Teaching nurses chemotherapy administration in the adult population: a scenario-based simulation module

Abstract

Background and Purpose: Administering chemotherapy is a post-entry level competency for Registered Nurses (RNs) in the province of Nova Scotia (NS); therefore, requiring specialized training. While the Nova Scotia Cancer Care Program (NSCCP) incorporates theoretical and clinical components in the systemic therapy education program, there is a gap in learning the associated psychomotor skills. The purpose of this practicum project was to develop a scenario-based simulation module on the administration of chemotherapy to adults, in order to bridge knowledge acquired through the online learning component to the clinical setting. Methods: An integrative literature review was conducted to understand the effectiveness of simulation exercises and case studies as teaching methods for a chemotherapy learning module directed at RNs administering medications for adult oncology patients. An environmental scan assessed how other hospitals within Atlantic Canada certify nurses in the administration of systemic chemotherapy. Consultations were held with various health professionals to determine appropriate content for the scenario-based simulation module in NS. Results: A scenario-based simulation module was developed as a tool for educators. Conclusion: This module facilitates the opportunity for all RNs to practice the required systemic therapy skills in a safe, and non-threatening environment; augmenting nurses’ confidence in the administration of chemotherapy. Furthermore, this module enables RNs to have equivalent and relevant training through both theory and practice-based learning, in the province of NS. Future plans are to collaborate with the NSCCP leadership team, with the vision of integrating the module across the province of NS.