Adult Cancer Care An Educational Program for Oncology Nurse Practitioners

描述（由申请人提供）：国家正面临着癌症护理提供者短缺。护士从业者已经建立了成本效益，病人满意度和高质量的护理结果在多个护理环境的证据，促使这些专业人员在癌症护理的快速增长。没有癌症护理经验的执业护士在没有任何额外培训或教育的情况下进入肿瘤学职位，使患者容易出现不良结局和风险管理漏洞。目的：完善和实施长达6个月的电子肿瘤学教育计划，为执业护士在肿瘤学实践的第一年与现场导师配对。本计划将监察课程对参加者及其导师的知识、信心、学习及支援需要，以及使用情况的影响。在第一年，课程将得到完善，并准备在线传播。在第2年至第5年，我们将监测课程对参与者自我和导师评估癌症知识和提供癌症护理信心的影响，监测课程对执业护士关注患者报告结果的影响，监测执业护士和现场临床导师在肿瘤学实践的头几个月的学习和支持需求，评估肿瘤学执业护士和现场临床导师对课程材料的利用，评估课程内容和交付的可接受性，并评估来自执业护士校友的长期高级实践护理活动。在第5年，我们将最终确定成人癌症护理课程的内容，以便持续传播。研究方法：这个应用程序，成人癌症护理：肿瘤学护士执业教育计划是一个教育计划的护士执业在第一个月的癌症护理实践。它由四个在线模块组成：1）基本的介绍性癌症内容; 2）癌症护理的质量和安全问题; 3）关于特定恶性肿瘤的综合内容; 4）肿瘤学护士的角色发展。还将为确定的当地执业护士或医生现场临床导师提供相应的指南，并提供内容合成和内容临床应用的建议。在线课程将在39个月内向全国100名新的癌症护理实践护士提供。在线课程可在4至6个月内完成。评估：主要结果是执业护士的认知水平的知识和信心，在提供癌症护理之前和之后的肿瘤学教育课程。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。整体课程将由执业护士和现场导师进行评估。含义：经过国家评估，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持续。

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.