ELLICSR, Princess Margaret Cancer Centre, University Health Network, 585 University Avenue, Munk Building, B PMB 130, Toronto, ON, M5G2C4, Canada.
School of Population and Public Health, Faculty of Medicine, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T1Z3, Canada.
Support Care Cancer. 2020 Jun;28(6):2605-2614. doi: 10.1007/s00520-019-05059-7. Epub 2019 Oct 15.
Trained peer navigators can offer valuable peer support and mentorship to cancer patients and caregivers due to their highly relevant and unique perspective about the disease experience. In order to define the role of prostate cancer (PC) peer navigators within the cancer care system, it is important to establish the essential competencies of a PC peer navigator. We systematically identified and verified a set of core competencies for PC peer navigators and present a competency framework for PC peer navigators.
In phase 1, we conducted formative research consisting of a literature review and environmental scan as well as a secondary analysis of qualitative interviews. In phase 2, we drafted and mapped competencies. Finally in phase 3, expert stakeholders completed an anonymous survey to indicate whether they endorsed the competencies and to rank the importance of each competency to the peer navigator role. Open-ended feedback was also provided for each competency.
Six core competency domains emerged: (1) self as navigator, (2) communication, (3) knowledge/information, (4) facilitate patient-centred care, (5) eHealth/technology, and (6) caregiver needs. Forty-seven core competency statements were mapped to these domains. Expert stakeholders (n = 27) included cancer survivors, caregivers, and healthcare providers. Most (89%) of core competency statements were endorsed by stakeholders and received high priority ratings, whereas only five of the competencies were less uniformly endorsed.
This is the first attempt to list core competencies for PC peer navigators and may offer guidance for standardizing the PC peer navigator role and training.
由于训练有素的同伴导航员对疾病体验有着高度相关和独特的视角,因此他们可以为癌症患者和护理人员提供有价值的同伴支持和指导。为了确定前列腺癌(PC)同伴导航员在癌症护理系统中的角色,确定 PC 同伴导航员的基本能力至关重要。我们系统地确定并验证了一组 PC 同伴导航员的核心能力,并为 PC 同伴导航员提出了一个能力框架。
在第 1 阶段,我们进行了形成性研究,包括文献回顾和环境扫描,以及对定性访谈的二次分析。在第 2 阶段,我们起草并绘制了能力图。最后在第 3 阶段,专家利益相关者完成了一项匿名调查,以表明他们是否认可这些能力,并对每个能力对同伴导航员角色的重要性进行排名。每个能力还提供了开放式反馈。
出现了六个核心能力领域:(1)作为导航员的自我,(2)沟通,(3)知识/信息,(4)促进以患者为中心的护理,(5)电子健康/技术,和(6)照顾者的需求。将 47 项核心能力陈述映射到这些领域。专家利益相关者(n=27)包括癌症幸存者、护理人员和医疗保健提供者。大多数(89%)核心能力陈述得到了利益相关者的认可,并获得了高优先级评分,而只有五项能力的认可度较低。
这是首次尝试列出 PC 同伴导航员的核心能力,可能为标准化 PC 同伴导航员角色和培训提供指导。