Gastrointestinal Cancer, Gastrointestinal Disease, Nurse's Role
Conditions
Keywords
Family Caregiver, Family Centered Care, Inpatient Oncology Care, Nursing Practices, 20-448, Memorial Sloan Kettering Cancer Center
Brief summary
The purpose of this study is to find out if a new training program for nurses called PACT (Partnership, Assessment, Care, and Transition) will be effective and relevant in helping nurses gain the skills needed to provide high-quality family-centered care. Family-centered care skills include engaging family caregivers as partners in patient care, and strengthening their capacity for caregiving by assessing family support needs and facilitating access to resources when needed. The study will also look at whether the quality of nurses' family-centered care skills is associated with improved outcomes for family caregivers. Both nurses and family caregivers will be enrolled in this study. Participants will be nurses/caregivers who care for advanced GI cancer patients admitted to Memorial Sloan Kettering.
Interventions
BEHAVIORALPartnership, Assessment, Care and Transition training intervention
Partnership, Assessment, Care and Transition to psychosocial resources. Nurses who participate in PACT will receive 8 hours of training in a single, full-day workshop. We will train nurses in clusters of 10-12 nurses at one time, which will allow for cross-coverage with minimal disruption to workflow, and provide a more intimate, small-group learning environment.
Sponsors
Memorial Sloan Kettering Cancer Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Nurses: * MSKCC day-shift nurses and/or night-shift nurses (Clinical Nurse I to IV) assigned to the GI inpatient unit (M16) at the time of study, all of whom provide initial and ongoing assessment of patients' physical, psychosocial, cultural and informational needs * Nurse is comfortable speaking and reading English as per self report Family caregivers (FC) - Phase 1b: * Adult (≥18 yrs) family caregiver (family caregiver is defined here as any informal caregiver who is a relative, friend or legal representative) who self-identifies and/or is identified by the nursing staff as involved in the care of an MSK cancer patient who either: * is currently admitted to the M16 unity for at least 12 hours OR * has been discharged from the M16 unit within the last 2 weeks * English-speaking as per self-report * Only one FC per patient case will be invited to participate. M16 Patients (chart review only): * Adult (≥18 yrs) cancer patient who is currently admitted in the M16 unit at Memorial Hospital for at least 12 hours o English speaking as per self-report
Exclusion criteria
Nurses: * Nurse plans to leave MSK or the GI unit within 3 months as per self-report * \[Phases 2-4\] Nurse refuses observation of consultations as per self-report Family caregivers (FC) - Phase 1b: * FC's patient is deceased at time of consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Frequency of nurses' use of family centered care practices | 30 days | Frequency of nurses' use of family centered care practices as observed during inpatient consultations with family caregivers |
Countries
United States
Outcome results
None listed