Preparing Oncology Advanced Practice Nurses as Generalists in Palliative Care

此R25更新应用程序支持创新的技能发展计划， 目前的护士队伍，以满足国家的需要，姑息治疗肿瘤。通过 利用以技能为基础的创新计划来教育高级实践注册护士 （APRNs），这项建议将装备和扩大护士队伍，以满足迫切需要， 肿瘤姑息治疗此次更新延续了非常成功的初始肿瘤学APRN 培训课程。具体目标是： 具体目标1：修订ELNEC（临终护理教育联盟）高级 实践护理课程的基础上举行的课程，以培养肿瘤护士， 全科姑息治疗提供者和领导者。 具体目标2：在五个国家讲习班上向经过竞争挑选的 美国国家癌症研究所（NCI）指定的临床和综合肿瘤学APRN 癌症中心，以及社区癌症中心。 具体目标3：通过衡量过程和结果来评估课程的影响 参与者将培训融入其所在机构的姑息治疗实践。 具体目标4：通过同行评审的出版物传播研究结果，肿瘤学 组织和专业网络，并建立课程参与者网络， 在参与的癌症中心整合姑息治疗的经验。 严谨的研究已经积累了大量证据，证明姑息治疗的好处， 癌症患者及其家属，并确定改善癌症患者护理的机会。 尽管已经证明了这些好处， 肿瘤学 先前 姑息 证明 往往没有适当的制度来提供同时缓解和 护理和癌症患者往往拒绝姑息治疗，即使它是可用的。 系统性综述强调了培训肿瘤学专业人员以提供 在乎当前R25培训计划中的课程1-4的成果 成功的项目目标和对实践的影响。这个创新的计划 关注癌症中心的APRN，他们是领导和最佳护理的典范， 患者这些护士可以作为姑息治疗通才与专科合作 姑息治疗共有400名来自癌症中心的参与者将参加五个 课程

This R25 renewal application supports an innovative skills development program to educate the current nursing workforce to meet the nation's need for palliative care in oncology. By utilizing a skills-based innovative program to educate Advanced Practice Registered Nurses (APRNs), this proposal will equip and expand the nursing workforce to meet a critical need for palliative care in oncology. This renewal continues the very successful initial oncology APRN training course. The Specific Aims are: Specific Aim 1: Revise the ELNEC (End-of-Life Nursing Education Consortium) Advanced Practice Nursing curriculum based on the courses held to date to train oncology nurses as generalist palliative care providers and leaders. Specific Aim 2: Deliver the curriculum in five national workshops to competitively selected oncology APRNs from National Cancer Institute (NCI)-designated clinical and comprehensive cancer centers, as well as community cancer centers. Specific Aim 3: Evaluate the impact of the curriculum by measuring the process and outcomes of participants' integrating the training to advance palliative care practices at their institutions. Specific Aim 4: Disseminate findings through peer-reviewed publications, oncology organizations, and professional networks, and develop a network of course participants to share experiences in integrating palliative care at participating cancer centers. Rigorous research has amassed a body of evidence documenting palliative care benefits for cancer patients and their families and identifying opportunities to improve cancer patient care. Despite proven benefits, there oncology Previous palliative demonstrate is often no system in place to provide concurrent palliative and care and cancer patients often decline palliative care, even when it is available. systematic reviews have highlighted the need to train oncology professionals to deliver care. Outcomes from courses 1-4 in the current R25 training program have success in the project aims and impact on practice.This innovative program focuses on APRNs in cancer centers, who are models of leadership and best care available for patients. These nurses can serve as palliative care generalists to collaborate with specialty palliative care. A total of 400 participants from cancer centers will participate in one of five courses.