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Bridging gaps in cancer care for young adults: A collaborative e-learning initiative for oncology nurses
Abstract
Background: The global incidence of cancer in young adults aged 18 to 39 has risen significantly, presenting unique challenges that permeate many aspects of their lives, from education to careers and finances. Despite expressing a desire for psychological support, many young adults are reluctant to share their concerns with nurses. As a result, these young adults may feel that their unique experience is not properly acknowledged and that their complex needs are not satisfied.
Objectives: This project aims to share the experience of developing an e-learning training for continuous nursing education, focusing on enhancing nurses’ awareness, knowledge, and support for young adults with hematological cancer through a collaborative approach.
Methods: Utilizing verbatim data from co-design workshops, literature reviews, and The Leukemia & Lymphoma Society of Canada (LLSC) podcasts and resources, a multidisciplinary team developed three modules on understanding young adults, exploring psychosocial challenges, and providing effective support. Pedagogical approaches, inspired by Adult Learning Theory, were combined for a comprehensive and engaging learning experience.
Findings: The collaborative e-learning initiative provides a tailored educational experience for nurses that addresses young adults’ unique needs and challenges. The program’s innovation consists of collaboration with patient-partners and community organizations to design, develop and evaluate its content and its structure. The preliminary evaluation highlights the program’s strong potential to enhance nurses’ awareness in addressing the unique psychosocial needs of young adults.
Keywords: young adults, cancer care, hematological cancer, psychosocial support, nurse education, patient-centred care, community resources
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Alvarez, E. M., Force, L. M., Xu, R., Compton, K., Lu, D., Henrikson, H. J., Kocarnik, J. M., Harvey, J. D., Pennini, A., Dean, F. E., Fu, W., Vargas, M. T., Keegan, T. H. M., Ariffin, H., Barr, R. D., Erdomaeva, Y. A., Gunasekera, D. S., John-Akinola, Y. O., Ketterl, T. G., … Ahmad, S. (2022). The global burden of adolescent and young adult cancer in 2019: A systematic analysis for the Global Burden of Disease Study 2019. The Lancet Oncology, 23(1), 27–52. https://doi.org/10.1016/S1470-2045(21)00581-7
American Cancer Society. (2020). Key statistics for cancers in young adults. American Cancer Society. https://www.cancer.org/cancer/types/cancer-in-young-adults/key-statistics.html#:~:text=in%20young%20adults-,How%20common%20is%20cancer%20in%20young%20adults%3F,people%20in%20this%20age%20range.
Baker, K. S., & Syrjala, K. L. (2018). Long-term complications in adolescent and young adult leukemia survivors. Hematology, 2018(1), 146–153. https://doi.org/10.1182/asheducation-2018.1.146
Bilodeau, K., Hartono, B., Lee, V., Folch, N., Charpentier, D., Vachon, M. F., Pomey, M.-P., Sultan, S., Vinette, B., & El-Akhras, A. (2022). Improving community and healthcare services for young adults living with cancer: Suggestions from a multiple stakeholder workshop. Canadian Oncology Nursing Journal, 32(4). https://doi.org/10.5737/23688076324484
Bilodeau, K., Henriksen, C., Lee, V., Vachon, M.-F., Charpentier, D., Folch, N., Pepin, J., Pomey, M.-P., Piché, L., & Fernandez, N. (2022). The experiential learning pathway of cancer survivors as they recover their lives post-treatment: A qualitative study. Global Qualitative Nursing Research, 9, 23333936221083026
