Jibran Majeed, DNP, ACNP-BC, CCRN, of Memorial Sloan Kettering Cancer Center, details how his team created a clinical decision tool to help with decision making for patients who present with new venous thromboembolism.

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Implementing a Clinical Decision Tool to Improve Oncologic Venous Thromboembolism Management
Cancer-Associated Venous Thromboembolic Disease, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology

Many communication skills that advanced practice providers (APP) develop are similar to those of other providers. However, a survey reveals unique communication challenges for APPs that stem from public lack of understanding of this unique role on the multidisciplinary care team.

Related Content:

General and Unique Communication Skills Challenges for Advanced Practice Providers: A Mixed-Methods Study. https://doi.org/10.6004/jadpro.2022.13.1.3

Episode 41: The Never-Ending Need to Explain Yourself: Defining Your AP Role. https://www.advancedpractitioner.com/episode-41-the-never-ending-need-to-explain-yourself-defining-your-ap-role.aspx

Comskil: Communication Skills Training Program & Research Laboratory. https://www.mskcc.org/hcp-education-training/communication-skills-research

Feeling like your tank is empty? You may be coping with change fatigue. Katherine Albert, DNP, FNP-BC, AOCNP, of University of Colorado at Colorado Springs, speaks to host Wendy Vogel, MSN, FNP, AOCNP, about how the pandemic has depleted our reserves and left us unprepared to deal with rapid changes in health care. Katherine and Wendy discuss strategies to refuel your tank, including early communication, team cohesion, and taking time to rest, reflect, and recover. 

Related Content:

Change Management
Leading change: Why transformation efforts fail https://hbr.org/1995/05/leading-change-why-transformation-efforts-fail-2
Healthcare Leadership Lab https://healthcareleadershiplab.com/

Change Fatigue
The relationship among change fatigue, resilience, and job satisfaction of hospital staff nurses https://doi.org/10.1111/jnu.12373
Change fatigue in health care professionals—an issue of workload or human factors engineering? https://doi.org/10.1016/j.jopan.2014.02.007
Change fatigue, job satisfaction, and organizational commitment among nurses https://www.proquest.com/openview/09167b00934b43fc5a829fc9efb2d8b2/1?pq-origsite=gscholar&cbl=18750&diss=y

Practice Adaptive Reserve
Change implementation: The association of adaptive reserve and burnout among inpatient medicine physicians and nurses. https://doi.org/10.1080/13561820.2018.1451307
Burnout among primary care providers and staff: Evaluating the association with practice adaptive reserve and individual behaviors. https://doi.org/10.1007/s11606-020-06367-z

Surge Capacity
Exploring the concept of surge capacity https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No2May09/Articles-Previous-Topics/Surge-Capacity.html
The pandemic has depleted people's surge capacity. Here are ways to recharge.
https://www.cbc.ca/news/canada/kitchener-waterloo/jennifer-moss-happiness-column-surge-capacity-1.6202050

Teams do their best work when they feel connected. Ginger Johnson, speaker and author, talks with host Wendy Vogel, MSN, FNP, AOCNP®, on the power of connection to align values and encourage new ideas and growth within health-care teams.

Related Content:
Connectivity Canon by Ginger Johnson
Use code CANON5 for $5 off
Art of Gathering by Priya Parker

Health-care disparities create barriers to disease prevention, early detection, and treatments. These disparities are found across all cancer types. In this episode, Rose DiMarco, PharmD, BCPS, BCOP, Thomas Jefferson University Hospitals, and Joseen Chundamala, PharmD, University of Pennsylvania Health System, discuss actionable steps oncology advanced practitioners can incorporate into their everyday practice to consistently provide high-quality care to all patients.

Related Content:
Social Determinants of Health and Cancer Disparities: What Can APs Do to Improve Patient Care? (APSHO members only)
Single Item Literacy Screener (SILS)
Harvard Implicit Association Test (IAT)
Social Determinants of Health

Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood. Having multiple ACEs is a major risk factor for many health conditions, including cancer. Host Wendy H. Vogel, MSN, FNP, AOCNP®, talks with Sharon Moore, DPh, Regional Coordinator for ONE Tennessee and Public Health Academic Detailer for Metro Drug Coalition, on how being cognizant of potential ACEs a patient with cancer may have can help inform and improve the care and education advanced practitioners provide.

Related Content:

• ONE Tennessee
• Metro Drug Coalition
• The Origins of Addiction: Evidence From the Adverse Childhood Experiences Study by Vincent Felitti, MD
• PACEs Connection
• CDC: Adverse Childhood Experiences (ACEs)
• The Effect of Multiple Adverse Childhood Experiences on Health: A Systematic Review and Meta-Analysis by Hughes et al.
• Adverse Childhood Experiences and the Presence of Cancer Risk Factors in Adulthood: A Scoping Review of the Literature From 2005 to 2015 by Ports et al.
• Adverse Childhood Experiences (ACEs), Cell-Mediated Immunity, and Survival in the Context of Cancer by Steel et al.
• The Association Between Adverse Childhood Experiences and Risk of Cancer in Adulthood: A Systematic Review of the Literature by Holman et al.
  

In late 2021, R. Donald Harvey, PharmD, BCOP, FCCP, FHOPA, of the Winship Cancer Institute of Emory University, traveled to Nigeria for 2 weeks as a visiting Fulbright Specialist to train pharmacists on best practices in chemotherapy for cancer treatment. He recounts unforgettable experiences and lasting impressions his counterparts left on him, as well as plans for continuing to help strengthen the capacity of cancer treatment and care in Nigeria.

Related Content:

Project Bink Blue

Fulbright Specialist Program

Gretchen McNally, PhD, ANP-BC, AOCNP, of The Ohio State University James Cancer Hospital, talks about the language of addiction, recognizing signs of an opioid or substance use disorder, and universal precautions to take through the lens of a case study.

Related Content:

Addiction in Patients With Cancer: Challenges and Opportunities

JL811: Opioid Use Disorders: Experience, Knowledge and Interest Among Oncology Advanced Practice Providers and Pharmacists

JL725: Oncology Advanced Practice Providers: Opportunities to Positively Impact the Opioid Epidemic