Advancing Nursing Practices in Hospital Oncology Care

Gastrointestinal Cancer Clinical Trial

Official title:

Advancing Family-Centered Care Nursing Practices in Inpatient Oncology Care

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05053191
• Other study ID #: 20-448
• Status: Active, not recruiting
• Phase: N/A
• Start date: September 3, 2021
• Est. completion date: September 3, 2024

Study information

• Verified date: March 2024
• Source: Memorial Sloan Kettering Cancer Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 65
• Est. completion date: September 3, 2024
• Est. primary completion date: September 3, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Digestive System Diseases
• Gastrointestinal Cancer
• Gastrointestinal Disease
• Gastrointestinal Diseases
• Gastrointestinal Neoplasms
• Nurse's Role

Intervention

Behavioral:
• Partnership, Assessment, Care and Transition training intervention
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.

Locations

Country	Name	City	State
United States	Memorial Sloan Kettering Cancer Center	New York	New York

Sponsors (1)

Lead Sponsor	Collaborator
Memorial Sloan Kettering Cancer Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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

External Links

•   Memorial Sloan Kettering Cancer Center