Evaluation of an Interprofessional Training Program to Improve Cancer Drug Therapy Safety

2021 ◽  
pp. OP.20.00816
Author(s):  
Michelle L. Aebersold ◽  
Shawna Kraft ◽  
Karen B. Farris ◽  
Marylee Scherdt ◽  
MiKaela Olsen ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Drug Therapy ◽  
Training Program ◽  
Drug Safety ◽  
Interprofessional Education ◽  
Clinical Intervention ◽  
High Volume ◽  
Cancer Drug ◽  
Program Satisfaction ◽  
Learning Assessments

PURPOSE: Drug therapy for cancer is a high-risk, high-volume clinical intervention that requires interprofessional teams. Given the complexity of anticancer drug therapy and safety concerns, an interdisciplinary team developed a novel training program for oncology registered nurses and pharmacists to improve cancer drug safety. METHODS: Participants completed preworkshop learning assessments and received access to web-based modules on six topics: hazardous drug handling, drug extravasation, hypersensitivity reaction management, sepsis recognition, immune checkpoint inhibitor toxicities, and oral oncolytic adherence. In a 7-hour workshop, participants applied module content in interactive exercises and high-fidelity simulations. Preworkshop and postworkshop questionnaires assessed changes in knowledge and confidence in each topic. Program satisfaction and changes to clinical practice or policies were assessed 3 months after the workshop. RESULTS: Two hundred ninety-two nurses and 82 pharmacists applied to participate, and 103 (35%) and 44 (54%) have participated, respectively. Long-term follow-up data were available on 133 (90%) participants. Change scores in confidence to meet program objectives increased between pre- and postworkshop (range of increase 0.6-0.8, P < .01). Knowledge scores increased significantly between pre- and postworkshop (average improvement of 3.2 points, P < .01). Overall program satisfaction was high (mean 5.0, standard deviation [0.2] on a five-point scale). Seventy-seven (60%) reported that they had made at least one clinical practice or institutional policy change at 3 months. CONCLUSION: An interprofessional education program with online modules, in-person interactive sessions, and simulation activities is a promising strategy to deliver cancer drug safety content to practicing oncology clinicians.

A multimodal, interprofessional training program on chemotherapy safety for nurses and pharmacists: Development and preliminary evaluation.

2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 266-266
Author(s):  
Christopher Ryan Friese ◽  
Michelle L. Aebersold
Keyword(s):  
Clinical Practice ◽  
Interprofessional Education ◽  
Clinical Intervention ◽  
High Volume ◽  
Discussion Board ◽  
Practice Change ◽  
Preliminary Evaluation ◽  
Oncolytic Therapy ◽  
Before And After ◽  
Clinical Practice Change

266 Background: Chemotherapy is a high-volume, high-risk clinical intervention that requires interprofessional clinical teams. With increased demand for chemotherapy, a record number of newly-approved drugs, and health system cuts to professional development, we sought to develop and deliver an evidence-based educational program for nurses and pharmacists on safe handling of hazardous drugs, management of oncology emergencies, extravasations, oral oncolytic therapy, and promoting clinical practice change. Methods: After mail and web-based recruitment activities, selected participants completed pre-workshop online modules. Live workshops included a blend of faculty-led interactive sessions and four simulations to reinforce content. Post-simulation debriefing sessions clarified concepts and identified participant action plans for clinical practice change. Attendees have access to lecture videos, handouts, resources, and a discussion board. Applying Kirkpatrick’s framework, we assessed participant confidence to meet program objectives before and after the workshop, a 27-item knowledge assessment before and after the workshop, and satisfaction with specific learning activities on a 5-point Likert scale. Results: To date, faculty have led two workshops. 266 nurses and 72 pharmacists applied and we accepted 77 (29%) and 30 (42%), respectively. Participants' change scores in confidence to meet program objectives increased from pre- to post-workshop (range 0.51-1.00). Knowledge scores increased between pre- and post- workshop (16.3 vs. 18.76, p < .01). Overall satisfaction was high across all content areas (range 4.76 - 4.98). Nearly all participants (n = 104, 97.2%) reported they were extremely satisfied with the program. Conclusions: An interprofessional education program with online modules, in-person interactive sessions, and simulation activities is a promising strategy to deliver chemotherapy safety content to practicing oncology nurses and pharmacists. Future efforts include recruiting a more diverse pool of participants, and expanding the program to include advanced practice providers.

