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Affiliations

Carolinas Medical Center

Presentation Notes

Professional Development poster presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.

Abstract

Background/Introduction

Role transition in a specialty area possesses unique challenges for new teammates and requires additional need for training and support. Newly licensed nurses have limited hands-on experience in nursing school with many aspects of care they will encounter as oncology nurses. In previous state, feedback included the need for a more focused and hands-on approach to chemotherapy and oncology-related skills.

Purpose

The aim of the multimodal learning experience was to support role transition, increase nurse preparedness and bridge knowledge gaps. The course was created to provide an engaging, hands-on, collaborative experience for nurses new to oncology to gain confidence and competence with chemotherapy administration, central line care, drain management, and other oncology skills.

Method

Learners complete preparatory work including self-paced content, the Oncology Nursing Society chemotherapy provider course, and a review of facility policies and procedures. During the course, nurses participate in a mock event of chemotherapy administration and spill management. Course content emphasizes infection prevention, safety, and management of the oncology patient. Simulated skill practice with implanted ports, peritoneal/pleural catheters, central line dressing changes, blood cultures, and various methods of chemotherapy administration are included to promote proper technique.

Results

Nursing confidence was measured before and after the intervention with a 5-point Likert scale. Before the course, on average, 27.2% participants rated themselves ‘confident’ or ‘extremely confident’ with skill performance. After the intervention, the average increased to 81%. Before the intervention, the average rating ‘not confident’ on a skill was 28.7% compared to the post-intervention average of 0.7%.

Implications for Practice

With a more robust approach to oncology education, the implications for practice include increased confidence in nursing care of the chemotherapy patient and decreased medication administration errors. With additional support and professional development, retention of new oncology nurses is anticipated.

References

Brant, J. M. (2020). Core curriculum for oncology nursing. Saunders.

Jang, K., Yoo, Y., & Roh, Y. (2019). Development and Effectiveness of an Oncology Nursing Standardized Patient Simulation Program for Nursing Students. Korean Journal of Adult Nursing, 31(6), 595–604. https://doi-org.ezproxy.queens.edu/10.7475/kjan.2019.31.6.595

Murray, R. (2018). An overview of experiential learning in nursing education. Advances in Social Sciences Research Journal, 5(1). https://doi.org/10.14738/assrj.51.4102

Olsen, M., LeFebvre, K., & Brassil, K., (2019). Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice. Oncology Nursing Society.

Document Type

Poster

Publication Date

11-13-2024


 

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Nov 13th, 12:00 AM

A Multimodal Learning Experience for New Oncology Nurses

Background/Introduction

Role transition in a specialty area possesses unique challenges for new teammates and requires additional need for training and support. Newly licensed nurses have limited hands-on experience in nursing school with many aspects of care they will encounter as oncology nurses. In previous state, feedback included the need for a more focused and hands-on approach to chemotherapy and oncology-related skills.

Purpose

The aim of the multimodal learning experience was to support role transition, increase nurse preparedness and bridge knowledge gaps. The course was created to provide an engaging, hands-on, collaborative experience for nurses new to oncology to gain confidence and competence with chemotherapy administration, central line care, drain management, and other oncology skills.

Method

Learners complete preparatory work including self-paced content, the Oncology Nursing Society chemotherapy provider course, and a review of facility policies and procedures. During the course, nurses participate in a mock event of chemotherapy administration and spill management. Course content emphasizes infection prevention, safety, and management of the oncology patient. Simulated skill practice with implanted ports, peritoneal/pleural catheters, central line dressing changes, blood cultures, and various methods of chemotherapy administration are included to promote proper technique.

Results

Nursing confidence was measured before and after the intervention with a 5-point Likert scale. Before the course, on average, 27.2% participants rated themselves ‘confident’ or ‘extremely confident’ with skill performance. After the intervention, the average increased to 81%. Before the intervention, the average rating ‘not confident’ on a skill was 28.7% compared to the post-intervention average of 0.7%.

Implications for Practice

With a more robust approach to oncology education, the implications for practice include increased confidence in nursing care of the chemotherapy patient and decreased medication administration errors. With additional support and professional development, retention of new oncology nurses is anticipated.

References

Brant, J. M. (2020). Core curriculum for oncology nursing. Saunders.

Jang, K., Yoo, Y., & Roh, Y. (2019). Development and Effectiveness of an Oncology Nursing Standardized Patient Simulation Program for Nursing Students. Korean Journal of Adult Nursing, 31(6), 595–604. https://doi-org.ezproxy.queens.edu/10.7475/kjan.2019.31.6.595

Murray, R. (2018). An overview of experiential learning in nursing education. Advances in Social Sciences Research Journal, 5(1). https://doi.org/10.14738/assrj.51.4102

Olsen, M., LeFebvre, K., & Brassil, K., (2019). Chemotherapy and Immunotherapy Guidelines and Recommendations for Practice. Oncology Nursing Society.

 

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