Training oncology and palliative care clinical nurse specialists in psychological skills: Evaluation of a pilot study
National guidelines in the United Kingdom recommend training Clinical Nurse Specialists in psychological skills to improve the assessment and intervention with psychological problems experienced by people with a cancer diagnosis (National Institute for Health and Clinical Excellence, 2004). This pil...
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| Veröffentlicht in: | Palliative & supportive care 2015-06, Vol.13 (3), p.537-542 |
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| creator | Clark, Jane E. Aitken, Susan Watson, Nina McVey, Joanne Helbert, Jan Wraith, Anita Taylor, Vanessa Catesby, Sarah |
| description | National guidelines in the United Kingdom recommend training Clinical Nurse Specialists in psychological skills to improve the assessment and intervention with psychological problems experienced by people with a cancer diagnosis (National Institute for Health and Clinical Excellence, 2004). This pilot study evaluated a three-day training program combined with supervision sessions from Clinical Psychologists that focused on developing skills in psychological assessment and intervention for common problems experienced by people with cancer.
Questionnaires were developed to measure participants' levels of confidence in 15 competencies of psychological skills. Participants completed these prior to the program and on completion of the program. Summative evaluation was undertaken and results were compared. In addition, a focus group interview provided qualitative data of participants' experiences of the structure, process, and outcomes of the program.
Following the program, participants rated their confidence in psychological assessment and skills associated with providing psychological support as having increased in all areas. This included improved knowledge of psychological theories, skills in assessment and intervention and accessing and using supervision appropriately. The largest increase was in providing psycho-education to support the coping strategies of patients and carers. Thematic analysis of interview data identified two main themes including learning experiences and program enhancements. The significance of the clinical supervision sessions as key learning opportunities, achieved through the development of a community of practice, emerged.
Although this pilot study has limitations, the results suggest that a combined teaching and supervision program is effective in improving Clinical Nurse Specialists' confidence level in specific psychological skills. Participants' experiences highlighted suggestions for refinement and development of the program. Opportunities for further research and developments in this area are discussed. |
| doi_str_mv | 10.1017/S1478951513000163 |
| format | Article |
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Questionnaires were developed to measure participants' levels of confidence in 15 competencies of psychological skills. Participants completed these prior to the program and on completion of the program. Summative evaluation was undertaken and results were compared. In addition, a focus group interview provided qualitative data of participants' experiences of the structure, process, and outcomes of the program.
Following the program, participants rated their confidence in psychological assessment and skills associated with providing psychological support as having increased in all areas. This included improved knowledge of psychological theories, skills in assessment and intervention and accessing and using supervision appropriately. The largest increase was in providing psycho-education to support the coping strategies of patients and carers. Thematic analysis of interview data identified two main themes including learning experiences and program enhancements. The significance of the clinical supervision sessions as key learning opportunities, achieved through the development of a community of practice, emerged.
Although this pilot study has limitations, the results suggest that a combined teaching and supervision program is effective in improving Clinical Nurse Specialists' confidence level in specific psychological skills. Participants' experiences highlighted suggestions for refinement and development of the program. Opportunities for further research and developments in this area are discussed.</description><identifier>ISSN: 1478-9515</identifier><identifier>EISSN: 1478-9523</identifier><identifier>DOI: 10.1017/S1478951513000163</identifier><identifier>PMID: 23759219</identifier><language>eng</language><publisher>New York, USA: Cambridge University Press</publisher><subject>Anxiety ; Attitude of Health Personnel ; Cancer ; Clinical Competence ; Clinical nursing ; Communication ; Confidence ; Focus Groups ; Hospice and Palliative Care Nursing - education ; Humans ; Medical personnel ; Mental depression ; Nurse Clinicians - education ; Nurse specialists ; Nurses ; Oncology ; Oncology Nursing - education ; Original Articles ; Palliative care ; Pilot Projects ; Professionals ; Psychological assessment ; Psychological Techniques - education ; Questionnaires ; Skill development ; Supervision ; Surveys and Questionnaires ; Training ; United Kingdom</subject><ispartof>Palliative & supportive care, 2015-06, Vol.13 (3), p.537-542</ispartof><rights>Copyright © Cambridge University Press 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-c668550913f967a393fa3501b513b34c663a6d3f9eac988f1fef12e9802ca71a3</citedby><cites>FETCH-LOGICAL-c406t-c668550913f967a393fa3501b513b34c663a6d3f9eac988f1fef12e9802ca71a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1478951513000163/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,778,782,27911,27912,55615</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23759219$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clark, Jane E.</creatorcontrib><creatorcontrib>Aitken, Susan</creatorcontrib><creatorcontrib>Watson, Nina</creatorcontrib><creatorcontrib>McVey, Joanne</creatorcontrib><creatorcontrib>Helbert, Jan</creatorcontrib><creatorcontrib>Wraith, Anita</creatorcontrib><creatorcontrib>Taylor, Vanessa</creatorcontrib><creatorcontrib>Catesby, Sarah</creatorcontrib><title>Training oncology and palliative care clinical nurse specialists in psychological skills: Evaluation of a pilot study</title><title>Palliative & supportive care</title><addtitle>Pall Supp Care</addtitle><description>National guidelines in the United Kingdom recommend training Clinical Nurse Specialists in psychological skills to improve the assessment and intervention with psychological problems experienced by people with a cancer diagnosis (National Institute for Health and Clinical Excellence, 2004). This pilot study evaluated a three-day training program combined with supervision sessions from Clinical Psychologists that focused on developing skills in psychological assessment and intervention for common problems experienced by people with cancer.
