PACT Training for Oncology Nursing Care

Overseen By Talia Zaider, PhD

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Memorial Sloan Kettering Cancer Center

Disqualifiers: Leaving MSK, Refuses observation, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

65 Participants Needed

Trial Summary

What is the purpose of this trial?

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.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What data supports the effectiveness of the PACT Training for Oncology Nursing Care treatment?

Research shows that patient-centered nursing interventions, like those in the PACT training, can improve patient outcomes such as well-being and trust in nurses. Additionally, effective distress assessment and management, which is part of PACT, can enhance patients' quality of life during cancer treatment. ^{1 2 3 4 5}

Is PACT Training for Oncology Nursing Care safe for humans?

The available research does not provide specific safety data for PACT Training for Oncology Nursing Care, but it emphasizes the importance of patient safety education in reducing medical errors and improving safety in oncology settings. ^{6 7 8 9 10}

How does PACT Training for Oncology Nursing Care differ from other treatments for cancer care?

PACT Training for Oncology Nursing Care is unique because it focuses on enhancing the skills and competencies of oncology nurses through specialized training, rather than directly treating the cancer itself. This approach aims to improve the quality of care provided to cancer patients by equipping nurses with advanced knowledge and skills, which is different from traditional treatments that focus on medical interventions. ^{2 11 12 13 14}

Research Team

Talia Zaider, PhD

Principal Investigator

Memorial Sloan Kettering Cancer Center

Eligibility Criteria

This trial is for English-speaking nurses working day shifts in the GI unit at Memorial Sloan Kettering, and family caregivers of adult GI cancer patients admitted there. Caregivers must be involved in patient care but cannot participate if their patient has passed away or they were part of an earlier study phase.

Inclusion Criteria

I am an MSKCC nurse on the GI unit, comfortable with English.

Exclusion Criteria

I am a nurse planning to leave my current position or refuse observation within 3 months.

Family caregivers (FC) - Phases 1b, 2, 4: FC participated in an earlier study phase. FC's patient is deceased at time of consent.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training

Nurses undergo the PACT training program to enhance family-centered care skills

4 weeks

Implementation

Nurses implement family-centered care practices in the GI inpatient unit

30 days

Ongoing assessments during shifts

Follow-up

Participants are monitored for the effectiveness of family-centered care practices

4 weeks

Treatment Details

Interventions

• Partnership, Assessment, Care and Transition training intervention

Trial Overview The PACT (Partnership, Assessment, Care, and Transition) training program is being tested to see if it improves nurses' skills in providing family-centered care. The impact on caregiver outcomes will also be assessed.

Participant Groups

Group I: Nurses Experimental Treatment 1 Intervention

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

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials

1,998

Recruited

602,000+

Findings from Research

The NCCN Third Annual Patient Safety Summit focused on improving patient safety in oncology by addressing medication reconciliation, communication during patient hand-offs, and reporting near-miss events, highlighting the importance of these processes in preventing adverse events.

Key strategies discussed included transitioning from paper to electronic systems and enhancing education and training for healthcare teams, emphasizing that every team member plays a crucial role in maintaining patient safety.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Report on the NCCN Third Annual Patient Safety Summit. Hinkel, JM.[2019]

A 1-day patient safety program for third-year medical students, which included online modules and simulation scenarios, was well-received with an average evaluation score of 4.2/5, indicating its effectiveness in teaching safety principles.

The program increased awareness of patient safety issues among students, with 59% reporting they were previously unaware of system-based safety approaches, and it empowered them to act on safety concerns, potentially reducing adverse events in oncology care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Care Delivery. James, TA., Goedde, M., Bertsch, T., et al.[2018]

A new model for patient participation in intravenous chemotherapy safety was developed based on a comprehensive review of chemotherapy-related adverse events and existing patient safety strategies, which can help reduce adverse reactions in cancer patients.

The model, refined through a Delphi-method questionnaire with an 82.36% response rate, includes detailed indicators for patient involvement and responsibilities of medical personnel, providing a structured approach for nurse practitioners to enhance patient safety during chemotherapy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A developed model of cancer patients participation in intravenous chemotherapy safety. Na, Z., Qiaoyuan, Y., Binghan, W., et al.[2019]

In a study of 29 nurses involved in cancer care at a tertiary hospital in Barcelona, 31% were identified as advanced practice nurses (APNs) meeting all competency standards, highlighting the presence of skilled professionals in oncology.

Most of the identified APNs had advanced degrees, with 24.1% holding a master's degree and 6.9% holding a PhD, emphasizing the need for recognizing and utilizing their competencies to improve patient care and optimize health resources in cancer treatment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Professional competencies of oncology nurses: Recognizing advanced practice in nursing. Muñoz-Villaverde, S., Martínez-García, M., Serrano-Oviedo, L., et al.[2023]

References

1. United States pubmed.ncbi.nlm.nih.gov

Oncology clinical nurse specialists' perceptions of their influence on patient outcomes. [2019]

2. United States pubmed.ncbi.nlm.nih.gov

Incorporating breast cancer care data into clinical assessment. [2014]

3. United States pubmed.ncbi.nlm.nih.gov

Improving psychosocial assessment in a community-based cancer center. [2014]

4. United States pubmed.ncbi.nlm.nih.gov

Relationships between patient-centered cancer nursing interventions and desired health outcomes in the context of the health care system. [2022]

5. Switzerland pubmed.ncbi.nlm.nih.gov

What Nursing-Sensitive Outcomes Have Been Investigated to Date among Patients with Solid and Hematological Malignancies? A Scoping Review. [2023]

6. United States pubmed.ncbi.nlm.nih.gov

Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors. [2013]

7. United States pubmed.ncbi.nlm.nih.gov

Report on the NCCN Third Annual Patient Safety Summit. [2019]

8. England pubmed.ncbi.nlm.nih.gov

Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Care Delivery. [2018]

9. Canada pubmed.ncbi.nlm.nih.gov

Categorizing errors and adverse events for learning: a provider perspective. [2019]

10. United States pubmed.ncbi.nlm.nih.gov

A developed model of cancer patients participation in intravenous chemotherapy safety. [2019]

11. Brazil pubmed.ncbi.nlm.nih.gov

Core competencies for the training of advanced practice nurses in oncology: a Delphi study. [2022]

12. Germany pubmed.ncbi.nlm.nih.gov

Building A High Quality Oncology Nursing Workforce Through Lifelong Learning: The De Souza Model. [2018]

13. Scotland pubmed.ncbi.nlm.nih.gov

Dynamics and processes influencing role integration of advanced practice nurses and nurse navigators in oncology teams. [2023]

14. Spain pubmed.ncbi.nlm.nih.gov

Professional competencies of oncology nurses: Recognizing advanced practice in nursing. [2023]