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CME/CE Activities

Patient navigation effect on cancer patients' quality of life and distress
Available for Credit: October 1, 2020 - October 31, 2021
This study prospectively assessed the effect of a navigation program on both distress and health-related quality of life (QOL) in 297 cancer patients. The navigation program consists of nurse navigators and multiple support services including an integrative medicine clinic. Cancer patients who had navigators were evaluated at enrollment and again at 3, 6, 12, and 18 months. At each time point patients were administered The National Comprehensive Cancer Network (NCCN) distress thermometer (DT) and the Functional Assessment of Cancer Therapy – General (FACT-G). Patients were asked to list the cancer support services they had used since their last study check-in. DT scores, FACT-G total scores, subscales physical well-being, functional well-being, and emotional well-being all significantly improved from 6 to 18 months after enrollment. Both high and low users of the program had improved DT, total FACT-G, and various FACT-G subscales. Patients expressed high satisfaction with navigation.

Sexual and gender minority (SGM) prostate cancer survivors have unique physical, psychosocial, and sexual needs that often go unaddressed due to lack of provider understanding of those needs. This article describes the results of formative research conducted to inform the development of a training and companion materials for healthcare professionals to fill this learning gap. The monograph will also be hosted online on the following website for one year, providing all potential learners with additional opportunities to learn and earn CE credit.

The Oncology Nurse Navigator as “Gate Opener” to Interdisciplinary Supportive and Palliative Care for People with Head and Neck Cancer describes a novel model of oncology nurse navigator (ONN) to improve supportive and palliative care service access and uptake for people living with head and neck cancer. The authors outline the model in relation to an established program of interdisciplinary care called the Cancer Rehabilitation (CARE) Clinic. Within the interdisciplinary approach, the ONN serves as a gate opener to services and needed care. As a gate opener, the ONN leverages a trusting therapeutic relationship with the patient and family caregivers to ensure timely access to supportive and palliative care services and to promote uptake of these services with the aim of improved care experiences and clinical outcomes. Building such a relationship begins with a structured and systematic ONN intake assessment. Effective assessment, education, and referrals require the ONN to practice at the top of their licensure. The Gate Opener model stands in contrast to more common understandings of healthcare utilization controlling access to services to prevent overuse through gate keeping. The complexity of cancer treatment and care, typified by that experienced by people living with head and neck cancer, warrants opening gates to supportive and palliative care services and avoiding delays or refusals that increase the likelihood of symptom and side effect exacerbations, functional decline, and other complications. The authors suggest that the model they describe may be useful in supporting people with other diagnoses and to other centers.

High grade gliomas have one of the worst prognoses of all cancers with a median survival 15 months and 5-year survival of 5.6%. In order to ensure timely access to adjuvant treatment after surgical resection, interprofessional communication is critical. We implemented a nurse-driven electronic follow-up list through our EMR to facilitate weekly interprofessional discussions between the neuro-oncologist, neurosurgeon, and oncology nurse navigator. The goal of this study was to determine if this follow up list reduced the time it took for patients to follow-up with the neuro-oncologist, receive radiation therapy, and receive chemotherapy. The study sample included patients with mostly high-grade glioma who had unplanned (i.e. urgent) surgery, since these patients are thought to be most at risk for delayed follow-up. The study found that patients were more likely to follow up within 2 weeks, and receive chemotherapy within 30 days after the follow-up list was implemented. The improvement was especially noticed in patients who did not have insurance, since they were able to be enrolled in charity care programs at our institution early in their post-operative period.

Integrating genetic and genomic concepts in oncology nursing practice has become a necessary skill in the evolution of nursing competencies. The authors introduce fundamental concepts of genetics and genomics and explore related professional nursing practice considerations and resources. The monograph will also be hosted online on the following website for one year, providing all potential learners with additional opportunities to learn and earn CE credit. The online monograph will also be available for 1 CE credit hour: www.aonnonline.org.

Integrating genetic and genomic concepts in oncology nursing practice has become a necessary skill in the evolution of nursing competencies. The authors introduce fundamental concepts of genetics and genomics and explore related professional nursing practice considerations and resources. The monograph will also be hosted online on the following website for one year, providing all potential learners with additional opportunities to learn and earn CE credit. The online monograph will also be available for 1 CE credit hour: www.aonnonline.org.

Academy of Oncology Nurse & Patient Navigators (AONN+) 2019 Annual Virtual Conference
Available for Credit: December 4, 2019 - December 6, 2020
This educational initiative is directed toward hematology and oncology nurse navigators, patient navigators, oncology social workers, administrators, case managers, care managers, oncology nurses, advanced practice nurses and nurse practitioners, and practice managers whose focus is on cancer care, navigation and survivorship.

Professional Roles and Responsibilities
Available for Credit: June 15, 2016 - December 31, 2020
This educational initiative is directed toward hematology and oncology nurse navigators, and is also recommended for patient navigators, social workers, and case managers whose focus is on cancer care and survivorship.

This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Postgraduate Institute for Medicine and Center of Excellence Media, LLC, do not recommend the use of any agent outside of the labeled indications.

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