Geriatric Oncology: Educating nurses to improve quality care

 描述（由申请人提供）：本R25提案的总体目标是为肿瘤科护士制定和实施老年肿瘤学国家教育课程。迫切需要采取这一举措，因为癌症是一种与衰老有关的疾病。到2030年，65岁及以上的“婴儿潮一代”的人数预计将翻一番，导致该年龄组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缺乏具有老年医学经验的护士，他们需要照顾不断增长的老年人人口。只有不到1%的护士和不到3%的高级执业护士获得老年病学认证。该提案将通过为全国范围内竞争性选择的肿瘤护士提供多学科，互动，有针对性的老年肿瘤学课程来填补这一知识空白。它将最终在护理参与者团队制定自己的计划，将老年肿瘤学的原则和实践融入他们的家庭组织。这项申请的具体目标是：1）为护士制定一个全面的老年肿瘤学课程，来自全国各地的顶级多学科教师的投入，这将提高护士的知识，态度和与照顾老年癌症患者有关的技能; 2）通过为全国范围内竞争性选择的护士举办国家讲习班，实施这一老年肿瘤学课程; 3）评估一个全面的，互动的老年肿瘤学课程的护士从会前到会后获得的知识的基础上的有效性;四、通过测量研讨会活动的进展和结果以及参与者发起的变革，评估综合老年肿瘤学课程对全国老年肿瘤学护理举措发展的影响，他们的家庭环境;（5）传播这些会议的结果。这些目标将通过四次年度会议（随后是每月电话会议，向所有参与者开放）来实现，这些会议将对总共400人进行竞争性培训。 在全国范围内选择肿瘤科护士，他们将参加他们所在机构的团队（经理，教育者和直接护理提供者）。这个为期21/2天的会议包括由全国老年医学，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。与会者将使用这些信息，并制定计划，将这些知识融入自己的组织。我们将在6点，12点， 会议后18个月。该提案通过创建面向肿瘤护理专业人员的老年医学原则教育课程，将护理，老年医学和肿瘤学领域结合起来，这些专业人员正在照顾老龄化肿瘤人群，最终目标是提高老年癌症患者循证护理的知识。

 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.