Yosuke Kubota1, Toru Okuyama1,2, Megumi Uchida1,2, Shino Umezawa3, Tomohiro Nakaguchi1,2, Koji Sugano1,2, Yoshinori Ito1,2, Fujika Katsuki4, Yumi Nakano5, Takeshi Nishiyama6, Yoshiko Katayama7, Tatsuo Akechi1,2. 1. Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. 2. Division of Psycho-oncology and Palliative Care, Nagoya City University Hospital, Nagoya, Japan. 3. Section of Liaison Psychiatry and Palliative Medicine, Division of Comprehensive Patient Care, Tokyo Medical and Dental University Graduate School of Medical and Dental Sciences, Tokyo, Japan. 4. Department of Psychiatric and Mental Health Nursing, Nagoya City University School of Nursing, Nagoya, Japan. 5. Department of Psychology, School of Human Sciences, Sugiyama Jogakuen University, Nissin, Aichi, Japan. 6. Department of Public Health, Aichi Medical University School of Medicine, Nagakute, Aichi, Japan. 7. Division of Nursing, Aichi Cancer Center Hospital, Nagoya, Japan.
Abstract
OBJECTIVE:Oncology nurses are expected to play an important role in psychosocial care for cancer patients. The aim of this study was to examine whether a novel training program aimed at enhancing oncology nurses' ability to assess and manage common psychological problems in cancer patients would improve participants' self-reported confidence, knowledge, and attitudes regarding care of patients with common psychological problems (trial register: UMIN000008559). METHODS:Oncology nurses were assigned randomly to either the intervention group (N = 50) or the waiting list control group (N = 46). The intervention group received a 16-h program, the content of which focused on four psychological issues: normal reactions, clinically significant distress, suicidal thoughts, and delirium. Each session included a role-play exercise, group work, and didactic lecture regarding assessment and management of each problem. Primary outcomes were changes in self-reported confidence, knowledge, and attitudes toward the common psychological problems between pre-intervention and 3 months post-intervention. Secondary outcomes were job-related stress and burnout. Intervention acceptability to participants was also assessed. RESULTS: In the intervention group, confidence and knowledge but not attitudes were significantly improved relative to the control group. No significant intervention effects were found for job- related stress and burnout. A high percentage (98%) of participants considered the program useful in clinical practice. CONCLUSIONS: This psycho-oncology training program improved oncology nurses' confidence and knowledge regarding care for patients with psychological problems.
RCT Entities:
OBJECTIVE: Oncology nurses are expected to play an important role in psychosocial care for cancerpatients. The aim of this study was to examine whether a novel training program aimed at enhancing oncology nurses' ability to assess and manage common psychological problems in cancerpatients would improve participants' self-reported confidence, knowledge, and attitudes regarding care of patients with common psychological problems (trial register: UMIN000008559). METHODS: Oncology nurses were assigned randomly to either the intervention group (N = 50) or the waiting list control group (N = 46). The intervention group received a 16-h program, the content of which focused on four psychological issues: normal reactions, clinically significant distress, suicidal thoughts, and delirium. Each session included a role-play exercise, group work, and didactic lecture regarding assessment and management of each problem. Primary outcomes were changes in self-reported confidence, knowledge, and attitudes toward the common psychological problems between pre-intervention and 3 months post-intervention. Secondary outcomes were job-related stress and burnout. Intervention acceptability to participants was also assessed. RESULTS: In the intervention group, confidence and knowledge but not attitudes were significantly improved relative to the control group. No significant intervention effects were found for job- related stress and burnout. A high percentage (98%) of participants considered the program useful in clinical practice. CONCLUSIONS: This psycho-oncology training program improved oncology nurses' confidence and knowledge regarding care for patients with psychological problems.
Authors: Sidney Medeiros de Oliveira; Luiz Vinicius de Alcantara Sousa; Maria do Socorro Vieira Gadelha; Vânia Barbosa do Nascimento Journal: Clin Pract Epidemiol Ment Health Date: 2019-03-29
Authors: F Fischer; S Helmer; A Rogge; J I Arraras; A Buchholz; A Hannawa; M Horneber; A Kiss; M Rose; W Söllner; B Stein; J Weis; P Schofield; C M Witt Journal: BMC Cancer Date: 2019-08-14 Impact factor: 4.430