Interprofessional Collaboration to Promote Culturally Engaged and Strengths-Based Practice

2020 ◽  
Vol 5 (6) ◽  
pp. 1410-1421
Author(s):  
Erica Ellis ◽  
Mary Kubalanza ◽  
Gabriela Simon-Cereijido ◽  
Ashley Munger ◽  
Allison Sidle Fuligni
Keyword(s):  
Los Angeles ◽  
Training Program ◽  
Interprofessional Education ◽  
Clinical Training ◽  
Interprofessional Collaboration ◽  
Communication Disorders ◽  
Outreach Program ◽  
State University ◽  
Diversity And Inclusion ◽  
Health Nursing

Purpose To effectively prepare students to engage in interprofessional practice, a number of Communication Disorders (COMD) programs are designing new courses and creating additional opportunities to develop the interprofessional competencies that will support future student success in health and education-related fields. The ECHO (Educational Community Health Outreach) program is one example of how the Rongxiang Xu College of Health and Human Services at California State University, Los Angeles, has begun to create these opportunities. The ultimate goal of the ECHO project is to increase both access to and continuity of oral health care across communities in the greater Los Angeles area. Method We describe this innovative interdisciplinary training program within the context of current interprofessional education models. First, we describe the program and its development. Second, we describe how COMD students benefit from the training program. Third, we examine how students from other disciplines experience benefits related to interprofessional education and COMD. Fourth, we provide reflections and insights from COMD faculty who participated in the project. Conclusions The ECHO program has great potential for continuing to build innovative clinical training opportunities for students with the inclusion of Child and Family Studies, Public Health, Nursing, and Nutrition departments. These partnerships push beyond the norm of disciplines often used in collaborative efforts in Communication Sciences and Disorders. Additionally, the training students received with ECHO incorporates not only interprofessional education but also relevant and important aspects of diversity and inclusion, as well as strengths-based practices.

CANCER DRUG THERAPY

1992 ◽  
Vol 19 (4) ◽  
pp. 759-778
Author(s):  
Walter James Durkin
Keyword(s):  
Drug Therapy ◽  
Cancer Drug

scholarly journals Communicating Guideline Recommendations Using Graphic Narrative Versus Text-Based Broadcast Screensavers: Design and Implementation Study (Preprint)

2021 ◽  
Author(s):  
Lauren Sinnenberg ◽  
Craig A Umscheid ◽  
Frances S Shofer ◽  
Damien Leri ◽  
Zachary F Meisel
Keyword(s):  
Clinical Practice ◽  
High Volume ◽  
Suppressive Therapy ◽  
Guideline Recommendation ◽  
Graphic Narrative ◽  
Design And Implementation ◽  
Resident Physicians ◽  
Graphic Narratives ◽  
The One ◽  
The Impact

BACKGROUND The use of graphic narratives, defined as stories that use images for narration, is growing in health communication. OBJECTIVE The aim of this study was to describe the design and implementation of a graphic narrative screensaver (GNS) to communicate a guideline recommendation (ie, avoiding low-value acid suppressive therapy [AST] use in hospital inpatients) and examine the comparative effectiveness of the GNS versus a text-based screensaver (TBS) on clinical practice (ie, low-value AST prescriptions) and clinician recall. METHODS During a 2-year period, the GNS and the TBS were displayed on inpatient clinical workstations. The numbers of new AST prescriptions were examined in the four quarters before, the three quarters during, and the one quarter after screensavers were implemented. Additionally, an electronic survey was sent to resident physicians 1 year after the intervention to assess screensaver recall. RESULTS Designing an aesthetically engaging graphic that could be rapidly understood was critical in the development of the GNS. The odds of receiving an AST prescription on medicine and medicine subspecialty services after the screensavers were implemented were lower for all four quarters (ie, GNS and TBS broadcast together, only TBS broadcast, only GNS broadcast, and no AST screensavers broadcast) compared to the quarter prior to implementation (odds ratio [OR] 0.85, 95% CI 0.78-0.92; OR 0.89, 95% CI 0.82-0.97; OR 0.87, 95% CI 0.80-0.95; and OR 0.81, 95% CI 0.75-0.89, respectively; <i>P</i>&lt;.001 for all comparisons). There were no statistically significant decreases for other high-volume services, such as the surgical services. These declines appear to have begun prior to screensaver implementation. When surveyed about the screensaver content 1 year later, resident physicians recalled both the GNS and TBS (43/70, 61%, vs 54/70, 77%; <i>P</i>=.07) and those who recalled the screensaver were more likely to recall the main message of the GNS compared to the TBS (30/43, 70%, vs 1/54, 2%; <i>P</i>&lt;.001). CONCLUSIONS It is feasible to use a graphic narrative embedded in a broadcast screensaver to communicate a guideline recommendation, but further study is needed to determine the impact of graphic narratives on clinical practice.

scholarly journals Rational pharmacotherapy in real clinical practice through the prism of multimorbidity and drug safety

