Evidence map›Paper›PMID 31152301›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

de Souza interprofessional practice cancer competency framework.

Mary Jane Esplen, Jonathan Hunter, Christine Maheu, Zeev Rosberger, Jiahui Wong, Patti McGillicuddy, Scott Secord, Susan Blacker, Esther Green, Brenda Toner and 2 more

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Mary Jane EsplenDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada. mesplen@uhnresearch.ca.ORCID http://orcid.org/0000-0002-6034-2235
Jonathan HunterDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Sinai Health System, Toronto, Canada.
Christine MaheuIngram School of Nursing, McGill University, Montréal, Canada.
Zeev RosbergerLady Davis Institute for Medical Research, Montréal, Canada.
Jiahui WongDepartment of Psychiatry, Faculty of Medicine, University of Toronto, de Souza Institute, University Health Network, Toronto, Canada.
Patti McGillicuddySchool of Social Work, University of Toronto, Centre for IPE, Toronto, Canada.
Scott SecordCommunity Addiction and Mental Health Services of Haldimand and Norfolk (CAMHS), Toronto, Ontario, Canada.
Susan BlackerCancer and Palliative Program Planning and Performance, Sinai Health System, Toronto, Canada.
Esther GreenNursing and Psychosocial Oncology Cancer Care Ontario, Toronto, Canada.
Brenda TonerDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Canada.
Jane Lide Souza Institute, University Health Network, Toronto, Canada.
Kathleen DobsonUniversity of Toronto, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs the demand in cancer care continues to increase, health systems require a workforce of highly educated specialists and generalists to provide continuity of care across settings.

objectivesLed by de Souza Institute in Canada, an interdisciplinary working group was formed to develop a competency framework with relevance across regulated health professionals involved in cancer care.

methodsThe working group was presented with results from a scoping review of national and international guidelines, standards, and competencies in oncology, as well as data from needs assessments on continuing education opportunities and oncology topics most relevant to clinicians. Fifty-one professionals from, e.g., family medicine, pharmacy, social work, psychology, occupational therapy, and nursing participated in seven focus groups. An additional 32 nurses participated in a nursing-specific needs assessment survey. Using modified Delphi technique, working group members conducted three iterative rounds to review data and built consensus on competency items in relation to three levels of expertise, from early learner/novice practitioner, advancing practitioner, to expert practitioner.

resultsA final consensus was reached for the selection of competencies that reflect optimal cancer care mapped into three levels of expertise, as well as knowledge, skills, and attitudes expected of each level. Examples for the competency for early learner/novice practitioner include the following: Have awareness of common ethical issues in cancer care (knowledge); demonstrate ability to discuss, educate, and counsel patients and their support persons(s) regarding preferences (skills); and appreciate the impact of culture, the sensitivity, and diversity of attitudes in relation to cancer (attitude). Expert practitioner examples include: recognition of need for, and ability to advocate for challenges involving equity and access in order to improve health outcomes (skill) and awareness of workplace complexities, such as provider roles, team functioning, and organizational environments affecting patient-practitioner relationships (attitude).

conclusionThe de Souza Interprofessional practice cancer competency framework provides a set of shared competencies and a novice to expert pathway for clinicians across disciplines and supports a more standardized learning and comprehensive approach in organizing professional development towards a coordinated, high quality, and person-centered care.

Indexed as

Health Knowledge, Attitudes, PracticeCanadaClinical CompetenceDelphi TechniqueHealth EducationHealth PersonnelHumansNeeds AssessmentNeoplasmsWorkplaceCompetencies and standardsEducational frameworkInterprofessional practiceOncologyQuality of care

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.