Bilodeau, K., Lee, V., Pepin, J., Pomey, M. P., Sultan, S., Folch, N., Charpentier, D., Vachon, M. F., Dumont-Lagacé, É., & Piché, L. (2021). Learning through the experience of cancer survivorship: Differences across age groups. Journal of Psychosocial Oncology, 39(4), 553–570. https://doi.org/10.1080/07347332.2021.1878316
Bradford, N. K., & Chan, R. J. (2017). Health promotion and psychological interventions for adolescent and young adult cancer survivors: A systematic literature review. Cancer Treatment Reviews, 55, 57–70. https://doi.org/https://doi.org/10.1016/j.ctrv.2017.02.011
Bray, F., Ferlay, J., Soerjomataram, I., Siegel, R. L., Torre, L. A., & Jemal, A. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Cancer Journal for Clinicians, 68(6), 394–424. https://doi.org/10.3322/caac.21492
Canadian Cancer Society. (2023). Advancing health equity through cancer information and support services: Report on communities that are underserved. C. C. Society. https://cdn.cancer.ca/-/media/files/about-us/our-health-equity-work/underserved-communities-report_2023_en.pdf
Canadian Partnership Against Cancer. (2019). Canadian framework for the care and support of adolescents and young adults with cancer. https://s22457.pcdn.co/wp-content/uploads/2019/10/AYA-Framework-2019-EN.pdf
Chen, C. S., Chan, S. W.-C., Chan, M. F., Yap, S. F., Wang, W., & Kowitlawakul, Y. (2017). Nurses’ perceptions of psychosocial care and barriers to its provision: A qualitative study. Journal of Nursing Research, 25(6), 411–418. https://doi.org/10.1097/jnr.0000000000000185
Cheung, C. K., Tucker-Seeley, R., Davies, S., Gilman, M., Miller, K. A., Lopes, G., Betz, G. D., Katerere-Virima, T., Helbling, L. E., Thomas, B. N., & Lewis, M. A. (2021). A call to action: Antiracist patient engagement in adolescent and young adult oncology research and advocacy. Future Oncology, 17(28), 3743–3756. https://doi.org/10.2217/fon-2020-1213
Choi, E., Becker, H., & Kim, S. (2022). Unmet needs in adolescents and young adults with cancer: A mixed-method study using social media. Journal of Pediatric Nursing, 64, 31–41. https://doi.org/10.1016/j.pedn.2022.01.019
Ciccarella, A., Staley, A. C., & Franco, A. T. (2018). Transforming research: engaging patient advocates at all stages of cancer research. Annals of Translational Medicine, 6(9). https://doi.org/10.21037/atm.2018.04.46
Dana-Farber Cancer Institute. (2025). Psychosocial oncology: What to expect when caring for an oncology patient. https://cmecatalog.hms.harvard.edu/psychosocial-oncology
de Souza Institute, & Canadian Association of Psychosocial Oncology. (2024). Interprofessional Psychosocial Oncology: Introduction to Theory and Practice (IPODE). https://my.desouzainstitute.com/external/courses/view/1263?_gl=1*12rjabj*_ga*MjAzNDAxMzgwMi4xNzI5MTk1Nzkw*_ga_
NP5FH0N8NJ*MTcyOTE5NTc5MC4xLjAuMTcyOTE5NTc5MC42
MC4wLjA
Dunne, W., Adebayo, N., Danner, S., Post, S., O’Brian, C., Tom, L., Osei, C., Blum, C., Rivera, J., Molina, E., Trosman, J., Weldon, C., Ekong, A., Adetoro, E., Rapkin, B., & Simon, M. A. (2023). A learning health system approach to cancer survivorship care among LGBTQ+ communities. JCO Oncology Practice, 19(1), e103–e114. https://doi.org/10.1200/op.22.00386
El-Akhras, A. (2022). L’accompagnement infirmier personnalisé à l’expérience de jeunes hommes atteints d’un cancer Université de Montréal]. WorldCat.org. [Montréal]. http://hdl.handle.net/1866/27568
