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儿童肿瘤学组机构提供新诊断教育的当前实践:来自儿童肿瘤学组的报告。

Current Practices for Delivering New Diagnosis Education at Children's Oncology Group Institutions: A Report From the Children's Oncology Group.

作者信息

Visungrae Narissara, Campos González Paula D, Skipper K Elizabeth, Li Peng, Vance David E, Salem Adelynn J, Herriage Teresa, Zupanec Sue, Landier Wendy

机构信息

Author Affiliations: School of Nursing (Ms Visungrae, Mrs Skipper, and Drs Li, Vance, and Landier) and Institute for Cancer Outcomes and Survivorship (Mss Visungrae, Campos González, and Salem; Mrs Skipper; and Dr Landier) and Division of Pediatric Hematology/Oncology, Department of Pediatrics (Dr Landier), School of Medicine, University of Alabama at Birmingham; Children's Minnesota, Minneapolis (Dr Herriage); and The Hospital for Sick Children, Toronto, Ontario, Canada (Ms Zupanec).

出版信息

Cancer Nurs. 2024 Nov 5. doi: 10.1097/NCC.0000000000001424.

Abstract

BACKGROUND

The Children's Oncology Group (COG) Nursing Discipline developed expert consensus recommendations and resources to guide the delivery of new diagnosis education across its member institutions. Current new diagnosis education practices across COG member institutions are unknown.

OBJECTIVE

To understand current new diagnosis education practices across COG member institutions.

METHODS

We conducted a cross-sectional survey of COG nurses between July and October 2023 to elicit current practices to deliver new diagnosis education to families across COG institutions. Data were collected and managed using REDCap electronic data capture tools. Individual responses from single institutions were averaged as a single institution-level response.

RESULTS

Respondents included 146/227 (64.3%) COG institutions across 5 countries. Advanced practice nurses and nurse educators have primary responsibility for new diagnosis education at 28.1% and 26.7% of institutions, respectively. Less than half (42.4%) of institutions have a clearly defined process for delivering new diagnosis patient/family education. Almost all (88.2%) institutions use the COG Family Handbook; 64.7% use the COG New Diagnosis Guide, and 41.9% use the COG KidsCare app to support the delivery of new diagnosis education. More than half (61.5%) of institutions use checklists to facilitate the delivery of new diagnosis education, with 81.6% of large institutions versus 44.1% of small institutions reporting the use of checklists ( P = .004).

CONCLUSIONS

There is variability in current new diagnosis education practices across COG institutions.

IMPLICATIONS FOR PRACTICE

These findings highlight opportunities for implementing standardized approaches aligned with expert consensus recommendations for the delivery of new diagnosis education.

摘要

背景

儿童肿瘤学组(COG)护理学科制定了专家共识建议和资源,以指导其成员机构开展新诊断教育。目前COG成员机构的新诊断教育实践情况尚不清楚。

目的

了解COG成员机构目前的新诊断教育实践情况。

方法

我们在2023年7月至10月期间对COG护士进行了横断面调查,以了解向COG各机构的家庭提供新诊断教育的当前实践。使用REDCap电子数据采集工具收集和管理数据。单个机构的个体回复作为单个机构层面的回复进行平均。

结果

受访者包括来自5个国家的146/227(64.3%)个COG机构。在28.1%和26.7%的机构中,高级实践护士和护士教育工作者分别主要负责新诊断教育。不到一半(42.4%)的机构有明确的新诊断患者/家庭教育流程。几乎所有(88.2%)的机构使用COG家庭手册;64.7%使用COG新诊断指南,41.9%使用COG儿童关爱应用程序来支持新诊断教育的开展。超过一半(61.5%)的机构使用清单来促进新诊断教育的开展,81.6%的大型机构与44.1%的小型机构报告使用了清单(P = 0.004)。

结论

COG各机构目前的新诊断教育实践存在差异。

对实践的启示

这些发现凸显了实施与新诊断教育专家共识建议相一致的标准化方法的机会。

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