Questionnaires were developed to measure participants' levels of confidence in 15 competencies of psychological skills. Participants completed these prior to the program and on completion of the program. Summative evaluation was undertaken and results were compared. In addition, a focus group interview provided qualitative data of participants' experiences of the structure, process, and outcomes of the program.
Following the program, participants rated their confidence in psychological assessment and skills associated with providing psychological support as having increased in all areas. This included improved knowledge of psychological theories, skills in assessment and intervention and accessing and using supervision appropriately. The largest increase was in providing psycho-education to support the coping strategies of patients and carers. Thematic analysis of interview data identified two main themes including learning experiences and program enhancements. The significance of the clinical supervision sessions as key learning opportunities, achieved through the development of a community of practice, emerged.
Although this pilot study has limitations, the results suggest that a combined teaching and supervision program is effective in improving Clinical Nurse Specialists' confidence level in specific psychological skills. Participants' experiences highlighted suggestions for refinement and development of the program. Opportunities for further research and developments in this area are discussed.</description><subject>Anxiety</subject><subject>Attitude of Health Personnel</subject><subject>Cancer</subject><subject>Clinical Competence</subject><subject>Clinical nursing</subject><subject>Communication</subject><subject>Confidence</subject><subject>Focus Groups</subject><subject>Hospice and Palliative Care Nursing - education</subject><subject>Humans</subject><subject>Medical personnel</subject><subject>Mental depression</subject><subject>Nurse Clinicians - education</subject><subject>Nurse specialists</subject><subject>Nurses</subject><subject>Oncology</subject><subject>Oncology Nursing - education</subject><subject>Original Articles</subject><subject>Palliative care</subject><subject>Pilot Projects</subject><subject>Professionals</subject><subject>Psychological assessment</subject><subject>Psychological Techniques - education</subject><subject>Questionnaires</subject><subject>Skill development</subject><subject>Supervision</subject><subject>Surveys and Questionnaires</subject><subject>Training</subject><subject>United Kingdom</subject><issn>1478-9515</issn><issn>1478-9523</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkUFP3DAQha2KqsDSH9BLZYlLLwueOHbi3tCKAhIShy7naNZxtgavndoJ0v57HHaLUCvUi215vvdGM4-QL8DOgEF1_hPKqlYCBHDGGEj-gRxNX3MlCn7w-gZxSI5TemCsKDirPpHDgldCFaCOyLiMaL31axq8Di6stxR9S3t0zuJgnwzVGPPhMqTRUT_GZGjqjbbobBoStZ72aat_TeIXJD1a59J3evmEbswewdPQUaS9dWGgaRjb7Qn52KFL5vP-npH7H5fLxfX89u7qZnFxO9clk8NcS1kLwRTwTskKueIdcsFglQde8TKXOco2Fw1qVdcddKaDwqiaFRorQD4j33a-fQy_R5OGZmOTNs6hN2FMDVRCiJJVZfl_VNZFXUsuJ_T0L_QhjNHnQTKlpn1Pi54R2FE6hpSi6Zo-2g3GbQOsmeJr_okva77uncfVxrSvij95ZYDvTXGzirZdmze937V9Br0mpHQ</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Clark, Jane E.</creator><creator>Aitken, Susan</creator><creator>Watson, Nina</creator><creator>McVey, Joanne</creator><creator>Helbert, Jan</creator><creator>Wraith, Anita</creator><creator>Taylor, Vanessa</creator><creator>Catesby, Sarah</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Training oncology and palliative care clinical nurse specialists in psychological skills: Evaluation of a pilot study</title><author>Clark, Jane E. ; 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This pilot study evaluated a three-day training program combined with supervision sessions from Clinical Psychologists that focused on developing skills in psychological assessment and intervention for common problems experienced by people with cancer.
Questionnaires were developed to measure participants' levels of confidence in 15 competencies of psychological skills. Participants completed these prior to the program and on completion of the program. Summative evaluation was undertaken and results were compared. In addition, a focus group interview provided qualitative data of participants' experiences of the structure, process, and outcomes of the program.
Following the program, participants rated their confidence in psychological assessment and skills associated with providing psychological support as having increased in all areas. This included improved knowledge of psychological theories, skills in assessment and intervention and accessing and using supervision appropriately. The largest increase was in providing psycho-education to support the coping strategies of patients and carers. Thematic analysis of interview data identified two main themes including learning experiences and program enhancements. The significance of the clinical supervision sessions as key learning opportunities, achieved through the development of a community of practice, emerged.
Although this pilot study has limitations, the results suggest that a combined teaching and supervision program is effective in improving Clinical Nurse Specialists' confidence level in specific psychological skills. Participants' experiences highlighted suggestions for refinement and development of the program. Opportunities for further research and developments in this area are discussed.</abstract><cop>New York, USA</cop><pub>Cambridge University Press</pub><pmid>23759219</pmid><doi>10.1017/S1478951513000163</doi><tpages>6</tpages></addata></record> |
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| ispartof | Palliative & supportive care, 2015-06, Vol.13 (3), p.537-542 |
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| subjects | Anxiety Attitude of Health Personnel Cancer Clinical Competence Clinical nursing Communication Confidence Focus Groups Hospice and Palliative Care Nursing - education Humans Medical personnel Mental depression Nurse Clinicians - education Nurse specialists Nurses Oncology Oncology Nursing - education Original Articles Palliative care Pilot Projects Professionals Psychological assessment Psychological Techniques - education Questionnaires Skill development Supervision Surveys and Questionnaires Training United Kingdom |
| title | Training oncology and palliative care clinical nurse specialists in psychological skills: Evaluation of a pilot study |
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