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Multi-Modal Interprofessional Training to Improve Chemotherapy Safety

多模式跨专业培训以提高化疗安全性

基本信息

批准号：
10251286
负责人：
CHRISTOPHER R FRIESE
金额：
$ 19.55万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
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/10251286
关键词：
Academy Archives Attitude Caring Case Study Childhood Clinical Competence Data Disasters Discipline Drug Extravasation Education Educational Curriculum Educational workshop Emergency Situation Environment Evaluation Event Extravasation Glare Health Health Personnel Institute of Medicine (U.S.)Institutes Intervention Knowledge Learning Medicine Methods Michigan Modification Nurses Oncology 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 effectiveness evaluation evidence base experience health care service health care service organization high risk improved learning outcome learning progression lectures multimodality novel pedagogy provider behavior satisfaction simulation skill acquisition skills statistics usability user centered design virtual virtual reality

项目摘要

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.

化疗是一种高剂量、高风险的临床干预，涉及到跨专业的护理