Oncology Nursing Telephone Triage Workshop: Impact on Nurses' Knowledge, Confidence, and Skill.

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  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7805358 Publication Model: Print Cited Medium: Internet ISSN: 1538-9804 (Electronic) Linking ISSN: 0162220X NLM ISO Abbreviation: Cancer Nurs Subsets: MEDLINE
    • Publication Information:
      Publication: <2002->: Hagerstown, MD : Lippincott Williams & Wilkins
      Original Publication: New York, Masson Publishing USA.
    • Subject Terms:
    • Abstract:
      Background: Outpatient oncology nurses are responsible for symptom assessment/management and care coordination during telephone triage. Nursing telephone triage interventions can improve patient outcomes and clinical efficiency. Therefore, the lack of education and training in telephone triage can greatly impact patient care.
      Objective: Using a prospective pretest/posttest design, we sought to determine if a telephone triage educational workshop would improve oncology nurses' knowledge, confidence, and skill over 12 weeks.
      Intervention/methods: The educational intervention incorporated an online didactic lecture, group case scenario, and feedback on a virtual triage simulation. Evaluation was conducted before and after the intervention through an online, 13-item survey (knowledge and confidence) and simulation utilizing a 56-item checklist (skills).
      Results: Thirteen oncology nurses were enrolled; 54% did not have telephone triage experience before this job. A total of 12 participants completed the workshop. From pretest to posttest, there was a median 1.0 out of 5.0 (interquartile range, 2.8) improvement in confidence (P = .008) and a 26.3% (interquartile range, 15.2) improvement in skills (P = .002). There was no difference in knowledge scores from pretest to posttest (P = .11).
      Conclusions: This workshop was associated with an improvement in oncology nurse confidence and skill, using telephone triage models. It benefits an existing process within the outpatient center and it highlights a new educational strategy that may optimize nursing practice and improve patient care and experience.
      Implications for Practice: This workshop contributes to existing evidence of telephone triage models and nursing education. The findings can guide future research, nursing orientation, and educational activities within the field of nursing and telehealth.
      Competing Interests: K.C. has received funding from Magnolia, PharmaKite, M3 Global Research. The other authors have no conflicts of interest to disclose.
      (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
    • References:
      Penberthy L, McClish D, Peace S, et al. Hematologic malignancies: an opportunity to fill a gap in cancer surveillance. Cancer Causes Control. 2012;23(8):1253–1264.
      Gleason K, O'Neill EB, Goldschmitt J, Horigan J, Moriarty L. Ambulatory oncology nurses making the right call: assessment and education in telephone triage practices. Clin J Oncol Nurs. 2013;17(3):335–336.
      Steinglass S, Binner M. Models of telephone triage and use of guideline. In: Hickey M, Newton S, eds. Telephone Triage for Oncology Nurses. 3rd ed. Pittsburgh, PA: Oncology Nursing Society; 2019:11–32.
      Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systematic review of the past decade. Hum Resour Health. 2020;18(1):2.
      Hickey M. Overview. In: Hickey M, Maloney-Newton S, eds. Telephone Triage for Oncology Nurses. 3rd ed. Pittsburgh, PA: Oncology Nursing Society; 2019:5–15.
      Krupinski EA, Bernard J. Standards and guidelines in telemedicine and telehealth. Healthcare (Basel). 2014;2(1):74–93.
      O'Brien LK, Drobnick P, Gehman M, et al. Improving responsiveness to patient phone calls: A pilot study. J Patient Exp. 2017;4(3):101–107.
      Campbell JL, Fletcher E, Britten N, et al. The clinical effectiveness and cost-effectiveness of telephone triage for managing same-day consultation requests in general practice: a cluster randomised controlled trial comparing general practitioner-led and nurse-led management systems with usual care (the ESTEEM trial). Health Technol Assess. 2015;19(13):1–212, vii-viii.
      Varley A, Warren FC, Richards SH, et al. The effect of nurses' preparedness and nurse practitioner status on triage call management in primary care: a secondary analysis of cross-sectional data from the ESTEEM trial. Int J Nurs Stud. 2016;58:12–20.
