Howell Doris, McGowan Patrick, Bryant-Lukosius Denise, Kirkby Ryan, Powis Melanie, Sherifali Diana, Kukreti Vishal, Rask Sara, Krzyzanowska Monica K
Princess Margaret Cancer Research Institute, University of Toronto, Toronto, ON M5G 2M9, Canada.
School of Public Health & Social Policy, University of Victoria, Victoria, BC V8P 5C2, Canada.
Cancers (Basel). 2023 Mar 16;15(6):1811. doi: 10.3390/cancers15061811.
Cancer patients and their families play a central role in the self-management of the medical, emotional, and lifestyle consequences of cancer. Nurses with training in self-management support can enable cancer patients to better manage the effects of cancer and treatment.
As part of a randomized controlled trial, we developed a training program to build nurses' confidence in the provision of self-management support (SMS). The SMS skills taught were adapted from the Stanford Peer Support training programs and embedded within the 5As (Assess, Advise, Agree, Assist, and Arrange) behavioral counseling process. We evaluated the impact of the training program on oncology nurses' and coaches' confidence using a Student's t-test for paired samples in a nonrandomized, one-group pre/postsurvey.
Participants were experienced oncology nurses from three participating cancer centers. A two-tailed Student's t-test for paired samples showed a significant improvement in nurses' confidence for the 15 SMS microskills targeted in the training between the pretest and post-test as follows: for Center 1, a mean difference of 0.79 (t = 7.18, ≤ 0.00001); for Center 2, a mean difference of 0.73 (t = 8.4, ≤ 0.00001); for Center 3, a mean difference of 1.57 (t = 11.45, ≤ 0.00001); and for coaches, a mean difference of 0.52 (t = 7.6, ≤ 0.00001).
Our training program improved oncology staff nurses' and cancer coaches' confidence in 15 SMS microskills and has potential for SMS training of nurses in routine care.
癌症患者及其家属在癌症医疗、情感及生活方式后果的自我管理中发挥着核心作用。接受过自我管理支持培训的护士能够帮助癌症患者更好地应对癌症及治疗带来的影响。
作为一项随机对照试验的一部分，我们开发了一个培训项目，以增强护士在提供自我管理支持（SMS）方面的信心。所教授的SMS技能改编自斯坦福同伴支持培训项目，并融入了5A（评估、建议、认同、协助和安排）行为咨询流程。我们在一项非随机的单组前后调查中，使用配对样本的学生t检验评估了该培训项目对肿瘤护士和指导者信心的影响。
参与者是来自三个参与研究的癌症中心的经验丰富的肿瘤护士。配对样本的双尾学生t检验显示，在培训针对的15项SMS微技能方面，护士在测试前和测试后的信心有显著提高，具体如下：中心1的平均差异为0.79（t = 7.18，P ≤ 0.00001）；中心2的平均差异为0.73（t = 8.4，P ≤ 0.00001）；中心3的平均差异为1.57（t = 11.45，P ≤ 0.00001）；对于指导者，平均差异为0.52（t = 7.6，P ≤ 0.00001）。
我们的培训项目提高了肿瘤科室护士和癌症指导者在15项SMS微技能方面的信心，并且在常规护理中对护士进行SMS培训具有潜力。
