Engaging Nurses in Effective Cost of Care Conversations to Address Cancer-Related Financial Toxicity: Results from an Exploratory Survey
Few evidence-based trainings exist on how to equip healthcare providers, particularly nurses, with the skills to engage in cost of care conversations with patients/caregivers to mitigate the impact of cancer-related financial toxicity. This study evaluated a pilot training developed in collaboration...
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| Format: | Article |
| Language: | English |
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MDPI AG
2025-01-01
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| Series: | Current Oncology |
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| Online Access: | https://www.mdpi.com/1718-7729/32/1/33 |
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| author | Jean S. Edward Amanda Thaxton Wiggins Louis G. Baser Haafsah Fariduddin Joanna F. Doran Monica F. Bryant John A. D’Orazio Kimberly D. Northrip |
| author_facet | Jean S. Edward Amanda Thaxton Wiggins Louis G. Baser Haafsah Fariduddin Joanna F. Doran Monica F. Bryant John A. D’Orazio Kimberly D. Northrip |
| author_sort | Jean S. Edward |
| collection | DOAJ |
| description | Few evidence-based trainings exist on how to equip healthcare providers, particularly nurses, with the skills to engage in cost of care conversations with patients/caregivers to mitigate the impact of cancer-related financial toxicity. This study evaluated a pilot training developed in collaboration with Triage Cancer<sup>®</sup> to prepare oncology nurses to identify and assist patients/caregivers facing financial and/or legal barriers to care. Ten pediatric oncology nurses completed the training and pre/post-surveys on behaviors related to financial and legal need screening, frequency and comfort level of answering questions, knowledge, and behavior changes, along with training evaluation questions. At baseline, six nurses reported never screening for financial needs and nine for legal needs. Following the training, seven nurses stated they were likely to screen for financial/legal needs. At six months post-training, nurses had referred 85 patients/caregivers to financial/legal navigation services. Comfort levels in answering financial/legal questions increased by 6.5 points and knowledge scores increased by 1.7 points post-training. Most nurses recommended this training to other healthcare providers who work with patients with cancer and their caregivers. This study highlights the importance of providing oncology nurses with resources to engage in cost of care conversations and oncology financial legal navigation programs to mitigate the impact of cancer-related financial toxicity. |
| format | Article |
| id | doaj-art-0000848557654bd6bfa13b99707d4ccb |
| institution | Kabale University |
| issn | 1198-0052 1718-7729 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj-art-0000848557654bd6bfa13b99707d4ccb2025-01-24T13:28:25ZengMDPI AGCurrent Oncology1198-00521718-77292025-01-013213310.3390/curroncol32010033Engaging Nurses in Effective Cost of Care Conversations to Address Cancer-Related Financial Toxicity: Results from an Exploratory SurveyJean S. Edward0Amanda Thaxton Wiggins1Louis G. Baser2Haafsah Fariduddin3Joanna F. Doran4Monica F. Bryant5John A. D’Orazio6Kimberly D. Northrip7College of Nursing, University of Kentucky, Lexington, KY 40536, USACollege of Nursing, University of Kentucky, Lexington, KY 40536, USACollege of Nursing, University of Kentucky, Lexington, KY 40536, USAMarkey Cancer Center, University of Kentucky, Lexington, KY 40536, USATriage Cancer<sup>®</sup>, Chicago, IL 60646, USATriage Cancer<sup>®</sup>, Chicago, IL 60646, USAMarkey Cancer Center, University of Kentucky, Lexington, KY 40536, USADepartment of Pediatrics, College of Medicine, University of Kentucky, Lexington, KY 40508, USAFew evidence-based trainings exist on how to equip healthcare providers, particularly nurses, with the skills to engage in cost of care conversations with patients/caregivers to mitigate the impact of cancer-related financial toxicity. This study evaluated a pilot training developed in collaboration with Triage Cancer<sup>®</sup> to prepare oncology nurses to identify and assist patients/caregivers facing financial and/or legal barriers to care. Ten pediatric oncology nurses completed the training and pre/post-surveys on behaviors related to financial and legal need screening, frequency and comfort level of answering questions, knowledge, and behavior changes, along with training evaluation questions. At baseline, six nurses reported never screening for financial needs and nine for legal needs. Following the training, seven nurses stated they were likely to screen for financial/legal needs. At six months post-training, nurses had referred 85 patients/caregivers to financial/legal navigation services. Comfort levels in answering financial/legal questions increased by 6.5 points and knowledge scores increased by 1.7 points post-training. Most nurses recommended this training to other healthcare providers who work with patients with cancer and their caregivers. This study highlights the importance of providing oncology nurses with resources to engage in cost of care conversations and oncology financial legal navigation programs to mitigate the impact of cancer-related financial toxicity.https://www.mdpi.com/1718-7729/32/1/33financial toxicitycost of care conversationsnurse trainingfinancial and legal navigation |
| spellingShingle | Jean S. Edward Amanda Thaxton Wiggins Louis G. Baser Haafsah Fariduddin Joanna F. Doran Monica F. Bryant John A. D’Orazio Kimberly D. Northrip Engaging Nurses in Effective Cost of Care Conversations to Address Cancer-Related Financial Toxicity: Results from an Exploratory Survey Current Oncology financial toxicity cost of care conversations nurse training financial and legal navigation |
| title | Engaging Nurses in Effective Cost of Care Conversations to Address Cancer-Related Financial Toxicity: Results from an Exploratory Survey |
| title_full | Engaging Nurses in Effective Cost of Care Conversations to Address Cancer-Related Financial Toxicity: Results from an Exploratory Survey |
| title_fullStr | Engaging Nurses in Effective Cost of Care Conversations to Address Cancer-Related Financial Toxicity: Results from an Exploratory Survey |
| title_full_unstemmed | Engaging Nurses in Effective Cost of Care Conversations to Address Cancer-Related Financial Toxicity: Results from an Exploratory Survey |
| title_short | Engaging Nurses in Effective Cost of Care Conversations to Address Cancer-Related Financial Toxicity: Results from an Exploratory Survey |
| title_sort | engaging nurses in effective cost of care conversations to address cancer related financial toxicity results from an exploratory survey |
| topic | financial toxicity cost of care conversations nurse training financial and legal navigation |
| url | https://www.mdpi.com/1718-7729/32/1/33 |
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