      Stacey D, Green E, Ballantyne B, et al; Pan-Canadian Oncology Symptom Triage and Remote Support (COSTaRS) Team. Patient and family experiences with accessing telephone cancer treatment symptom support: a descriptive study. Support Care Cancer. 2016;24(2):893–901.
      Barber JW, King WD, Monroe KW, Nichols MH. Evaluation of emergency department referrals by telephone triage. Pediatrics. 2000;105(4 pt 1):819–821.
      Turner J, Coster J, Chambers D, et al. What evidence is there on the effectiveness of different models of delivering urgent care? A rapid review. Health Service and Research. 2015. https://pubmed.ncbi.nlm.nih.gov/26632626/. Accessed December 8, 2020.
      Coons KC, DuMoulin JP. Telephone triage: white paper of the American College of Physicians–American Society of Internal Medicine. https://www.acponline.org/acp_policy/policies/telephone_triage_diagnostic_techniques_procedures_2000.pdf. Accessed December 1, 2019.
      Bauer A, Vordermark D, Seufferlein T, et al. Trans-sectoral care in patients with colorectal cancer: Protocol of the randomized controlled multi-center trial Supportive Cancer Care Networkers (SCAN). BMC Cancer. 2015;15:997.
      Reid J, Porter S. Utility, caller, and patient profile of a novel chemotherapy telephone helpline service within a regional cancer centre in Northern Ireland. Cancer Nurs. 2011;34(3):E27–E32.
      Johnson C, Wilhelmsson S, Borjeson S, Lindberg M. Improvement of communication and interpersonal competence in telenursing—development of a self-assessment tool. J Clin Nurs. 2015;24(11–12):1489–1501.
      Greenberg ME. A comprehensive model of the process of telephone nursing. J Adv Nurs. 2009;65(12):2621–2629.
      Derkx HP, Rethans JJ, Muijtjens AM, et al. Quality of clinical aspects of call handling at Dutch out of hours centres: cross sectional national study. BMJ. 2008;337:a1264.
      McKinstry B, Watson P, Pinnock H, Heaney D, Sheikh A. Telephone consulting in primary care: a triangulated qualitative study of patients and providers. Br J Gen Pract. 2009;59(563):e209–e218.
      Smits M, Huibers L, Kerssemeijer B, de Feijter E, Wensing M, Giesen P. Patient safety in out-of-hours primary care: a review of patient records. BMC Health Serv Res. 2010;10:335.
      Vaona A, Pappas Y, Grewal RS, Ajaz M, Majeed A, Car J. Training interventions for improving telephone consultation skills in clinicians. Cochrane Database Syst Rev. 2017;1:Cd010034.
      Dearholdt S, Allan S. In: Dang D, Dearholdt SL, eds. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. 3rd ed. Indianapolis, IN: Sigma Theta Tau International; 2018.
      Murray EJ. Using iterative plan-do-study-act cycles to improve teaching pedagogy. Nurs Educ Perspect. 2018;39(6):375–377.
      Arbeitspsychologie APa. G* Power: Statistical Power Analysis for Windows and Mac. 2020. http://www.psychologie.hhu.de/arbeitsgruppen/allgemeine-psychologie-und-arbeitspsychologie/gpower.html. Accessed September 1, 2019.
      Rutenberg C, Greenberg ME. Telephone nursing in radiology: managing the risks. J Radiol Nurs. 2014;33(2):63–68.
      Stacey D, Carley M, Kohli J, et al. Remote symptom support training programs for oncology nurses in Canada: an environmental scan. Can Oncol Nurs J. Spring 2014;24(2):78–88.
      Stacey D, Green E, Ballantyne B, et al. Implementation of symptom protocols for nurses providing telephone-based cancer symptom management: a comparative case study. Worldviews Evid Based Nurs. 2016;13(6):420–431.
      Graversen DS, Pedersen AF, Carlsen AH, Bro F, Huibers L, Christensen MB. Quality of out-of-hours telephone triage by general practitioners and nurses: development and testing of the AQTT—an assessment tool measuring communication, patient safety and efficiency. Scand J Prim Health Care. 2019;37(1):18–29.
    • Publication Date:
      Date Created: 20210906 Date Completed: 20220406 Latest Revision: 20220501
    • Publication Date:
      20240105
    • Accession Number:
      10.1097/NCC.0000000000000978
    • Accession Number:
      34483280