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Nursing knowledge in cardio-oncology: results of an international learning needs-assessment survey
Anecita Fadol1, Geraldine Lee2, Valerie Shelton3
1Departments of Nursing and Cardiology, The University of Texas MD Anderson Cancer Center, 1400 Holcombe Boulevard, FC2.2018, Unit 0456, 77030-4009, Houston, TX, USA. afadol@mdanderson.org.
Insights
Nurses require specialized education in cardio-oncology to manage complex patient needs. An international survey revealed nurses prefer webinars and virtual meetings for learning about cardiovascular toxicities and management.
Area of Science:
- Cardio-oncology nursing
- Cancer survivorship
- Cardiovascular disease in oncology
Background:
- Millions of cancer survivors face high costs, with cardiovascular disease rivaling cancer recurrence as a cause of death.
- Traditional care models inadequately address complex cancer and cardiovascular needs.
- Nursing must be integral to holistic cardio-oncology assessment.
Purpose of the Study:
- To identify nurses' perceived educational needs in cardio-oncology.
- To understand preferred learning modalities for cardio-oncology nursing education.
Main Methods:
- An international cross-sectional survey was conducted by the International Cardio-Oncology Society (IC-OS) Nursing Research group.
- The survey included 23 questions on demographics, clinical specialty, learning interests, and preferred instruction methods.
- 329 responses were analyzed.
Main Results:
- Most nurses desired further education in cardio-oncology, with a strong interest in cardiovascular toxicities, monitoring, and management.
- Pre-recorded webinars (67%) and live virtual meetings (63%) were preferred learning methods.
- Formal certification programs were highly endorsed (80%).
Conclusions:
- Cardio-oncology is an emerging specialty demanding nurses with integrated knowledge of both oncology and cardiology.
- Survey findings highlight specific learning needs and preferred delivery methods for cardio-oncology nurses.
- A tailored curriculum can provide accessible, learner-directed education, enhancing nursing expertise and benefiting cancer patients globally.
Background:
With early detection and improvements in systemic and local therapies, millions of people are surviving cancer, but for some at a high cost. In some cancer types, cardiovascular disease now competes with recurrent cancer as the cause of death. Traditional care models, in which the cardiologist or oncologist assess patients individually, do not address complex cancer and cardiovascular needs. Nursing disciplines should be an integral part of holistic assessment in cardio-oncology care. To learn what educational needs nurses perceive important for provision of competent cardio-oncology nursing care, we undertook an international survey, aiming to understand their learning needs and preferred learning modalities.
Methods:
A cross-sectional survey was developed by members of the International Cardio-Oncology Society (IC-OS) Nursing Research group. The survey was in English and consisted of 23 questions which include demographic information, clinical specialty (oncology, cardiology, or cardio-oncology), multiple-choice questions related to clinical topics that nurses might be interested in learning, and preferred methods of instruction.
Results:
Three hundred and twenty-nine responses were received. The majority expressed interest in learning more about cardio-oncology related topics, primarily via pre-recorded webinars (n = 206, 67%) and live virtual meetings (n = 192, 63%). Formal programs leading to certification were highly endorsed (n = 247, 80%). In relation to specific cardio-oncology topics, there was a strong interest in learning more about specific cardiovascular toxicities, and their monitoring and management (n = 205, 66%).
Conclusion:
Cardio-oncology is a new field of expertise requiring competent nurses with current knowledge incorporating both specialties. The survey we conducted described the sample's characteristics, identified cardio-oncology learning needs and preferred methods of delivery. A cardio-oncology core curriculum based on the survey responses can offer convenient, accessible and learner-directed education for nurses worldwide. Ultimately, development of cardio-oncology nursing expertise will benefit cancer patients and survivors worldwide.
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