Improving Patient-Centered Communication and Cancer Care

改善以患者为中心的沟通和癌症护理

• 批准号: 9129607
• 负责人: BETTY R FERRELL
• 金额: $ 30.82万
• 依托单位: BECKMAN RESEARCH INSTITUTE/CITY OF HOPE
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-15 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9129607
• 关键词: Achievement; Acute; Address; Applied Skills; Area; Association of Community Cancer Centers; Attention; Cancer Center; Cancer Family; Cancer Patient; Cancer Survivorship; Caring; Clinical; Clinical Nursing; Clinical Oncology; Collaborations; Communication; Communities; Comprehensive Cancer Center; Cultural Diversity; Decision Making; Diagnosis; Disease; Disease Progression; Education; Educational Curriculum; Educational process of instructing; Educational workshop; Effectiveness; Evaluation; Exposure to; Extended Family; Faculty; Faculty Workshop; Family; Family Caregiver; Family member; Fostering; Goals; Guidelines; Health; Health Professional; Healthcare; Individual; Inpatients; Institute of Medicine (U.S.); Institution; Instruction; Interview; Joints; Knowledge; Lead; Malignant Neoplasms; Mediating; Medical Care Team; Modeling; Monograph; NCI-Designated Cancer Center; National Cancer Institute; Nurse' s Role; Nurses; Nursing Protocols; Nursing Societies; Oncologic Nursing; Oncologist; Oncology Nurse; Outcome; Participant; Patients; Peer Review; Performance; Physician' s Role; Physicians; Procedures; Process; Process Measure; Protocols documentation; Psychosocial Assessment and Care; Publications; Quality of life; Reporting; Research; Research Personnel; Services; Survivors; Training; Training Programs; Training and Education; Translating; Trust; Work; acronyms; base; cancer care; cancer diagnosis; cancer education; cancer therapy; career networking; cohort; end of life; experience; follow-up; health literacy; hospice environment; improved; informal caregiver; innovation; intimate behavior; member; news; novel; nursing skill; oncology; patient home care; patient oriented; programs; psychosocial; skills; skills training; standard of care; success; survivorship; tool; treatment center

DESCRIPTION (provided by applicant): Cancer patients and their family members continue to report communication deficits with their healthcare staff regarding diagnosis, disease progression, education about treatment and procedures, referral services, and psychosocial care. Given their increased exposure to patients and families, along with the intimacy of the care they provide, oncology nurses are often vulnerable to patient/family discussions about these topics. While national agendas and standard of care guidelines highlight the importance of communication during cancer care, nurses report being uncomfortable disclosing bad news, a lack of knowledge about cancer survivorship, difficulty discussing spiritual and sexual concerns, and experience missed opportunities to refer cancer patients to hospice. The proposed cancer education program will provide nurse communication training for oncology nurses by offering a two day workshop on cancer care and communication. This innovative educational initiative will be the first nurse-focused training program as prior work in this area over the last decade has focused exclusively on the role of the physician. Through this proposal we hope to establish a network of nurses trained in communication who can train other nurses and initiate institutional change. Specific Aims: The project aims to adapt an established communication training curriculum for cancer care. Secondly, the project aims to deliver the curriculum to competitively selected oncology nurse teams from NCI-designated cancer centers and community cancer centers. Finally, the project aims to evaluate the impact of the curriculum and disseminate findings to develop a network of nurses with expertise in patient-centered communication. Cancer Education Program Plan: The cancer education program plan will be based on the COMFORT communication curriculum. COMFORT is an acronym that stands for the seven basic principles of nurse communication and teaches nurses the skills they need to accomplish the six core functions of patient- centered communication as defined by the National Cancer Institute. Expert faculty in the area of clinical nurse and oncology education have confirmed their involvement, along with support from the Oncology Nursing Society. It is proposed that a two-day course be held annually for four years to 100 nurses, providing training to a total of 400 oncology nurses nationwide. Evaluation of the proposed cancer education program plan will include an assessment of curriculum content, individual goal achievement and institutional performance improvement. Upon completion of the course, participants will identify goals for institutional change and 6 and 12 month follow up will assess goal attainment, barriers, and successes. This proposal supports the NCI strategic aim of improving the quality of life for cancer patients, survivors, and their families by translating NCI's patient-centered communication framework into practical tools that will enable oncology nurses to provide timely, efficient, and equitable care to cancer patients and their families.

描述（由申请人提供）：癌症患者及其家属继续报告与医护人员在诊断、疾病进展、治疗和程序教育、转诊服务和心理社会护理方面的沟通缺陷。鉴于他们与患者和家属的接触越来越多，沿着他们提供的护理的亲密度，肿瘤科护士往往容易受到患者/家属关于这些话题的讨论的影响。虽然国家议程和护理指南标准强调了癌症护理期间沟通的重要性，但护士们报告说，他们不愿意透露坏消息，缺乏对癌症生存的了解，难以讨论精神和性问题，并错过了将癌症患者转诊到临终关怀的机会。拟议的癌症教育计划将通过提供为期两天的癌症护理和沟通研讨会，为肿瘤科护士提供护士沟通培训。这一创新的教育举措将是第一个以护士为重点的培训计划，因为过去十年来在这一领域的工作完全集中在医生的角色上。通过这项建议，我们希望建立一个受过沟通培训的护士网络，他们可以培训其他护士，并发起制度变革。具体目标：该项目旨在调整现有的癌症护理沟通培训课程。其次，该项目的目的是提供课程，从NCI指定的癌症中心和社区癌症中心竞争选择的肿瘤护士团队。最后，该项目旨在评估课程的影响，并传播研究结果，以发展一个网络的护士与专业知识，以病人为中心的沟通。癌症教育项目计划：癌症教育项目计划将以COMFORT沟通课程为基础。舒适是一个首字母缩略词，代表护士沟通的七个基本原则，并教导护士完成国家癌症研究所定义的以患者为中心的沟通的六个核心功能所需的技能。临床护士和肿瘤学教育领域的专家教师已经证实， 参与，沿着的支持，从肿瘤护理学会。建议每年为100名护士举办为期两天的课程，为期四年，为全国总共400名肿瘤科护士提供培训。对拟议的癌症教育计划的评估将包括对课程内容、个人目标实现情况和机构绩效改进的评估。课程完成后，参与者将确定机构变革的目标，6个月和12个月的后续行动将评估目标的实现，障碍和成功。该提案支持NCI的战略目标，即通过将NCI以患者为中心的沟通框架转化为实用工具，使肿瘤科护士能够为癌症患者及其家属提供及时，高效和公平的护理，从而提高癌症患者，幸存者及其家属的生活质量。