2018 ASCO Annual Meeting!
Session: Innovative Approaches to Oncology Education
Type: Clinical Science Symposium
Time: Sunday June 3, 11:30 AM to 1:00 PM
Professional development improves geriatric focused oncology activities in settings across the nation.
2018 ASCO Annual Meeting
J Clin Oncol 36, 2018 (suppl; abstr 11003)
Author(s): Denice Economou, Peggy Burhenn, Heeyoung Kim, Can-Lan Sun, Chris Okamoto, Anait Arsenyan, Elsa Roberts, Carolina Uranga, Vani Katheria, Arti Hurria; City of Hope, Duarte, CA; City of Hope National Medical Center, Duarte, CA
Background: Although older adults represent the majority of patients with cancer, oncology nurses receive little training in the care of older patients. In an effort to bridge this knowledge gap, an NCI-funded R25 grant supported the development and implementation of an educational curriculum in geriatrics for oncology nurses. Methods: Competitively chosen 3-person nursing teams (manager, educator, and clinical provider) from cancer settings across the nation participated in a 2 ½ day course in geriatrics for oncology nurses. Teams developed 3 goals aimed to improve geriatric oncology care in their settings. Goals were coded into detailed subcategories by PI and Co-Is. Code categories included: research-focused, clinical care, education, geriatric assessment, symptom focused, caregiver-related, infrastructure/team building, and other. Progress in implementing the goals was tracked at 6, 12, and 18 months post course. Goal completion rate over time was analyzed using generalized estimating equation for repeated measure. Results: 99 nurses (34 teams) participated in the 1st conference. A single goal may have had 2-3 codes applied and therefore 3 goals per 34 teams yielded a total of 181 codes. The most common goals focused on improving geriatric oncology clinical care (23%; N = 41 codes), professional education (23%; N = 41), geriatric assessment (9%; N = 16), infrastructure/team building (8%; N = 14) and resource development (7%; N = 13). Overall goal achievement at 6, 12, and 18 months was categorized as never started (29%, 7%, 4%), stopped (2%, 10%, 15%), stalled (9%, 20%, 13%), in process (48%, 38%, 30%) and completed (13%, 25%, 37%). Fourteen (8%) of the 41 clinical care goals and 8 (4%) of the education goals had stopped or stalled. Four teams had goals that were not started by 18 months. Goal completion rate increased significantly from 6 to 18 months (P < .0001). By 18 months, 67% of the goals were either in process or completed. Conclusions: An education curriculum in geriatrics for oncology nurses was implemented. Over the subsequent 18 months, nurses enacted goals to improve geriatric oncology care in their institutions. Continued follow-up and support is needed post course to foster goal completion.