Preparing Oncology Advanced Practice Nurses as Generalists in Palliative Care

培养肿瘤学高级执业护士成为姑息治疗的全才

• 批准号: 9978736
• 负责人: BETTY R FERRELL
• 金额: $ 31.08万
• 依托单位: BECKMAN RESEARCH INSTITUTE/CITY OF HOPE
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-16 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9978736
• 关键词: Address; Advanced Practice Nurse; Anxiety; Association of Community Cancer Centers; Cancer Center; Cancer Family; Cancer Patient; Caring; Clinical; Clinical Oncology; Communities; Comprehensive Cancer Center; Consensus; Constipation; Discipline of Nursing; Educational Curriculum; Educational workshop; Family; Family Caregiver; Family member; Fatigue; General Practitioners; Goals; Institution; Knowledge; Leadership; Malignant Neoplasms; Mental Depression; Mission; Modeling; National Cancer Institute; Nurse' s Role; Nurses; Nursing Education; Oncology; Oncology Nurse; Organizational Change; Outcome; Pain; Palliative Care; Palliative Care Nursing; Participant; Patient Care; Patients; Peer Review; Process Measure; Program Development; Psychological Stress; Public Health; Publications; Registered nurse; Reporting; Research; Respiratory Signs and Symptoms; Service delivery model; Supportive care; System; Testing; Training; Training Programs; Urinary Incontinence; base; cancer care; care coordination; care providers; career networking; education research; experience; gastrointestinal symptom; improved; innovation; medical specialties; member; palliative; programs; psychologic; skill acquisition; skills; skills training; social stress; systematic review

This R25 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. The Specific Aims are: Specific Aim 1: Adapt the ELNEC (End-of-Life Nursing Education Consortium) Advanced Practice Nursing curriculum to train oncology nurses as generalist palliative care providers and leaders. Specific Aim 2: Deliver the curriculum in national workshops to competitively selected oncology APRNs from National Cancer Institute-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. Over the last 15 years, 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 is often no system in place to provide concurrent palliative and oncology care and cancer patients often decline palliative care, even when it is available. Previous systematic reviews have highlighted the need to train oncology professionals to deliver palliative care. 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 500 participants from cancer centers will participate in one of five courses.

此R25应用程序支持创新技能发展计划，以教育 目前的护理队伍，以满足国家对肿瘤学姑息治疗的需求。通过利用 以技能为基础的创新计划，培养高级执业注册护士(APRN)，这 建议将装备和扩大护理队伍，以满足#年对姑息治疗的迫切需求 肿瘤学。具体目标是： 具体目标1：适应ELNEC(临终护理教育联盟)高级 实践护理课程，将肿瘤科护士培养为多面手姑息护理提供者和 领袖们。 具体目标2：将国家讲习班的课程提供给竞争激烈的选定肿瘤学 来自国家癌症研究所指定的临床和综合癌症中心的APRN， 以及社区癌症中心。 具体目标3：通过衡量过程和结果来评价课程的影响 参与者将培训整合起来，以促进其机构的姑息治疗实践。 具体目标4：通过同行评议的出版物、肿瘤学 组织和专业网络，并开发网络课程参与者分享 参与癌症中心整合姑息治疗的经验。 在过去的15年里，严谨的研究积累了大量证据，记录了 姑息治疗对癌症患者及其家人的好处，并确定 改善癌症患者护理。尽管已证实有好处，但通常没有到位的系统来 同时提供姑息治疗和肿瘤治疗，而癌症患者往往拒绝姑息治疗， 即使它是可用的。以前的系统评估强调了培训的必要性 肿瘤学专业人员提供姑息治疗。这一创新计划重点关注APRN在 癌症中心，他们是领导力的典范，为患者提供最好的护理。这些 护士可以充当姑息治疗的通才，与专业的姑息治疗合作。一个 来自癌症中心的500名参与者将参加五门课程中的一门。