Oncology Nursing Education in End of Life Care

描述(由申请人提供)：本提案的主要目的是通过肿瘤护理学会(ONS)分会的全国肿瘤护士网络，改善对癌症患者的临终关怀。最近的国家倡议和主要共识文件提供了强有力的证据，表明需要改进专业教育，以影响癌症护理中的临终关怀。国家癌症政策委员会和医学研究所2001年发布的关于改善临终关怀的报告记录了对今年将在美国死于癌症的55万多人改善临终关怀的相当大的需求。这一主要目标将通过为通过国家统计局分会在全国范围内挑选的团队举办4次讲习班来实现。每个会议将有60名肿瘤学护士参加，总共有240人参加，代表国家统计局的120个分会，该项目稍后将通过传播努力到达其余分会。该项目结合了希望之城国家医学中心、美国护理学院协会和肿瘤护理学会的努力。具体目标包括：1)调整现有的临终护理教育联盟(ELNEC)课程和教材，使之适用于肿瘤学护理教育临终关怀(One-EOLC)项目。2)评估课程对参与者临终关怀知识和态度的影响。3)通过国家统计局各分会支持One-EOLC教育工作者网络，分享传播课程的经验。4)评估参与者在国家统计局各分会内执行工作的成效。5)描述与通过国家统计局各分会的CE努力传播EOL教育有关的问题。该项目侧重于国家统计局分会癌症网络中的姑息治疗，以提供全国范围的教育，作为一种有效手段，以发展正在进行的极其成功的项目--ELNEC。在罗伯特·伍德·约翰逊基金会的支持下，ELNEC瞄准了本科护理项目和继续教育提供者。课程的9个内容领域是临终关怀、疼痛管理、症状管理、道德问题、文化、沟通、悲痛/损失和丧亲、实现临终关怀的高质量，以及死亡时的准备和护理。该提案包括计划进行的广泛评价，以监测个人和机构的传播情况。

DESCRIPTION (provided by applicant): The primary aim of this proposal is to improve end of life care for cancer patients through the national network of oncology nurses in chapters of the Oncology Nursing Society (ONS). Recent national initiatives and major consensus documents have provided strong evidence of the need for improved professional education to impact end of life care in cancer care. The National Cancer Policy Board and Institute of Medicine's report of improved end-of-life care published in 2001 has documented the considerable need for improved end-of-life care for more than 550,000 individuals who will die of cancer this year in the United States. This primary aim will be achieved through 4 workshops for teams selected nationwide through ONS chapters. Each conference will be attended by 60 oncology nurses for a total of 240 participants representing their 120 ONS chapters and the project will later reach the remaining chapters through dissemination efforts. The project combines the efforts of the City of Hope National Medical Center, the American Association of Colleges of Nursing, and the Oncology Nursing Society. Specific aims include: 1) Adapt the existing End of Life Nursing Education Consortium (ELNEC) curriculum and teaching materials to be cancer specific for use in this Oncology Nursing Education End of Life Care (ONE-EOLC) project. 2) Evaluate the impact of the curriculum on participants' knowledge and attitudes about end-of-life care. 3) Support the network of ONE-EOLC educators through the ONS chapters to share experiences in dissemination of the curriculum. 4) Evaluate the effectiveness of participants' implementation efforts within the ONS chapters. 5) Describe issues related to dissemination of EOL education through CE efforts of ONS chapters. This project focuses on palliative care in the cancer network of ONS chapters to provide nationwide education as an efficient means to build upon the extremely successful project in progress, ELNEC. Supported by the Robert Wood Johnson Foundation, ELNEC has targeted undergraduate nursing programs and continuing education providers. The 9 content areas of the curriculum are nursing care at EOL, pain management, symptom management, ethical issues, culture, communication, grief/loss and bereavement, achieving quality care at EOL, and preparation and care at the time of death. This proposal includes extensive evaluation planned to monitor individual and institutional dissemination.