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丰富计划:一项颇具前景的肿瘤护理培训项目,旨在实施美国临床肿瘤学会针对青少年和年轻成人癌症患者生育问题的临床实践指南。

ENRICH: A promising oncology nurse training program to implement ASCO clinical practice guidelines on fertility for AYA cancer patients.

作者信息

Vadaparampil Susan T, Gwede Clement K, Meade Cathy, Kelvin Joanne, Reich Richard R, Reinecke Joyce, Bowman Meghan, Sehovic Ivana, Quinn Gwendolyn P

机构信息

Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States; Morsani College of Medicine, University of South Florida, 12901 Bruce B Downs Blvd, Tampa, FL 33612, United States.

Health Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, 12902 USF Magnolia Dr, MRC-CANCONT, Tampa, FL 33612, United States.

出版信息

Patient Educ Couns. 2016 Nov;99(11):1907-1910. doi: 10.1016/j.pec.2016.05.013. Epub 2016 May 17.

Abstract

OBJECTIVE

We describe the impact of ENRICH (Educating Nurses about Reproductive Issues in Cancer Healthcare), a web-based communication-skill-building curriculum for oncology nurses regarding AYA fertility and other reproductive health issues.

METHODS

Participants completed an 8-week course that incorporated didactic content, case studies, and interactive learning. Each learner completed a pre- and post-test assessing knowledge and a 6-month follow-up survey assessing learner behaviors and institutional changes.

RESULTS

Out of 77 participants, the majority (72%) scored higher on the post-test. Fifty-four participants completed the follow-up survey: 41% reviewed current institutional practices, 20% formed a committee, and 37% gathered patient materials or financial resources (22%). Participants also reported new policies (30%), in-service education (37%), new patient education materials (26%), a patient navigator role (28%), and workplace collaborations with reproductive specialists (46%).

CONCLUSION

ENRICH improved nurses' knowledge and involvement in activities addressing fertility needs of oncology patients. Our study provides a readily accessible model to prepare oncology nurses to integrate American Society of Clinical Oncology guidelines and improve Quality Oncology Practice Initiative measures related to fertility.

PRACTICE IMPLICATIONS

Nurses will be better prepared to discuss important survivorship issues related to fertility and reproductive health, leading to improved quality of life outcomes for AYAs.

摘要

目的

我们描述了ENRICH(癌症医疗中教育护士有关青少年和年轻成人(AYA)生育及其他生殖健康问题)的影响,这是一项针对肿瘤学护士的关于AYA生育及其他生殖健康问题的基于网络的沟通技能培养课程。

方法

参与者完成了一个为期8周的课程,该课程包含讲授内容、案例研究和互动学习。每位学习者完成了一项评估知识的课前和课后测试,以及一项评估学习者行为和机构变化的6个月随访调查。

结果

在77名参与者中,大多数(72%)在课后测试中得分更高。54名参与者完成了随访调查:41%的人审查了当前的机构做法,20%的人成立了委员会,37%的人收集了患者资料或财务资源(22%)。参与者还报告了新政策(30%)、在职教育(37%)、新的患者教育材料(26%)、患者导航员角色(28%)以及与生殖专家的工作场所合作(46%)。

结论

ENRICH提高了护士在满足肿瘤患者生育需求活动方面的知识和参与度。我们的研究提供了一个易于获取的模式,使肿瘤学护士能够整合美国临床肿瘤学会的指南,并改善与生育相关的优质肿瘤实践倡议措施。

实践意义

护士将更有准备地讨论与生育和生殖健康相关的重要生存问题,从而改善AYA的生活质量结果。

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