Present Condition and Future Direction of Clinical Practicum for Oncology Advanced Practice Nursing Programs

Jeong Sook Park; Jeong Yun Park; Ja Yun Choi

doi:10.5388/aon.2015.15.4.276

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

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

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

Original Article

Asian Oncology Nursing 2015; 15(4): 276-283.

Published online: 31 December 2015

DOI: https://doi.org/10.5388/aon.2015.15.4.276

Present Condition and Future Direction of Clinical Practicum for Oncology Advanced Practice Nursing Programs

Jeong Sook Park¹, Jeong Yun Park², Ja Yun Choi³

¹College of Nursing, Keimyung University, Daegu, Korea.

²Department of Clinical Nursing, University of Ulsan, Seoul, Korea.

³College of Nursing, Chonnam National University·CRINS, Gwangju, Korea.

Address reprint requests to: Choi, Ja Yun. College of Nursing, Chonnam National University, 5 Hak-dong, Dong-gu, Gwangju 61469, Korea. Tel: +82-62-220-4343, Fax: +82-62-225-3307, choijy@chonnam.ac.kr

Received 11 August 2015 Revised 21 October 2015 Accepted 12 December 2015

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Advanced Practice Nursing, Guidebooks, Education

Figures and Tables

Table 1

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

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
	Advanced Oncology Nursing Practicum I		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
	Oncology Treatment and Advanced Nurisng Practicum I	2 (20)	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
	Oncology Nursing Practicum III	2 (20)	4	3	C
	Advanced Oncology Nursing Practicum II	1 (10)	3	3	C
	Medical Oncology Practicum	1 (10)	2	2	M
	Subtotal	8 (80)	2	2	M
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)	1	2	P
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)

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

Place for practicum	Number of courses^* (N=67)	Hour
Place for practicum	Number of courses^* (N=67)	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

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

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.

References

1. Korean Accreditation Board of Nursing. Definition and main roles of advanced practice nurse. Accessed April 20, 2015. http://kabon.or.kr/kabon04/index03.php.

2. Korean Accreditation Board of Nursing (2008). Survey on the qualifying examination for advance practice nurse. Accessed April 20, 2015. http://www.kabon.or.kr/HyAdmin/upload/goodFile/120080306101416.pdf.

3. Kim M. Experience of belongingness at apprentice course for advanced practice nurse: Learning-connected process. J Korean Acad Adult Nurs. 2010; 22(4):395–407.

4. Cho YH, Jung YM. Analysis of the evaluation of gerontological clinical practice and clinical instructors. Korean J Res in Gerontol. 2011; 20(1):43–61.

5. Korean Accreditation Board of Nursing. The standard curriculum for oncology advanced practice nursing program. Accessed April 20, 2015. http://www.kabone.or.kr/HyAdmin/upload/filelinkFile/tumor.pdf.

6. Guancial EA, Roussel B, Bergsma DP, Sahasrabudhe D, Messing E, et al. Bladder cancer in the elderly patient: Challenges and solutions. Clin Interv Aging. 2015; 10:939–949.

7. Brooks MV, Niederhauser VP. Preceptor expectations and issues with nurse practitioner clinical rotations. J Am Acad Nurse Pract. 2010; 22:573–579.

8. Jho MY. An analysis of research on nursing practice education in Korea. J Korean Acad Soc Nurs Educ. 2010; 16(2):239–238.

9. Choi GY, Lee SH. Collaborative approach between college and hospital for nursing students clinical instruction. J Kyungpook Nurs Sci. 2012; 16(2):1–9.

10. Park MH. Understanding and application of evidence based nursing. Seoul: Goonja;2006.

11. Lynch MP, Cope DG, Murphy-Ende K. Advanced practice issues: results of the ONS advanced practice nursing survey. Oncol Nurs Forum. 2001; 28(10):1521–1530.

TOOLS

Similar articles