Journal List > Asian Oncol Nurs > v.15(4) > 1081853

Park, Park, and Choi: Present Condition and Future Direction of Clinical Practicum for Oncology Advanced Practice Nursing Programs

Abstract

Purpose

This study was conducted to identify the present conditions of clinical practicum through analyzing guidebooks used in education institutions for oncology advanced practice nursing programs and to discuss future directions.

Methods

Ten of a total of 13 education institutions participated in this study and ten guidebooks were reviewed from June 1 to October 31, 2014. The standard curriculum developed by the Korean accreditation board of nursing education was used to analyze the present conditions and an analyzing frame was developed by a research team. Two coders independently recorded the data, agreement was 92% and all disagreements was concurrent after discussion.

Results

Courses in the area of 'advanced oncology nursing' were most highly established and, courses in the area of 'introduction of oncology nursing' were least established. Some learning objectives were never dealt with and some learning objectives were over dealt with. The national cancer center was most used for practicum. Diverse homework and evaluation methods were used.

Conclusion

Through analyzing clinical practicum guidebooks for oncology advanced practice nursing students, we found that balanced practicum courses are needed to improve the quality of oncology advanced practice nurse programs.

Figures and Tables

Table 1

Title, Semester, Credits, and Major Target of Practicum Course for Oncology Advanced Practice Nursing Program (N=10)

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Standard curriculum Practicum course title n (%) Semester Credits Target
Curriculum 1 Introduction of oncology nursing practicum 3 (40) 2 2 M
NR 2 M
2 2 M
Oncology nursing practicum 1 (10) 2 NR M
Subtotal 4 (40)
Curriculum 2 4 (40) 3 3 C
Advanced Oncology Nursing Practicum I NR 3 C
2 NR 2 NR C C
Advanced Oncology Nursing Practicum I, II 1 (10) 4 3 C
Oncology Treatment and Advanced Nurisng Practicum I 2 (20) 3 2 C
1 2 C
Surgical Oncology Practicum 1 (10) 1 3 C
Advanced Oncology Nursing Practicum I 1 (10) 2 3 C
Oncology Treatment and Advanced Nursing I 1 (10) 1 2 C
Oncology Nursing Practicum I 1 (10) 2 2 C
Subtotal 10 (100)
Curriculum 3 NR NR
Advanced Oncology Nursing Practicum II 5 (40) 4 1 P
NR 2 C
5 2 M
NR NR C
3 4 C
Oncology Treatment and Nursing Practicum II 1 (10) 3 2 P
Nursing Practicum for Patients with Special Oncology 1 (10) 2 3 P
Oncology Treatment and Advanced Nursing Practicum II 1 (10) 2 NR C
Oncology Nursing Practicum II 1 (10) 4 3 M
Subtotal 9 (90)
Curriculum 4 8 (80)
Advanced Oncology Nursing Practicum III 4 (40) 4 2 M
5 3 M
NR 3 C
1 2 P
Oncology Nursing Practicum III 2 (20) 3 2 M
4 3 C
Advanced Oncology Nursing Practicum II 1 (10) 3 3 C
Medical Oncology Practicum 1 (10) 2 2 M
Subtotal 8 (80)
Curriculum 5 Issues in Oncology Nursing Practicum 3 (30) 5 2 M
3 2 M
5 3 M
Advanced Oncology Nursing Practicum IV 1 (10) 4 3 C
Advanced Oncology Nursing Practicum II 1 (10) 5 2 M
Home-based oncology nursing practicum 1 (10) 1 2 P
Case management practicum 1 (10) 1 2 P
Subtotal 7 (70)
Total 38

M=Management; P=Patients; C=Management + Patients; NR=Not recorded.

Table 2

Frequency of the Learning Objectives of Practicum for Oncology Advanced Practice Nursing Program according to the Standard Curriculum (N=38)

