Advancing Oncologic Emergency Preparedness: A Clinical Simulation Approach for Advanced Practice Providers in Oncology

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Date
2024
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Abstract

Introduction/Purpose: Orienting advanced practice providers (APPs) in oncology is challenged by the intricate subspecialty knowledge required and limited exposure to high-stakes clinical scenarios during onboarding. Despite theoretical education on oncologic emergencies, a gap exists between theoretical knowledge and clinical experience. This Doctor of Nursing Practice (DNP) project explored the utility of virtual clinical simulation to enhance the education and training of oncology APPs, focusing on identifying and managing oncologic emergencies to increase confidence and comfort among APPs.

Methods: Utilizing an evidence-based practice approach, new to oncology providers engaged in virtual simulation scenarios at two different time points. Participants were tasked with identifying and managing oncologic emergencies. Objective data, including performance of critical interventions, was recorded for each participant to gauge improved competency. Subjective data, including participants self-reported comfort and self-efficacy was also recorded. Lastly, participants completed a simulation satisfaction survey.

Results: Reported results encompassed differences in pre- and post-simulation self-reported knowledge and confidence scores. Completion of critical interventions in the first and subsequent simulation sessions was also analyzed. Results were analyzed using a combination of statistical methods including both non-parametric and parametric testing including one sample t-tests, wilcoxon signed rank test, and basic descriptive statistics.

Discussion: The discussion focuses on the overall outcomes of the intervention and potential future implications for advancing oncologic emergency preparedness among APPs in oncology.

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DNP project
Keywords
Oncology, Advanced Practice Providers, Healthcare Simulation, Oncologic Emergencies, Education and training
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