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聚焦癌症治疗后幸存者护理的在线继续教育系列课程的初步成果

Initial Outcomes of an Online Continuing Education Series Focused on Post-treatment Cancer Survivorship Care.

作者信息

Harvey Allison, Zhang Yuqing, Phillips Serena, Suarez Rhea, Dekle Laura, Villalobos Aubrey, Pratt-Chapman Mandi L

机构信息

Institute for Patient-Centered Initiatives and Health Equity, The George Washington University Cancer Center, 2600 Virginia Avenue NW, Suite 300, Washington, DC, 20037, USA.

出版信息

J Cancer Educ. 2020 Feb;35(1):144-150. doi: 10.1007/s13187-018-1453-2.

Abstract

There is a growing number of post-treatment cancer survivors in the USA. Cancer survivors can have a variety of care needs and health care professionals must be prepared to meet these needs. The American Cancer Society (ACS) and the George Washington University (GW) Cancer Center developed The Cancer Survivorship E-Learning Series for Primary Care Providers (E-Learning Series) to address the need for cancer survivorship training and education among health care professionals with a focus on primary care. The GW Cancer Center analyzed evaluation data from 1341 learners who voluntarily completed a module pre- and post-assessment between April 15, 2013, and December 31, 2017, to assess differences in self-rated confidence, on a five-point Likert scale, to meet learning objectives. Descriptive statistics characterize the sample and paired samples t tests were used to assess any statistically significant differences from pre to post (p < 0.05). Most learners were nurses (75.19%) and a majority of learners worked in oncology (74.68%) followed by primary care (11.60%). At pre-assessment, the module with the lowest mean self-confidence rating was 3.16 (SD = 0.81) and the highest was 3.60 (SD = 0.73). At post-assessment, module means in self-confidence rating ranged from 4.08 (SD = 0.46) to 4.26 (SD = 0.56). All differences were statistically significant (p < 0.0001). Results highlight gaps in confidence among health care professionals regarding cancer survivorship care and the need for continuing education. There is also a need for additional uptake of the E-Learning Series among primary care providers. Results suggest that the E-Learning Series is an effective educational tool that increases learners' confidence in providing cancer survivorship care.

摘要

美国癌症治疗后幸存者的数量在不断增加。癌症幸存者可能有各种各样的护理需求,医疗保健专业人员必须做好满足这些需求的准备。美国癌症协会(ACS)和乔治·华盛顿大学(GW)癌症中心开发了面向初级保健提供者的癌症幸存者电子学习系列课程(电子学习系列),以满足医疗保健专业人员对癌症幸存者培训和教育的需求,重点是初级保健。GW癌症中心分析了2013年4月15日至2017年12月31日期间1341名自愿完成模块前后评估的学习者的评估数据,以评估在五点李克特量表上自我评定的信心差异,以实现学习目标。描述性统计描述了样本情况,并使用配对样本t检验来评估前后的任何统计学显著差异(p < 0.05)。大多数学习者是护士(75.19%),大多数学习者从事肿瘤学工作(74.68%),其次是初级保健(11.60%)。在预评估中,自我信心评分最低的模块为3.16(标准差 = 0.81),最高为3.60(标准差 = 0.73)。在后评估中,自我信心评分的模块平均值在4.08(标准差 = 0.46)至4.26(标准差 = 0.56)之间。所有差异均具有统计学显著性(p < 0.0001)。结果突出了医疗保健专业人员在癌症幸存者护理方面的信心差距以及继续教育的必要性。初级保健提供者对电子学习系列课程的接受度也有待提高。结果表明,电子学习系列是一种有效的教育工具,可提高学习者提供癌症幸存者护理的信心。

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