2020 ◽  
Vol 1 (2) ◽  
pp. 29-39
Author(s):  
Dmitry I. Trukhan ◽  
Keyword(s):  
Clinical Practice ◽  
Cardiovascular Diseases ◽  
Drug Safety ◽  
Adult Population ◽  
Premature Death ◽  
Review Article ◽  
Rational Pharmacotherapy ◽  
Real Clinical Practice

Currently, multimorbidity/comorbidity and drug safety are important components of rational pharmacotherapy in real clinical practice. Cardiovascular diseases occupy a leading place in the structure of non-infectious pathology of the adult population, being the main cause of early disability and premature death. In a review article, using clinical examples, the issues of rational pharmacotherapy in patients with cardiovascular diseases and concomitant comorbid/multimorbid pathology are considered.

scholarly journals Building data analytics skills for clinical drug development quality professionals - the Data Analytics University training program

2021 ◽  
Author(s):  
Sharon Havenhad ◽  
Björn Koneswarakantha ◽  
Donato Rolo ◽  
Pooja Mehta ◽  
Rich Bowling ◽  
...  
Keyword(s):  
Drug Development ◽  
Training Program ◽  
Data Analytics ◽  
New Technologies ◽  
High Volume ◽  
Clinical Drug Development ◽  
Data Driven Approach ◽  
E Learning ◽  
University Training ◽  
Clinical Drug

Abstract Clinical drug development is a complex and extensive process that entails multiple stakeholders alongside patients, requires large capital expenditures and takes nearly a decade on average to complete. To ensure the correct development of this process, rigorous quality activities must be conducted to assess and guarantee the Good Clinical and Pharmacovigilance Practices (GxP) for study compliance. For about 25 years, most of these activities have been performed in the form of audits, which implies a high volume of manual work and resources in addition to being reactive by nature. Due to the limitations of this approach, together with intent to leverage new technologies in the data analytics field, a more holistic, proactive and data-driven approach needed to take place. For this to happen, quality assurance expertise needed to be complemented by the data literacy skillset. To achieve this, the Data Analytics University (DAU) was created. An in-house training program composed by two pathways that provided a framework for clinical quality staff to develop their data analytics capabilities. The first pathway covers the basics of statistics, probability and data-related terminology, while the second deepens further into the topics covered in the former followed by hands-on activities to put the knowledge to test. After successful completion of 15 DAU sessions, over 310 trained staff were able to apply their learning on data analytics and solve potential issues that might arise with a given dataset. In the near future, the DAU will be made available externally as an e-learning training program.

scholarly journals Task shifting of intravitreal injections from physicians to nurses: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stine Bolme ◽  
Dordi Austeng ◽  
Kari Hanne Gjeilo
Keyword(s):  
Qualitative Study ◽  
Training Program ◽  
Qualitative Content Analysis ◽  
High Volume ◽  
Tertiary Hospital ◽  
Intravitreal Injections ◽  
Vascular Endothelial ◽  
Quality Patient Care ◽  
Endothelial Growth Factor ◽  
Training Efficiency

Abstract Background Intravitreal injections of anti-vascular endothelial growth factor are high-volume procedures and represent a considerable workload on ophthalmology departments. Several departments have tried to meet this increase by shifting the task to nurses. To maintain high-quality patient care, we developed a training program for nurses that certifies them to administer injections. This qualitative study aimed to evaluate whether the nurses were confident and in control after participating in the training program and whether they were satisfied with the training and the new task. Methods Between 2014 and 2018, 12 registered nurses were trained in a tertiary hospital in central Norway. All the nurses were interviewed, either individually (n = 7) or in a group (n = 5). We analysed the interviews using Graneheim and Lundman’s qualitative content analysis. Results Eight subthemes were clustered within four main themes: 1) procedure and challenges, 2) motivation, 3) cooperation and confidence, and 4) evaluation. The nurses felt confident and in control when administering injections but experienced moments of insecurity. The new task gave the nurses a sense of achievement, and they highlighted improvement of patients’ lives as positive. A greater level of responsibility gave the nurses pride in their profession. They had suggestions that could improve training efficiency but were overall satisfied with the training program. Conclusions Our study showed that the nurses were satisfied with the training and that learning a new task led to higher self-esteem and increased respect from patients and colleagues. Suggestions to improve the training were identified; these should be considered before implementation by other departments.

Hospital training program increases awareness of Good Clinical Practice (GCP)

2011 ◽  
Vol 32 (3) ◽  
pp. 339-341 ◽  
Author(s):  
Hanna Kuusisto ◽  
Marjo Virkki ◽  
Erkki Wuolijoki ◽  
Tapani Keränen
Keyword(s):  
Clinical Practice ◽  
Training Program ◽  
Good Clinical Practice
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