Multi-Modal Interprofessional Training to Improve Chemotherapy Safety

多模式跨专业培训以提高化疗安全性

• 批准号: 9278402
• 负责人: CHRISTOPHER R FRIESE
• 金额: $ 24.06万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9278402
• 关键词: Academy; Archives; Attitude; Caring; Case Study; Childhood; Clinical; Competence; Data; Disasters; Discipline; Drug Extravasation; Education; Educational Curriculum; Educational workshop; Effectiveness; Emergency Situation; Environment; Evaluation; Event; Extravasation; Glare; Health; Health Personnel; Healthcare; Institute of Medicine (U.S.); Institutes; Intervention; Knowledge; Learning; Medicine; Methods; Michigan; Modality; Modification; Nurses; Oral; Outcome; Participant; Patient Care; Patients; Performance; Persons; Pharmaceutical Preparations; Pharmacists; Play; Provider; Publishing; Reaction; Readiness; Reporting; Resources; Risk; Role; Safety; School Nursing; Site; Surveys; Techniques; Time; Training; Training Programs; Universities; Variant; Veins; behavior change; care delivery; chemotherapy; clinical practice; clinical risk; digital; evidence base; experience; health care service; high risk; improved; learning outcome; learning progression; lectures; novel; oncology; pedagogy; satisfaction; simulation; skill acquisition; skills; statistics; usability; user centered design; virtual; virtual reality

Chemotherapy is a high-volume, high-risk clinical intervention that involves the care of an interprofessional team. Interprofessional education (IPE) is a crucial ingredient to improved quality and safety of healthcare services. Despite the established benefits of IPE, clinicians routinely train in silos, particularly outside of academic health centers. The glaring absence of IPE among experienced clinicians is astounding; more so in the context of chemotherapy safety where the stakes are so high. Novel pedagogies are needed to assure experienced clinicians receive ongoing evidence-based training. The Institute of Medicine and others have endorsed interprofessional education to improve knowledge and skills surrounding high-risk care delivery, such as chemotherapy. We are not aware of any training programs that include different professions and use virtual training methods to improve the safety of chemotherapy administration. Our preliminary data suggest that knowledge on these topics is suboptimal and ongoing interprofessional training is scarce. We propose a novel project that develops, refines, and evaluates a training program for high-risk chemotherapy scenarios, targeted to practicing nurses and pharmacists. Three specific aims are proposed: 1) Develop and deliver an interprofessional chemotherapy safety curriculum; 2) Evaluate the effectiveness of an interprofessional chemotherapy safety curriculum on learner and health outcomes, and; 3) Develop and evaluate supplemental digital resources to reinforce chemotherapy safety knowledge and skills. Our interdisciplinary team of experts will develop, deliver, and evaluate content for a one-day, in-person workshop at the brand-new University of Michigan School of Nursing. Topics will include safe handling of hazardous drugs like chemotherapy, management of oncology emergencies, extravasations, and patients receiving oral chemotherapy, and clinical practice change. A combination of lectures, case studies, and simulation techniques will be used. After the workshop, participants will be able to view content on-demand and complete additional training to retain key concepts. Over five years, we will offer seven workshops with up for 60 nurse and pharmacist participants (total n= 420). We will use Kirkpatrick's framework to evaluate the effects of the training on usability, acceptability, knowledge, perceived practice change, and perceived benefits. We combine didactic and practical training in an engaging, on-demand application to improve knowledge and skill and facilitate practice change. A more informed oncology workforce will likely reduce the burden of adverse chemotherapy events on patients and providers.

化疗是一种大容量、高风险的临床干预措施，需要跨专业人员的护理。 一队。职业间教育(IPE)是提高医疗质量和安全的关键因素 服务。尽管IPE有既定的好处，但临床医生通常在筒仓内接受培训，特别是在 学术健康中心。经验丰富的临床医生中明显缺乏IPE是令人震惊的；在 化疗安全性的背景下，赌注如此之高。需要新的教学方法来确保 有经验的临床医生接受持续的循证培训。医学研究所和其他机构已经 批准了跨专业教育，以改善围绕高风险护理提供的知识和技能，如 作为化疗。我们不知道有任何培训计划包括不同的职业，并使用虚拟 提高化疗用药安全性的培训方法。我们的初步数据表明 关于这些主题的知识不是最理想的，持续的专业间培训也很稀缺。我们提议写一部小说 开发、改进和评估针对高风险化疗方案的培训计划的项目 给实习护士和药剂师。提出了三个具体目标：1)开发和交付 职业间化疗安全性课程；2)评价 关于学习者和健康结果的跨专业化疗安全课程，以及；3)开发 评估补充数字资源，以加强化疗安全知识和技能。 我们的跨学科专家团队将为一天的面对面开发、交付和评估内容 在全新的密歇根大学护理学院举办的工作坊。主题将包括安全处理 危险药物，如化疗、肿瘤急诊处理、渗出和患者 接受口服化疗，并改变临床实践。讲座、案例研究和 将使用模拟技术。研讨会结束后，参与者将能够按需查看内容 并完成额外的培训以记住关键概念。在五年内，我们将提供七个工作坊，最多 60名护士和药剂师参与者(总计n=420人)。我们将使用柯克帕特里克的框架来评估 培训对可用性、可接受性、知识、感知实践变化和感知收益的影响。 我们将教学和实践培训结合在一个引人入胜的按需应用程序中，以提高知识和 技能和促进实践变化。更有见识的肿瘤科工作人员可能会减轻 患者和提供者的不良化疗事件。