Memorial Sloan Kettering Cancer Center, New York, NY
Mary S. McCabe , Denice Economou , Marcia Grant
Background: Although the 2006 IOM report on Cancer Survivorship calls for the education of health professionals, few formal programs have been instituted and evaluated. This NCI R25 grant focused on the preparation of nurses to provide comprehensive survivorship care. The program included didactic and interactive sessions, as well as goal development focused on plans for implementation of survivorship activities post course. This abstract will describe the goal analysis at 6, 12, and 18 months post course provided by the 113 nurses in the first two courses. Methods: Goals focused on survivorship activities to be implemented at the home institution/practice. Goals were coded using the results-based S.M.A.R.T. framework and they could have more than one code if they reflected multiple activities. Goal achievement was measured using a 5 point scale with 0 = never started, 1 = stopped or cancelled, 2 = Stalled, 3 = In Process or 4 = Completed at 6, 12 and 18 months post course. Results: A total of 403 goals were coded for the first 2 courses. The most frequent goal for both courses was Professional Education (23.1%, 21%). The second most frequent goal was -Institution of Survivorship Care (13%, 9.8%). The third most frequent goal for Course 1 was Evaluation of Survivor Needs. For course 2 the third most frequent goals were Evaluation of Survivor Needs and Team Development. Goal achievements for course 1: 70% completed or in process, 4.4% stalled or stopped and 25% never started. Course 2: 62% completed or in process, 18.3% stalled or stopped and 20% never started. Conclusions: While participants from our 2 first courses represented a variety of academic and community settings, their goals were quite similar and reflected the basic need for staff education and plans for clinical services. Barriers to success were met by approximately 29% of the participants in Course 1 & approximately 38% in Course 2. These data demonstrate that Survivorship remains in the early stages as a formal period of care and ongoing development of experts/resources continues to be needed. Identification of barriers and facilitators to address them is critical.
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