• Oncology nursing forum · Mar 2015

    Training oncology nurses to use remote symptom support protocols: a retrospective pre-/post study.

    • Dawn Stacey, Myriam Skrutkowski, Meg Carley, Erin Kolari, Tara Shaw, and Barbara Ballantyne.
    • School of Nursing, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, Canada.
    • Oncol Nurs Forum. 2015 Mar 1; 42 (2): 174-82.

    Purpose/ObjectivesTo evaluate the impact of training on nurses' satisfaction and perceived confidence using symptom protocols for remotely supporting patients undergoing cancer treatment.DesignRetrospective pre-/post-study guided by the Knowledge-to-Action Framework.SettingInteractive workshops at three ambulatory oncology programs in Canada.Sample107 RNs who provide remote support to patients with cancer.MethodsWorkshops included didactic presentation, role play with protocols, and group discussion. Post-training, a survey measured satisfaction with training and retrospective pre-/post-perceived confidence in the ability to provide symptom support using protocols. One-tailed, paired t-tests measured change.Main Research VariablesSatisfaction with the workshop and perceived confidence in the ability to provide symptom support and use protocols.FindingsTwenty-two workshops, 30-60 minutes each, were conducted with 107 participants. Ninety completed the survey. Compared to preworkshop, postworkshop nurses had improved self-confidence to assess, triage, and guide patients in self-care for cancer treatment-related symptoms, and use protocols to facilitate symptom assessment, triage, and care. Workshops were rated as easy to understand, comprehensive, and provided new information on remote symptom management. Some specified that the workshop did not provide enough time for role play, but most said they would recommend it to others.ConclusionsThe workshop increased nurses' perceived confidence with providing remote symptom support and was well received.Implications For NursingSubsequent workshops should ensure adequate time for role play to enhance nurses' skills in using protocols and documenting symptom support.

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