Construction and Test of Localized Truth-Telling Educational Model for Advanced Practice Nurse (Second and Third Years)

Advanced practice nurse (APN) is the best candidate for assisting doctors in improving quality of cancer truth-telling. At present, the educational model of truth-telling for APN has not been designed globally. It may be inappropriate to use the educational model for doctors to train APN. Therefore, the author’s motivation to conduct this study was triggered. The main purpose of this 3-year project is to develop and test the local cancer truth-telling educational model for the APN. This project will enroll a total of 162 nurse practitioners and case managers at Division of Oncology in various branches (including those in the northern, central, and southern Taiwan) of Chang Gung Medical Foundation as the subjects. Sequential triangulation will be used to achieve the research purposes. In the first year, a truth-telling educational model suitable for APN was developed. Under the financial support of Ministry of Science and Technology, qualitative interviews were conducted. Because the saturation of data was not reached, the data collection and analyses are both ongoing. The purpose of the second year is to investigate APN’s willingness to participate in cancer truth-telling communication skill training (CST) and it important predictors. Structured questionnaire will be used to collect relevant data. The purpose of the third year is to test the effectiveness of CST on APN’s truth-telling ability. An experimental study will be conducted to achieve the purpose. Based on APN’s self-assessment (change in APN’s perceptions of truth-telling), this study will collect the opinions from customers’ end (satisfaction with truth-telling of patients with cancer and their families, emotional disturbance at the moment, and trust in APN) and use objective assessment (RIAS interaction analysis) to fully present the effectiveness of CST. The research results can serve as reference for formal and in-service education of APN at Division of Oncology, help to reduce emotional disturbance caused by failure of truth-telling for patients and their family, and improve the quality of truth-telling and overall cancer care.

Project ID:PF10406-3003
External Project ID:MOST104-2511-S182-008