ENHANCING LONG-TERM KNOWLEDGE RETENTION OF ONCOLOGY NURSES THROUGH GOALS OF CARE COMMUNICATION TRAINING.

Significance & Background: Oncology nurses often face challenges in having constructive Goals of Care (GoC) discussions with patients and their families. Ineffective GoC communication may result in misaligned care, reduced patient satisfaction, and be a source of additional emotional distress for bo...

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Publicado en:Oncology Nursing Forum Vol. 53; no. 2; p. 201
Autores principales: McClosky, Victoria, Martinez, Gary
Formato: Journal Article
Publicado: Oncology Nursing Society Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
      vid: 53
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      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        atl: ENHANCING LONG-TERM KNOWLEDGE RETENTION OF ONCOLOGY NURSES THROUGH GOALS OF CARE COMMUNICATION TRAINING.
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        au:
          McClosky, Victoria
          Martinez, Gary
        affil: BA, BSN, RN, CBCN, U.T. MD Anderson Cancer Center, Houston, TX
      sug:
      ab: Significance & Background: Oncology nurses often face challenges in having constructive Goals of Care (GoC) discussions with patients and their families. Ineffective GoC communication may result in misaligned care, reduced patient satisfaction, and be a source of additional emotional distress for both the affected families and providers. Evidence supports that structured communication skills training (CST) can help nurses manage GoC discussions more effectively. Maintaining long-term knowledge from CST training is crucial for sustaining effective communication practices, high standards of patient care, and professional development. Purpose: This project evaluated the long-term knowledge retention of oncology nurses who participated in the CST. The aim was to determine whether initial training knowledge gains were maintained and to identify strategies to strengthen sustainability. Retention success was defined as achieving at least 50% accuracy with less than a 35% decline compared to baseline, supporting both patient-centered and quantifiable outcomes. Interventions: The CST intervention consisted of two components: (1) asynchronous online modules and (2) a live Engagement Session applying these skills in real-world scenarios. Knowledge was assessed at baseline using a Kahoot quiz (average score: 76.7% across 3,034 participants). Long-term retention was measured using a six-question Qualtrics-administered quiz, identical in design to the baseline assessment, which was delivered to a randomized group of medical oncology nurses at least 30 days post-training. Results: The sample consisted of 36 (n=36) staff medical oncology nurses with one exclusion due to a lack of consent and five incompletions. The average raw score was 4.72 of 6.0, yielding an accuracy rate of 78.7%. In comparison to the baseline benchmark of 76.7%, this represents an approximate 2.61% improvement. The findings exceeded both the retention threshold (>50%) and the requirement for minimal decline (<35%), demonstrating sustained knowledge retention among oncology nurses. Discussion: This quality improvement project demonstrates that CST effectively supports long-term retention of essential knowledge for oncology nurses. The results suggest that this form of training supports not only immediate but also durable learning. Sustainability of communication skills in clinical practice is vital to enhancing timely and patient-centered GoC conversations. Next steps include continued monitoring and iterative improvements to the curriculum to further enhance the long-term impact on nursing practice and patient-centered communication.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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