Stacey Dawn, Carley Meg, Kohli Jagbir, Skrutkowski Myriam, Avery Jonathan, Bazile Astride M, Court Arlene, Nagel Daniel A, Budz Denise
Can Oncol Nurs J. 2014 Spring;24(2):78-88. doi: 10.5737/1181912x2427882.
The overall aim of this study was to explore current remote symptom support training programs provided to nurses in ambulatory oncology programs across Canada, using a survey-methods environmental scan. Of 36 delivered invitations, 28 programs responded (77.8%) representing 10 provinces. Of 25 programs that offer telephone symptom support, 17 provide symptom support training, seven do not, and one did not say. Seven programs shared training materials with the investigators and elements of training included: symptom management guidelines (n = 6), telephone triage process/principles (n = 5), competent telephone practices (n = 4), documentation (n = 4), professional standards (n = 3), role-play (n = 3), communication skills/etiquette (n = 3), and monitoring quality (n = 1). Formats included: presentations (n = 3), paper-based resources (n = 3), or e-learning modules (n = 1). No training programs were rigorously evaluated. Training in telephone nursing symptom support across oncology programs is variable. Opportunities exist to identify core competencies and evaluate if training programs enhance delivery of remote cancer symptom support.
本研究的总体目标是通过调查方法进行环境扫描,探索加拿大各地门诊肿瘤项目中目前为护士提供的远程症状支持培训项目。在发出的36份邀请中,有28个项目做出了回应(77.8%),代表10个省份。在提供电话症状支持的25个项目中,17个提供症状支持培训,7个不提供,1个未作说明。7个项目与研究人员分享了培训材料,培训内容包括:症状管理指南(n = 6)、电话分诊流程/原则(n = 5)、有效的电话沟通技巧(n = 4)、记录(n = 4)、专业标准(n = 3)、角色扮演(n = 3)、沟通技巧/礼仪(n = 3)以及质量监测(n = 1)。培训形式包括:讲座(n = 3)、纸质资料(n = 3)或电子学习模块(n = 1)。没有培训项目经过严格评估。肿瘤项目中电话护理症状支持方面的培训情况各不相同。存在确定核心能力并评估培训项目是否能提高远程癌症症状支持服务质量的机会。