Geriatric Oncology: Educating nurses to improve quality care

 描述(由申请人提供)：这个R25提案的首要目标是为肿瘤科护士开发和实施一个全国性的老年肿瘤学教育课程。由于癌症是一种与衰老相关的疾病，因此迫切需要这一倡议。预计到2030年，65岁及以上的婴儿潮一代的数量将翻一番，导致这一年龄段的癌症发病率预计增加67%。医学研究所强调了目前和预计未来将需要具有老年病经验的护士的短缺，这些护士将需要照顾这一日益增长的老年人人口。只有不到1%的护士和不到3%的高级执业护士获得老年医学认证。这项建议将通过为全国竞争挑选的肿瘤学护士开设多学科、互动、有针对性的老年肿瘤学课程来填补这一知识空白。它将最终由护理参与者组成的团队制定他们自己的计划，将老年肿瘤学的原则和实践整合到他们的家庭组织中。这项申请的具体目标是：1)为护士开发一个全面的老年肿瘤学课程，从全国各地的顶级多学科教师的意见，这将提高护士的知识，态度和技能，与照顾患有癌症的老年人有关；2)实施这个老年肿瘤学课程，通过全国竞争性挑选的护士讲习班；3)评估综合的，互动的老年肿瘤学课程的有效性，为护士从会议前到会议后获得的知识；4)通过衡量研讨会活动的进展和结果以及参与者在家中发起的变化，评估全面的老年肿瘤学课程对全国老年肿瘤学护理倡议发展的影响；以及5)传播这些会议的发现。这些目标将通过四个年度会议(随后每月向所有参与者开放的电话会议)来实现，这些会议将总共培训400名竞争性培训人员 全国各地精选的肿瘤科护士将从他们的机构中分成小组(经理、教育工作者和直接护理人员)参加。这个为期21天半的会议由全国老年医学、肿瘤学和护理教育专家提供的全面而有针对性的教育课程组成。与会者将使用这些信息并制定计划，将这些知识整合到他们自己的组织中。我们将在6点12分关注他们的进展， 会议后18个月。这项建议通过创建老年医学原理的教育课程，将护理、老年病学和肿瘤学领域统一起来，面向照顾老龄化肿瘤学人口的肿瘤学护理专业人员，最终目标是提高对患有癌症的老年人的循证护理知识。

 DESCRIPTION (provided by applicant): The overarching goal of this R25 proposal is to develop and implement a national educational curriculum in geriatric oncology for oncology nurses. There is an urgent need for this initiative because cancer is a disease associated with aging. The number of "baby boomers" age 65 and older is expected to double by the year 2030 leading to a projected 67% increase in cancer incidence in this age group. The Institute of Medicine highlights the current and projected future shortage of nurses with experience in geriatrics who will be needed to care for this growing population of older adults. Less than 1% of nurses and less than 3% of advanced practice nurses are certified in geriatrics. This proposal will fill this gap in knowledge through a multidisciplinary, interactive, targeted curriculum in geriatric oncology for competitively selected oncology nurses nationwide. It will culminate in teams of nursing participants developing their own plans to integrate geriatric oncology principles and practices into their home organizations. The specific aims of this application are: 1) To develop a comprehensive geriatric oncology curriculum for nurses, with input from top-level multidisciplinary faculty from around the country, which will advance nurses' knowledge, attitudes, and skills related to caring for older adults with cancer; 2) To implement this geriatri oncology curriculum with national workshops for competitively selected nurses nationwide; 3) To evaluate the effectiveness of a comprehensive, interactive geriatric oncology curriculum for nurses based on knowledge acquired from pre- to post-conference; 4) To evaluate the impact of a comprehensive geriatric oncology curriculum on the development of geriatric oncology nursing initiatives nationwide by measuring the progress and outcomes of workshop activities and changes initiated by the participants in their home settings; and 5) To disseminate the findings from these conferences. These aims will be achieved through four annual conferences (followed by monthly conference calls open to all participants) which will train a total of 400 competitively selected oncology nurses across the nation who will attend in teams (a manager, educator, and direct care provider) from their institution. This 21/2 day conference consists of a comprehensive yet targeted educational curriculum delivered by nationwide experts in geriatrics, oncology, and nursing education. Conference attendees will use this information and develop plans for integration of this knowledge into their own organizations. We will follow their progress at 6, 12, and 18 months post-conference. This proposal unites the fields of nursing, geriatrics, and oncology through the creation of an educational curriculum of geriatric principles geared to oncology nursing professionals who are caring for an aging oncology population with the ultimate goal of improving the knowledge of evidence- based care of older adults with cancer.