Improving Patient-Centered Communication and Cancer Care

改善以患者为中心的沟通和癌症护理

基本信息

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
项目类别：
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&apos s Role Nurses Nursing Protocols Nursing Societies Oncologic Nursing Oncologist Oncology Nurse Outcome Participant Patients Peer Review Performance Physician&apos 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

项目摘要

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）：癌症患者及其家人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存在沟通缺陷。由于肿瘤科护士与患者和家属的接触越来越多，而且他们提供的护理也更加亲密，因此他们往往很容易受到患者/家属关于这些话题的讨论。虽然国家议程和护理标准指南强调了癌症护理期间沟通的重要性，但护士们表示，他们不愿意透露坏消息，缺乏有关癌症生存的知识，难以讨论精神和性问题，并且错过了将癌症患者转诊至临终关怀中心的机会。拟议的癌症教育计划将通过举办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。这项创新的教育计划将是第一个以护士为中心的培训计划，因为过去十年该领域的先前工作专门关注医生的角色。通过这项提案，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机构变革。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，该项目旨在向来自 NCI 指定癌症中心和社区癌症中心的竞争性选拔的肿瘤科护士团队提供课程。最后，该项目旨在评估课程的影响并传播研究结果，以建立一个具有以患者为中心的沟通专业知识的护士网络。癌症教育计划：癌症教育计划将基于 COMFORT 沟通课程。 COMFORT 是一个缩写词，代表护士沟通的七项基本原则，并教授护士完成美国国家癌症研究所定义的以患者为中心的沟通的六项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证实他们的的参与以及肿瘤护理学会的支持。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、个人目标实现和机构绩效改进的评估。课程完成后，参与者将确定制度变革的目标，并在 6 个月和 12 个月的后续行动中评估目标实现情况、障碍和成功。该提案支持 NCI 改善癌症患者、幸存者及其家人的生活质量的战略目标，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提供及时、高效和公平的护理和他们的家人。