Advancing Nursing Practices in Hospital Oncology Care

Study Overview
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Brief Summary
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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.

Official Title
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Advancing Family-Centered Care Nursing Practices in Inpatient Oncology Care

Conditions
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Gastrointestinal Cancer, Gastrointestinal Disease, Nurse's Role

Intervention / Treatment
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* Behavioral: Partnership, Assessment, Care and Transition training intervention


Participation Criteria
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Eligibility Criteria
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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) - Phases 1b, 2, 4: 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) - Phases 1b, 2, 4: FC participated in an earlier study phase FC's patient is deceased at time of consent

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Nurses<br>MSKCC day-shift nurses (Clinical Nurse I to IV) assigned to the GI inpatient unit (MH16) at the time of study, all of whom provide initial and ongoing assessment of patients' physical, psychosocial, cultural and informational needs | Behavioral: Partnership, Assessment, Care and Transition training intervention<br>* 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.<br>* Other names: PACT;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of nurses' use of family centered care practices | Frequency of nurses' use of family centered care practices as observed during inpatient consultations with family caregivers | 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Family Caregiver, Family Centered Care, Inpatient Oncology Care, Nursing Practices, 20-448, Memorial Sloan Kettering Cancer Center