El-Akhras, A., & Bilodeau, K. (2023). Humanistic nursing tailored to the needs of young men with cancer. Canadian Oncology Nursing Journal, 33(2), 239–245. https://doi.org/10.5737/23688076332231
Ferrari, A., Stark, D., Peccatori, F., Fern, L., Laurence, V., Gaspar, N., Bozovic-Spasojevic, I., Smith, O., De Munter, J., & Derwich, K. (2021). Adolescents and young adults (AYA) with cancer: A position paper from the AYA working group of the European Society for Medical Oncology (ESMO) and the European Society for Paediatric Oncology (SIOPE). ESMO Open, 6(2). https://doi.org/10.1016/j.esmoop.2021.100096
Flynn, K. E., Jeffery, D. D., Keefe, F. J., Porter, L. S., Shelby, R. A., Fawzy, M. R., Gosselin, T. K., Reeve, B. B., & Weinfurt, K. P. (2011). Sexual functioning along the cancer continuum: Focus group results from the Patient-Reported Outcomes Measurement Information System (PROMIS®). Psychooncology, 20(4), 378–386. https://doi.org/10.1002/pon.1738
Galán, S., de la Vega, R., Tomé Pires, C., Racine, M., Solé, E., Jensen, M. P., & Miró, J. (2017). What are the needs of adolescents and young adults after a cancer treatment? A Delphi study. European Journal of Cancer Care, 26(2). https://doi.org/10.1111/ecc.12488
Ghazal, L. V., Gormley, M., Merriman, J. D., & Santacroce, S. J. (2021). Financial toxicity in adolescents and young adults with cancer: A concept analysis. Cancer Nursing, 44(6), E636–E651. https://doi.org/10.1097/ncc.0000000000000972
Husson, O., Huijgens, P. C., & van der Graaf, W. T. A. (2018). Psychosocial challenges and health-related quality of life of adolescents and young adults with hematologic malignancies. Blood, 132(4), 385–392. https://doi.org/10.1182/blood-2017-11-778555
Jho, M. Y., & Kang, Y. (2016). Perceptions of continuing nursing education in Korea. The Journal of Continuing Education in Nursing, 47(12), 566-572. https://doi.org/10.3928/00220124-20161115-10
Jiao, L., Sui, Y., Yang, G., Wang, P., Li, Q., Chen, J., Liu, L., & Yang, C. (2021). The construction of the evaluation system of nurses’ post-training and the application of the system in 25 grade-A general hospitals in China. Nursing Open, 8(1), 482–497. https://doi.org/10.1002/nop2.651
Jin, Z., Griffith, M. A., & Rosenthal, A. C. (2021). Identifying and meeting the needs of adolescents and young adults with cancer. Current Oncology Reports, 23(2). https://doi.org/10.1007/s11912-020-01011-9
Kaal, S. E. J., Husson, O., van Dartel, F., Hermans, K., Jansen, R., Manten-Horst, E., Servaes, P., van de Belt, T. H., Engelen, L. J., Prins, J. B., Verberne, S., & van der Graaf, W. T. A. (2018). Online support community for adolescents and young adults (AYAs) with cancer: User statistics, evaluation, and content analysis. Patient Preference and Adherence, 12, 2615–2622. https://doi.org/10.2147/PPA.S171892
Kaul, S., Avila, J. C., Mutambudzi, M., Russell, H., Kirchhoff, A. C., & Schwartz, C. L. (2017). Mental distress and health care use among survivors of adolescent and young adult cancer: A cross-sectional analysis of the National Health Interview Survey. Cancer, 123(5), 869–878. https://doi.org/10.1002/cncr.30417
Kirkpatrick, J., & Kirkpatrick, K. W. (2022). An introduction to the new world Kirkpatrick model. Kirkpatrick Partners, LLC https://www.kirkpatrickpartners.com/wp-content/uploads/2021/11/Introduction-to-The-New-World-Kirkpatrick%C2%AE-Model.pdf
Knowles, M. S., Holton III, E. F., & Swanson, R. A. (2015). The adult learner: The definitive classic in adult education and human resource development (8 ed.). Routledge.
Kumari, P., & Naaz, I. (2020). Digital learning through MOOCs: Advantages, outcomes & challenges. Sambodhi, UGC CARE Journal, 43(4), 18–22.
