改革有关的七个护理领域有所改善。该课程为参与者提供了教育，导致其环境中的生存护理发生了重大变化。
The Institute of Medicine (IOM) 2006 report, From Cancer Patient to Cancer Survivor: Lost in Transition (In M. Hewitt, S. Greenfield and E. Stovall (Eds.), (pp. 9-186). Washington DC: The National Academies Press, 2006) identifies the key components of care that contribute to quality of life for the cancer survivor. As cancer survivorship care becomes an important part of quality cancer care oncology professionals need education to prepare themselves to provide this care. Survivorship care requires a varied approach depending on the survivor population, treatment regimens and care settings. The goal of this program was to encourage institutional changes that would integrate survivorship care into participating centers. An NCI-funded educational program: Survivorship Education for Quality Cancer Care provided multidiscipline two-person teams an opportunity to gain this important knowledge using a goal-directed, team approach. Educational programs were funded for yearly courses from 2006 to 2009. Survivorship care curriculum was developed using the Quality of Life Model as the core around the IOM recommendations. Baseline data was collected for all participants. Teams were followed-up at 6, 12 and 18 months postcourse for goal achievement and institutional evaluations. Comparison data from baseline to 18 months provided information on the 204 multidiscipline teams that participated over 4 years. Teams attended including administrators, social workers, nurse practitioners, registered nurses, physicians and others. Participating centers included primarily community cancer centers and academic centers followed by pediatric centers, ambulatory/physician offices and free standing cancer centers. Statistically significant changes at = < 0.05 levels were seen by 12 months postcourse related to the effectiveness, receptiveness and comfort of survivorship care in participant settings. Institutional assessments found improvement in seven domains of care that related to institutional change. This course provided education to participants that led to significant changes in survivorship care in their settings.