Prise en charge des symptômes du cancer : Évaluation du tutoriel en ligne du Groupe de recherche pancanadien sur le triage des symptômes et l’aide à distance en oncologie

Dawn Stacey, Meg Carley, Andra Davis

Abstract


Objectif : Évaluer l’acceptabilité du tutoriel Web en libre accès du Groupe pancanadien sur le triage des symptômes et l’aide à distance en oncologie (COSTaRS), de même que ses effets sur les connaissances des infirmières et sur leur confiance perçue à prendre en charge les symptômes du cancer.

Méthodologie : Évaluation rétrospective pré-test/post-test réalisée auprès d’infirmières ayant fait l’examen de connaissances du tutoriel ou rempli le sondage sur l’acceptabilité. Le tutoriel a été modelé sur un atelier en personne (déjà évalué) dont le but était de préparer les infirmières offrant des soins de prise en charge des symptômes du cancer à utiliser les guides de pratique COSTaRS.

Résultats : De 2017 à 2021, 743 infirmières ont fait l’examen de connaissances et 749 ont évalué le tutoriel. Le résultat moyen à l’examen était de 4,4/6, et 83 % des participantes ont obtenu la note de passage. Après le tutoriel, les infirmières avaient gagné en confiance pour évaluer et trier les patients, et pour les guider dans leurs autosoins (p < 0,001); leur habileté à utiliser les guides COSTaRS s’était aussi améliorée (p < 0,001). Selon les infirmières, le tutoriel était facile à comprendre (95 %), fournissait juste la bonne quantité d’information (92 %), donnait de l’information nouvelle (75 %), était bon à excellent dans l’ensemble (89 %), et valais la peine d’être recommandé à d’autres infirmières (83 %). 

Conclusion : Plus de 700 infirmières ont accédé au tutoriel. Après l’avoir complété, elles avaient acquis de bonnes connaissances et amélioré leur confiance à prendre en charge les symptômes du cancer.

Mots-clés : lignes directrices de pratique clinique, formation continue, soins infirmiers en oncologie, prise en charge des symptômes


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References


Barry, M. J., Cherkin, D. C., Chang, Y., Fowler, F., & Skates, S. (1997). A randomized trial of a multi-media shared decision-making program for men facing a treatment decision for benign prostatic hyperplasia. Disease Management & Clinical Outcomes, 1, 5–14.

Campbell, J. L., Fletcher, E., Britten, N., Green, C., Holt, T., Lattimer, V., … Warren, F. C. (2015). The clinical effectiveness and cost-effectiveness of telephone triage for managing same-day consultation requests in general practice: A cluster randomised controlled trial comparing general practitioner-led and nurse-led management systems with usual care (the ESTEEM trial). Health Technol Assess, 19(13), 1–212, vii–viii. https://doi.org/10.3310/hta19130

Ciccolini, K., Spaulding, E. M., Boyde, T., Berizzi, D., & Hansen, B. R. (2022). Oncology Nursing telephone triage workshop: Impact on nurses’ knowledge, confidence, and skill. Cancer Nurs, 45(2), E463–e470. https://doi.org/10.1097/ncc.0000000000000978

Edirippulige, S., & Armfield, N. R. (2016). Education and training to support the use of clinical telehealth: A review of the literature. Journal of Telemedicine and Telecare, 23(2), 273–282. https://doi.org/10.1177/1357633X16632968

Hickey, M., & Maloney-Newton, S. (2019). Telephone triage for oncology nurses: Oncology Nursing Society.

Howard, G. S. (1980). Response-shift bias – A problem in evaluating interventions with pre-post self-reports. Evaluation Review, 4, 93–106.

IBM Corporation. (2020). IBM SPSS Statistics for Windows, Version 27.0. Armonk, NY: IBM Corp.

Kirkpatrick, J. D., & Kirkpatrick, W. K. (2016). Kirkpatrick’s four levels of training evaluation: Results, behavior, learning, reaction. Association for Talent Development Press.

