E-poster Presentation 2014 World Cancer Congress

Advancing Supportive Cancer Care and Healing: Evidence-Based Training for Oncology Nurses in Georgia June 2014 University of Washington (#794)

Allison Dvaladze 1 , Frances Marcus Lewis 2
  1. Seattle Cancer Care Alliance/University of Washington, Seattle, WA, United States
  2. School of Nursing, University of Washington, Seattle, WA, USA


Georgia faces an acute shortage of nurses and limited opportunities for continuing education. Nurses are underutilized and lack access to evidence-based practice guidelines and training in oncology nursing practices. Evidence shows that specific nursing interventions can enhance patients’ behavioral management of physician-prescribed cancer treatment; increase quality of life; add to self-care competencies; improve healing; improve symptoms control and reduce anxiety.


This workshop aimed to:

·         introduce new skills in psycho-oncology to practicing nurses and educators

·         advance supportive care nursing education

·         increase capacity of nurses to improve quality of life among oncology patients

·         identify early innovators/key collaborators

·         identify barriers to delivery of evidence-based nursing care

·         set goals for overcoming barriers

·         incorporate modules into TSMU curriculum 


In partnership with a local NGO and Tbilisi State Medical University (TSMU) we delivered interactive, evidence-based training modules, pre-selected by Georgian physicians and nurses. Demonstration videos and materials were developed for incorporation into the nursing curriculum.  Content included state-of-science skills that nurses can utilize to relieve patients’ cancer and treatment-related symptoms; reduce patients’ anxiety and depressed mood; enhance patient and caregiver illness-management skills and competencies; and address nurse self-care.


The project included nurse observation, a 3-day intensive workshop and consultation with TSMU on integrating the modules into the nursing curriculum. Pre- and post-tests, exit surveys and follow-up interviews were conducted to assess knowledge acquisition and implementation.

Outcomes/Lessons learned:

·         37 nurses, educators and physicians trained (demand exceeded expectation), 9 trainers identified

·         Enhancing Patient Quality of Life and Nurse Self-Care most highly rated 

·         Commitment from TSMU to pursue certification of nurses as lecturers

·         Barriers: Role of nurse poorly defined, limited communication with patient, lack of printed information for patients

·         Nurses reporting positive results after 4 months specifically in patient communication and meditation

·         High demand for additional training