Universität zu Köln

Berger-Hoeger, Birte, Vitinius, Frank, Fischer, Hannah, Beifus, Karolina, Koeberlein-Neu, Juliane, Isselhard, Anna, Toepper, Maren, Wiedemann, Regina, Rhiem, Kerstin, Schmutzler, Rita, Stock, Stephanie and Steckelberg, Anke (2022). Nurse-led decision coaching by specialized nurses for healthy BRCA1/2 gene mutation carriers - adaptation and pilot testing of a curriculum for nurses: a qualitative study. BMC Nurs., 21 (1). LONDON: BMC. ISSN 1472-6955

Full text not available from this repository.

Abstract

Background: Women with BRCA1/2 mutations are at high risk to develop breast and ovarian cancer. To support these women to participate in shared decision-making, structured nurse-led decision coaching combined with an evidence-based decision aid may be employed. In preparation of the interprofessional randomized controlled trial to evaluate a decision coaching program to support preventive decisions of healthy female BRCA 1/2 gene mutation carriers (EDCP-BRCA), we adapted and piloted an existing training program for specialized nurses and included elements from an existing physician communication training. Methods: The training was adapted according to the six-step-approach for medical curriculum development. The educational design is based on experience- and problem-based learning. Subsequently, we conducted a qualitative pilot study. Nurses were recruited from six German centers for familial breast and ovarian cancer. The acceptability and feasibility were assessed by structured class observations, field notes and participants' feedback Data were analyzed using qualitative content analysis. The training was revised according to the results. Due to the COVID-19 pandemic, the patient intervention was adapted as a virtual coaching and a brief additional training for nurses was added. Results: The training consists of two modules (2 + 1 day) that teach competences in evidence-based medicine and patient information, (risk) communication and decision coaching. One pilot test was conducted with six nurses of which three were specialized and experienced in patient counselling. A final set of eight main categories was derived from the data: framework conditions; interaction; schedule, transparency of goals, content, methods, materials and practical relevance and feasibility. Overall, the training was feasible and comprehensible. Decision coaching materials were awkward to handle and decision coaching role plays were set too short Therefore, materials will be sent out in advance and the training was extended. Conclusions: Specialized nurses are rarely available and nurse-led counselling is not routinely implemented in the centers of familial breast and ovarian cancer. However, training of less qualified nurses seems feasible. Decision coaching in a virtual format seems to be a promising approach. Further research is needed to evaluate its feasibility, acceptability and effectiveness.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Berger-Hoeger, Birte UNSPECIFIED UNSPECIFIED UNSPECIFIED Vitinius, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Fischer, Hannah UNSPECIFIED UNSPECIFIED UNSPECIFIED Beifus, Karolina UNSPECIFIED UNSPECIFIED UNSPECIFIED Koeberlein-Neu, Juliane UNSPECIFIED UNSPECIFIED UNSPECIFIED Isselhard, Anna UNSPECIFIED UNSPECIFIED UNSPECIFIED Toepper, Maren UNSPECIFIED UNSPECIFIED UNSPECIFIED Wiedemann, Regina UNSPECIFIED UNSPECIFIED UNSPECIFIED Rhiem, Kerstin UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmutzler, Rita UNSPECIFIED UNSPECIFIED UNSPECIFIED Stock, Stephanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Steckelberg, Anke UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-675707
DOI:	10.1186/s12912-022-00810-8
Journal or Publication Title:	BMC Nurs.
Volume:	21
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6955
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BREAST-CANCER; WOMEN; IMPLEMENTATION; MASTECTOMY; OVARIAN; SKILLS Multiple languages Nursing Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67570