Adult Cancer Care An Educational Program for Oncology Nurse Practitioners

描述（由申请人提供）：国家正面临着癌症治疗提供者的短缺。护士从业人员已经在多种护理环境中建立了成本效益，患者满意度和高质量护理结果的证据，促使这些专业人员在癌症护理中迅速增长。没有癌症护理经验的护士从业人员在没有任何额外培训或教育的情况下进入肿瘤学岗位，导致患者预后不佳和风险管理薄弱。目的：完善和实施一个为期6个月的肿瘤学电子教育项目，为护士在第一年的肿瘤学实践提供指导。本项目将设法监测该课程对参与者及其导师的知识、信心、学习和支助需要以及使用情况的影响。在第一年，课程将被完善，并准备在网上发布。在第二至第五学年，我们将监测课程对参与者自我和导师对癌症知识的评估以及对提供癌症护理的信心的影响，监测课程对护士从业人员对患者报告结果的关注的影响，监测护士从业人员和现场临床导师在肿瘤实践的头几个月的学习和支持需求的影响。评估肿瘤科执业护士和现场临床导师对课程材料的使用情况，评估课程内容和授课方式的可接受性，评估执业护士校友的长期高级护理实践活动。在五年级，我们将完成成人癌症护理课程的内容，以便持续传播。方法：本应用程序，成人癌症护理：肿瘤护士从业人员教育计划是一个教育计划，护士从业人员在癌症护理实践的头几个月。它由四个在线模块组成：1)基本的癌症介绍内容；2)癌症治疗的质量和安全问题；3)关于特定恶性肿瘤的综合内容，以及4)肿瘤护理从业者的角色发展。同时也会有相应的指南给指定的当地执业护士或医师现场临床导师，提供内容合成和内容临床应用的建议。在线课程将在39个月的时间内提供给全国100名癌症护理新手护士。在线课程可以在4到6个月内完成。评估：主要结果是执业护士在肿瘤教育课程前后对癌症护理的认知水平和信心。执业护士对患者报告结果的关注也将在课程前后进行测量。课程整体将由执业护士和现场导师进行评估。启示：根据国家评估，该计划可以通过匹兹堡大学护理学院作为电子继续护理教育提供。

DESCRIPTION (provided by applicant): The nation is facing a shortage of cancer care providers. Nurse practitioners have established evidence of cost-effectiveness, patient satisfaction and quality care outcomes in multiple care settings, prompting the rapid growth of these professionals in cancer care. Nurse practitioners without previous cancer care experience are entering oncology positions without any additional training or education, leaving susceptibility for poor patient outcomes and risk management vulnerabilities. Aims: To refine and conduct an electronic oncology educational program of up to 6 months for nurse practitioners in their first year of oncology practice paired with an onsite mentor. This project wll seek to monitor the impact of this curriculum on the knowledge, confidence, learning and supportive needs, as well as usage among both the participants and their mentors. In Year 1, the curriculum will be refined and readied for online dissemination. In Years 2 through 5, we will monitor the impact of the curriculum on participants' self and mentors' assessment of cancer knowledge and confidence in delivering cancer care, monitor the impact of the curriculum on the nurse practitioners' attention to patient reported outcomes, monitor the learning and supportive needs of the nurse practitioner and the onsite clinical mentor in the first months of oncology practice, evaluate the utilization of curricular materials by the oncology nurse practitioner and onsite clinical mentor, evaluate the acceptability of the content and delivery of the curriculum and evaluate long term advanced practice nursing activities from the nurse practitioner alumni. In Year 5, we will finalize the content of the Adult Cancer Care curriculum for sustained dissemination. Methods: This application, Adult Cancer Care: An Educational Program for Oncology Nurse Practitioners is a program of education for nurse practitioners in the first months of cancer care practice. It consists of four online modules: 1) essential introductory cancer content; 2) issues in quality and safety in cancer care; 3) comprehensive content regarding specific malignancies, and 4) role development for the oncology nurse practitioner. There will also be a corresponding guide for the identified local nurse practitioner or physician onsite clinical mentor with suggestions for content synthesis and clinical application of content. The online curriculum will be offered nationally to 100 nurse practitioners new to cancer care practice over a 39 month period. The online course can be completed in 4 to 6 months. Evaluation: The primary outcome is the nurse practitioner's perceived level of knowledge and confidence in the delivery of cancer care pre and post the oncology educational curriculum. The nurse practitioner's attention to patient reported outcomes will also be measured pre and post curriculum. Curriculum overall will be assessed by the nurse practitioners and onsite mentors. Implications: Following national evaluation, this program can be sustained as an electronic Continuing Nursing Education offering through the University of Pittsburgh School of Nursing.