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Learning objectives n (%)
Introduction to oncology nursing n= 4
 Understand the biological properties and carcinogenesis mechanisms in tumors 1 (25.0)
 Understand the relationships among tumor, genetics, and immune mechanisms 1 (25.0)
 Understand the diagnostic tests for tumors 12 (300.0)
 Understand the epidemiology of tumors 1 (25.0)
 Identify the methods and strategies for the early detection and prevention of cancer 6 (150.0)
 Understand the national strategies and research directions for cancer control 0 (0.0)
 Understand the general principles of cancer treatment 3 (75.0)
Advanced oncology nursing I, II n = 19
 Understand the principles of surgery and perform the pre and post operative care 8 (42.1)
 Understand the principles of radiation therapy and manage the health problems 13 (68.4)
 Understand the principles of chemotherapy and manage the health problems 13 (68.4)
 Understand the principles of biological therapy (e.g., immunotherapy, gene therapy) in cancer and manage the health problems 2 (10.5)
 Understand the principles of hematopoietic stem cell transplantation and manage the health problems 8 (42.1)
 Know the pathophysiology, diagnosis, and therapeutic methods of major solid tumors and manage the health problems 13 (68.4)
 Know the pathophysiology, diagnosis and therapeutic methods of hematologic cancers and manage the health problems 7 (36.8)
 Know the pathophysiology, diagnosis and therapeutic methods of major pediatric cancers and manage the health problems. 8 (42.1)
Advanced oncology nursing III n= 8
 Understand the characteristics of cancer related pain and assess and manage the pain 6 (75.0)
 Identify the physical symptoms of cancer patients and provide the nursing interventions 20 (250)
 Identify the psychosocial problems of cancer patients and provide the nursing interventions 8 (100.0)
 Understand the main emergency symptoms and mechanisms to cope with those appropriately 6 (75.0)
 Apply the complementary and alternative therapies into patient care 2 (25.0)
 Perform self-care education 4 (50.0)
Current Issues in oncology nursing n= 7
 Understand the issues related to the nursing care of cancer patients 4 (57.1)
 Apply the mastered knowledge and counseling techniques into nursing care of cancer patients and their family caregivers 13 (185.7)
 Identify and manage the needs of terminal cancer patients and bereaved family members 18 (257.1)
 Identify the roles of the advanced practice nurse in oncology care and the strategies for the quality improvement 9 (128.6)
Table 3

Number and Hour of Courses according to the Place for Practicum

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Place for practicum Number of courses*
(N=67)
Hour
Curriculum 1 Curriculum 2 Curriculum 3 Curriculum 4 Curriculum 5 Total
National Cancer Center 11 74 56 98 48 105 318
Catholic University of Korea Seoul ST. Mary's Hospital 10 56 72 48 64 42 282
Chonnam National University Hwasun Hospital 5 8 60 90 60 36 254
Korea Institute Of Radiological & Medical Sciences 4 33 32 24 24 113
Kosin University Gospel Hospital 4 60 66 64 42 232
Gyeongnam Regional Cancer Center 3 56 8 96 160
Seoul National University Hospital 3 90 70 18 178
Keimyung University Dongsan Medical Center 4 35 72 40 40 187
Handong University Good Samarthan Hospital 3 46 46
Samsung Changwon Hospital 2 90 90 180
Asan Medical Center 2 24 6 30
The Catholic University Of Korea 2 16 8 24
Global Breast Cancer conference 2013 2 8 8 16
Yeungnam University Medical Center 2 16 8 24
Kyoungpook National University Hospital 2 8 8 16
Suseong District Health Center 1 4 4
Samsung Medical Center 1 16 16
Severance Hospital 1 8 8
Gyeongsang National University Hospital 1 8 8
Kwangju Christian Hospital 1 18 18
Boknae Holistic Healing Mission Center 1 16 16
Gwangju Donggu health center 1 18 18
Gangbuk-gu Health Center 1 18 18

Multiple place.

Table 4

Homeworks according to the Standard Curriculum

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Homeworks Curriculum 1 Curriculum 2 Curriculum 3 Curriculum 4 Curriculum 5
Case reports V V V V V
Practice diary V V V V V
Checklist for skills and roles V V V V V
Self evaluation V V V V V
Clinical practice evaluation V V V V V
Academic society participation report V V V V
Reports for nurse specialist role development V V V V
Report for research challenges development V V V
Report for diverse patients data including history, diagnostic findings, etc V V V
Journal review V V
Reports or video for the consultation with cancer patient V V
Review and application for practice guideline V V
Report for the development of group education program V V
Report for a family tree V
Report for policy review V
Table 5

Evaluation Methods according to the Standard Curriculum

aon-15-276-i005
Evaluation methods Curriculum 1 Curriculum 2 Curriculum 3 Curriculum 4 Curriculum 5
Attendance V V V V V
Practice diary V V V V V
Peers and self-evaluation V V V V V
Case report and presentation V V V V V
Practice checklist V V V V V
Evaluation by field training leaders (including preceptors) V V V V V
Attendance in academic societies and education programs V V V V V
Practice examination V V V V
Evaluation of various reports V V V V
Skills tests V V V

Notes

This article was financially supported by the Council of Oncology Advanced Practice Nursing Program.

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