City of Hope National Medical Center, Duarte, CA, USA.
Los Angeles County Department of Public Health, Los Angeles, CA, USA.
J Geriatr Oncol. 2021 May;12(4):649-657. doi: 10.1016/j.jgo.2020.10.003. Epub 2020 Oct 17.
Oncology nurses are key in caring for older adults with cancer, but few have received specialized training in gerontology. To address this, a geriatric oncology curriculum was developed for oncology nurses.
MATERIALS & METHODS: The Geriatric Oncology Workshop (GrOW) was developed and delivered to oncology nurses (n = 387) from 2016 to 2019. Workshops were evaluated using: 1) Assessment of preparedness, comfort, and skills; 2) Knowledge gained; 3) Participant evaluations of workshop (4-point Likert-type scale); 4) Faculty evaluations (10-point Likert-type scale); and 5) Follow-up assessment of goals. Descriptive statistics (frequencies, proportions, medians, means) were used to describe participants and results. Paired t-test was used to evaluate participants' knowledge gain, and linear mixed modeling was used to evaluate longitudinal changes in preparedness, comfort, and skill levels.
Overall, 387 oncology nurses participated in GrOW. Participant-rated workshop evaluation means were 3.7 to 3.9. Overall, nurses had statistically significant increases in pre- to post- questionnaire scores of 18.8% (p < 0.001) in workshop 1, 26.8% (p < 0.001) in workshop 2, 24.9% (p < 0.001) in workshop 3, and 18.6% (p < 0.001) in workshop 4, with an overall mean of 22.4% (p < 0.001) knowledge gained for all four workshops. Nurses reported an increase in skill, comfort, and preparedness at 18 months for workshop 1, 2, and 3 and in skill and comfort at 12 months for workshop 4 (p < 0.01). Faculty evaluation scores ranged from 9.3 to 10.0.
A geriatric oncology curriculum designed for oncology nurses can improve levels of evidence-based knowledge and provide more skill, comfort, and preparedness in caring for this population.
肿瘤护士在照顾癌症老年患者方面发挥着关键作用，但他们中很少有人接受过老年医学方面的专业培训。为了解决这个问题，为肿瘤护士开发了老年肿瘤学课程。
从 2016 年到 2019 年，为肿瘤护士（n=387）开发并提供了老年肿瘤学研讨会（GrOW）。使用以下方法评估研讨会：1）准备情况、舒适度和技能评估；2）知识获取；3）参与者对研讨会的评价（4 分李克特量表）；4）教师评价（10 分李克特量表）；5）目标的后续评估。使用描述性统计（频率、比例、中位数、平均值）来描述参与者和结果。使用配对 t 检验评估参与者的知识增益，使用线性混合模型评估准备情况、舒适度和技能水平的纵向变化。
共有 387 名肿瘤护士参加了 GrOW。参与者对研讨会的评价均值为 3.7 到 3.9。总体而言，护士在问卷的预评估和后评估分数上有统计学上的显著提高，其中研讨会 1 提高了 18.8%（p<0.001），研讨会 2 提高了 26.8%（p<0.001），研讨会 3 提高了 24.9%（p<0.001），研讨会 4 提高了 18.6%（p<0.001），四个研讨会的总体平均提高了 22.4%（p<0.001）。护士报告在研讨会 1、2 和 3 的第 18 个月，以及研讨会 4 的第 12 个月，技能、舒适度和准备情况均有所提高（p<0.01）。教师评估分数范围为 9.3 到 10.0。
为肿瘤护士设计的老年肿瘤学课程可以提高循证知识水平，并在护理这一人群方面提供更多的技能、舒适度和准备情况。
