Leong Russell, Andreychuk Sandra, Shoemaker Cheryl, Georgiou Georgia, Adjekum Helena, Locis Ruth, Sultana Adrienne, Vadivelu Suganya, Levine Oren
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada.
Hamilton Health Sciences, Hamilton, ON, Canada.
Support Care Cancer. 2025 May 10;33(6):468. doi: 10.1007/s00520-025-09525-3.
The Serious Illness Care Program (SICP) was launched at the Juravinski Cancer Centre (JCC) to promote early, high-quality goals of care conversations with patients experiencing advanced cancer. Training was provided to multidisciplinary disease site teams (DSTs). The objective of this study is to validate the virtual SICP training format and assess the clinician and patient experience after 6 months of implementation.
Clinicians completed SICP training through a virtual workshop on Zoom and responded to surveys describing their experience before and after the training. Clinicians then completed a validated survey 6 months later, describing their experience of implementing serious illness conversations (SIC) into practice. Consenting patients were contacted within 2 weeks of a SIC encounter and responded to validated questions about their experience.
Training was provided to 52 healthcare providers in the breast, lung and brain malignancy DSTs. Overall, the virtual training format was well received. Training could be improved by allowing more time to practice skills and including more video examples. By 6 months, 39% of clinicians reported conducting SIC. Most users reported that SIC helps them understand patient goals. Among non-users, insufficient time was the most cited barrier. Nurses in a non-primary care model reported difficulty engaging in SIC. Most patients felt that SIC was a worthwhile experience.
Our study demonstrates the feasibility of the virtual SICP implementation process. Additionally, SICP was successfully delivered across multidisciplinary DSTs. Training will continue rolling out incrementally for all DSTs at the JCC, exploring the incorporation of self-learning modules.
重病护理项目（SICP）在朱拉温斯基癌症中心（JCC）启动，以促进与晚期癌症患者尽早开展高质量的护理目标对话。为多学科疾病部位团队（DSTs）提供了培训。本研究的目的是验证虚拟SICP培训形式，并评估实施6个月后的临床医生和患者体验。
临床医生通过Zoom上的虚拟研讨会完成SICP培训，并回复描述培训前后体验的调查问卷。6个月后，临床医生完成一份经过验证的调查问卷，描述他们在实践中开展重病对话（SIC）的体验。在SIC接触后的2周内联系同意参与的患者，并回复关于他们体验的经过验证的问题。
为乳腺癌、肺癌和脑恶性肿瘤DSTs的52名医疗服务提供者提供了培训。总体而言，虚拟培训形式受到好评。可以通过留出更多时间练习技能和增加更多视频示例来改进培训。到6个月时，39%的临床医生报告开展了SIC。大多数用户报告说，SIC有助于他们理解患者的目标。在非用户中，时间不足是最常被提及的障碍。非初级护理模式的护士报告在参与SIC方面存在困难。大多数患者认为SIC是一次有价值的体验。
我们的研究证明了虚拟SICP实施过程的可行性。此外，SICP已成功在多学科DSTs中推行。培训将继续在JCC的所有DSTs中逐步推出，探索纳入自学模块。