Kwok, C., Degen, C., Moradi, N., & Stacey, D. (2022). Nurse-led telehealth interventions for symptom management in patients with cancer receiving systemic or radiation therapy: A systematic review and meta-analysis. Support Care Cancer, 1–14. https://doi.org/10.1007/s00520-022-07052-z

Lam-Antoniades, M., Ratnapalan, S., & Tait, G. (2009). Electronic continuing education in the health professions: An update on evidence from RCTs. J Contin Educ Health Prof, 29(1), 44–51. https://doi.org/10.1002/chp.20005

Ludwig, C., Bennis, C., Carley, M., Gifford, W., Kuziemsky, C., Lafreniere-Davis, N., … Stacey, D. (2017). Managing symptoms during cancer treatments: Barriers and facilitators to home care nurses using symptom practice guides. Home Health Care Management & Practice, 29(4), 224–234. https://doi.org/10.1177/1084822317713011

Microsoft Corporation. (2020). Microsoft Excel. https://office.microsoft.com/excel

Nagel, D. A., & Penner, J. L. (2016). Conceptualizing Telehealth in nursing practice: Advancing a conceptual model to fill a virtual gap. J Holist Nurs, 34(1), 91–104. https://doi.org/10.1177/0898010115580236

Stacey, D., Carley, M., Kohli, J., Skrutkowski, M., Avery, J., Bazile, A. M., … Budz, D. (2014). Remote symptom support training programs for oncology nurses in Canada: An environmental scan. Canadian Oncology Nursing Journal, 24(2), 78–82.

Stacey, D., Carley, M., & Newton, J. (2020). Pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) practice guides —What’s changed in Version 2020? Canadian Oncology Nursing Journal / Revue canadienne de soins infirmiers en oncologie, 30(4), 8.

Stacey, D., Green, E., Ballantyne, B., Tarasuk, J., Skrutkowski, M., Carley, M., … Howell, D. (2016). Implementation of symptom protocols for nurses providing telephone-based cancer symptom management: A comparative cases study. Worldviews on Evidence-Based Nursing, 13(6), 420–431.

Stacey, D., Jolicoeur, L., Ballantyne, B., Davis, A., & Carley, M. (2016). COSTaRS Online Tutorial for Nurses. https://ktcanada.ohri.ca/costars/

Stacey, D., Ludwig, C., Jolicoeur, L., Carley, M., Balchin, K., Jibb, L., … Martelli, L. (2021). Quality of telephone-based cancer symptom management by nurses: A quality improvement project. Supportive care in cancer : Official journal of the Multinational Association of Supportive Care in Cancer, 29(2), 841–849. https://doi.org/10.1007/s00520-020-05551-5

Stacey, D., Macartney, G., Carley, M., Harrison, M. B., & Pan-Canadian Oncology Symptom Triage and Remote Support Group. (2013). Development and evaluation of evidence-informed clinical nursing protocols for remote assessment, triage and support of cancer treatment-induced symptoms. Nursing Research and Practice, 2013, 1–11.

Stacey, D., Skrutkowski, M., Carley, M., Kolari, E., Shaw, T., & Ballantyne, B. (2015). Training oncology nurses to use remote symptom support protocols: A retrospective pre-/post-study. Oncology Nursing Forum, 42(2), 174–182.

Steingass, S. K., & Maloney-Newton, S. (2020). Telehealth triage and oncology nursing practice. Seminars in Oncology Nursing, 36(3), 151019. https://doi.org/10.1016/j.soncn.2020.151019

van Houwelingen, C. T., Moerman, A. H., Ettema, R. G., Kort, H. S., & Ten Cate, O. (2016). Competencies required for nursing telehealth activities: A Delphi-study. Nurse Educ Today, 39, 50–62. https://doi.org/10.1016/j.nedt.2015.12.025

Varley, A., Warren, F. C., Richards, S. H., Calitri, R., Chaplin, K., Fletcher, E., … Campbell, J. (2016). The effect of nurses’ preparedness and nurse practitioner status on triage call management in primary care: A secondary analysis of cross-sectional data from the ESTEEM trial. Int J Nurs Stud, 58, 12–20. https://doi.org/10.1016/j.ijnurstu.2016.02.001

von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLOS Med, 4(10), e296. https://doi.org/10.1371/journal.pmed.0040296

Yank, V., Laurent, D., Plant, K., & Lorig, K. (2013). Web-based self-management support training for health professionals: A pilot study. Patient Education & Counseling, 90(1), 29–37.


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