Liu, J., Gutierrez, E., Tiwari, A., Padam, S., Li, D., Dale, W., Pal, S. K., Stewart, D., Subbiah, S., Bosserman, L. D., Presant, C., Phillips, T., Yap, K., Hill, A., Bhatt, G., Yeon, C., Cianfrocca, M., Yuan, Y., Mortimer, J., & Sedrak, M. S. (2020). Strategies to improve participation of older adults in cancer research. Journal of Clinical Medicine, 9(5). https://doi.org/10.3390/jcm9051571
McMahon, G. T. (2021). Learning together: Engaging patients as partners in CPD. Journal of Continuing Education in the Health Professions, 41(4), 268–272. https://doi.org/10.1097/CEH.0000000000000388
Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC Nursing, 20(1), 62. https://doi.org/10.1186/s12912-021-00579-2
Nash, S. H., Greenley, R., Dietz-Chavez, D., Vindigni, S., Harrison, T., Peters, U., & Redwood, D. (2020). Incorporating participant and clinical feedback into a community-based participatory research study of colorectal cancer among Alaska Native People. Journal of Community Health, 45(4), 803–811. https://doi.org/10.1007/s10900-020-00796-x
O’Brien Pott, M., Blanshan, A. S., Huneke, K. M., Baasch Thomas, B. L., & Cook, D. A. (2021). What influences choice of continuing medical education modalities and providers? A national survey of U.S. physicians, nurse practitioners, and physician assistants. Academic Medicine, 96(1), 93–100. https://doi.org/10.1097/acm.0000000000003758
Rodriguez, N. M., Casanova, F., Pages, G., Claure, L., Pedreira, M., Touchton, M., & Knaul, F. (2020). Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers. PLOS ONE, 15(10). https://doi.org/10.1371/journal.pone.0240827
Saldaña, J. (2016). The coding manual for qualitative researchers (2 ed.). Sage.
Sansom-Daly, U. M., Wakefield, C. E., Ellis, S. J., McGill, B. C., Donoghoe, M. W., Butow, P., Bryant, R. A., Sawyer, S. M., Patterson, P., Anazodo, A., Plaster, M., Thompson, K., Holland, L., Osborn, M., Maguire, F., O’Dwyer, C., De Abreu Lourenco, R., Cohn, R. J., & Party, T. R. L. W. (2021). Online, group-based psychological support for adolescent and young adult cancer survivors: Results from the recapture life randomized trial. Cancers, 13(10). https://doi.org/10.3390/cancers13102460
Tay, L. H., Ong, A. K. W., & Lang, D. S. P. (2018). Experiences of adult cancer patients receiving counseling from nurses: A qualitative systematic review. JBI Evidence Synthesis, 16(10), 1965–2012. https://doi.org/10.11124/jbisrir-2017-003606
Tiirola, H., Poutanen, V. M., Vornanen, R., & Pylkkänen, L. (2021). Development of cancer support services for patients and their close ones from the Cancer Society of Finland’s perspective. International Journal of Qualitative Studies on Health and Well-being, 16(1). https://doi.org/10.1080/17482631.2021.1915737
van Klinken, M., Hafkamp, E., Gualtherie van Weezel, A., Hales, S., Lanceley, A., Rodin, G., Schulz-Quach, C., & de Vries, F. (2023). Teaching oncology nurses a psychosocial intervention for advanced cancer: A mixed-methods feasibility study. Seminars in Oncology Nursing, 39(6). https://doi.org/10.1016/j.soncn.2023.151507
Vinette, B., Bilodeau, K. (2021). Progression of self-management learning experiences of young adults following an allogeneic hematopoietic stem cell transplantation: A qualitative study. European Journal of Oncology Nursing, 52, 1–7. https://doi.org/10.1016/j.ejon.2021.101951
Wellings, C. A., Gendek, M. A., & Gallagher, S. E. (2017). Evaluating continuing nursing education: A qualitative study of intention to change practice and perceived barriers to knowledge translation. Journal for Nurses in Professional Development, 33(6), 281–286. https://doi.org/10.1097/nnd.0000000000000395
Wen, Y. F., Chen, M. X., Yin, G., Lin, R., Zhong, Y. J., Dong, Q. Q., & Wong, H. M. (2021). The global, regional, and national burden of cancer among adolescents and young adults in 204 countries and territories, 1990–2019: A population-based study. Journal of Hematology & Oncology, 14(1), 89. https://doi.org/10.1186/s13045-021-01093-3
Wettergren, L., Kent, E. E., Mitchell, S. A., Zebrack, B., Lynch, C. F., Rubenstein, M. B., Keegan, T. H. M., Wu, X. C., Parsons, H. M., & Smith, A. W. (2017). Cancer negatively impacts on sexual function in adolescents and young adults: The AYA HOPE study. Psychooncology, 26(10), 1632–1639. https://doi.org/10.1002/pon.4181
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