Transcript power point and presenters notes

An interactive training module for health professionals:
Addressing the psychosexual care
of women affected by gynaecological cancers
P. Yates, K. Nattress, K. Hobbs, I. Juraskova, K. Sundquist, L. Carnew.
Introduction
• Treatment for a gynaecological cancer (GC) can alter a woman’s
behaviours, attitudes and feelings towards sexuality and intimacy.
• Health professionals require knowledge and skills to minimise the
risk of these concerns, and to effectively treat them should they
occur.
• The aim of this project was to develop a psychosexual care
framework and educational resource to improve health
professionals’ skills and confidence in providing effective
psychosexual care.
Project team and project working group
guide development of the modules
The Project Team, a group of specialists developing the modules include:
Patsy Yates
Kath Nattress
Ilona Juraskova
Kim Hobbs
Palliative care
research and
education
Registered nurse,
and post-graduate
educator
Lecturer in Health
Psychology at The
University of Sydney,
and a clinical
psychologist
Social Worker,
Westmead Hospital,
Department of
Gynaecological
Oncology.
Kendra Sundquist
Educator, expertise
in sexual and
reproductive health,
sexuality, and
psychosocial care in
cancer
The Project Working Group provides feedback and comment on developed resources at each stage of
the process.
Module development process
Phase 1
Scoping
- Literature review
- Web based review
Phase 2
Development
Phase 3
Piloting
- Piloting within test
- Framework
sites ensures
- Module outlines
usability of materials
- Case study and
module development
- Review of materials by
health professionals
- Web and content
editors ensure a
succinct and usable
structure
Phase 4
Implementing
- Implementation of the
final resource after
addressing pilot
feedback
Phase 1: Scoping Method
• All studies which explored, described and/or explained
the psychosexual issues experienced by women affected
by GC and their partners were included.
• The search strategy was limited to the years 1999 to mid
October 2010.
• Databases searched included: CINAHL, PubMed,
PsycINFO, and Medline
Phase 1: Scoping Results
The literature searches identified 116 papers addressing:
• psychosexual sequelae,
• supportive care and quality of life
• health professional practices (including interventions)
These topics were analysed to:
• identify competencies relevant to health professionals in
various practice settings
• guide the development of the framework and educational
resource
Phase 2: Developing the framework
Caring for women affected by gynaecological cancers
All women with
gynaecological
cancer
Some women
with
gynaecological
cancer
A few women
with
gynaecological
cancer
Universal
Appropriate for all health professionals who interact with
women affected by gynaecological cancers.
Universal
Specialist
Extended
Extended
Specialist
Universal
Phase 2: Developing the framework
Caring for women affected by gynaecological cancers
All women with
gynaecological
cancer
Some women
with
gynaecological
cancer
A few women
with
gynaecological
cancer
Extended
Appropriate for health professionals who are
involved with the treatment and care of women
affected by gynaecological cancers.
Universal
Specialist
Extended
Extended
Specialist
Universal
Phase 2: Developing the framework
Caring for women affected by gynaecological cancers
All women with
gynaecological
cancer
Some women
with
gynaecological
cancer
A few women
with
gynaecological
cancer
Universal
Specialist
Extended
Extended
Specialist
Universal
Specialist
Discussion of topics which will aid health professionals’ care for women with gynaecological cancer
who are exhibiting severe distress. Due to the highly specialised and often sensitive nature of required
care at this level, identification of cases and appropriate referral techniques are required, as well as
strategies to resolve problems.
Reviewing modules 1,2 &3; successful completion of
modules 4,5& 6 at an in depth level, accessing
additional readings, activities, & supporting
resources will develop specialist capabilities,
confidence and skill, including identification of cases
and appropriate referral techniques
Reviewing modules 1, 2 and 3 and
successful completion of modules 4, 5 and
6 will achieve an extended level of
capability, knowledge, confidence and skill.
Successful completion of
modules 1, 2 and 3 will
provide a broad level of
capabilities and knowledge.
Phase 2: Developing the modules
1.
2.
3.
4.
5.
6.
A total of six modules have been developed
to fit within the framework.
Understanding sexuality
Understanding the experience of the psychosexual effect of a
gynaecological cancer
Enquiring and responding to the psychosexual sequalae of
gynaecological cancers
Understanding psychosexual sequalae: pathophysiological,
psychosocial and cultural aspects
Undertaking a comprehensive sexual health assessment
Evidence based approaches to the treatment of
psychosexual sequelae of gynaecological cancers
Each module comprises…
Multiple Choice Q’s
Key Concepts
Thinking Points
Case Studies
Short Answer Q’s
Search function
• Use the search function for quick access to relevant topics
• Located top right hand corner all pages of the resource
Phase 3: Pilot testing
• Many health professionals expressed the need for a
resource to guide/improve their ability to deal with
psychosexual issues in gynaecological cancer
• Health professionals reported improved confidence and
knowledge following the workshop
• The range of issues addressed in the modules, coupled
with case studies and learning activities, provided an
interactive environment beneficial for learning
Phase 4: Implementation
www.cancerlearning.gov.au
What are we doing at the moment?
Acknowledgements
Funded by:
Disciplines represented in Project
Working Group & module review :
Cancer Australia
Project team:
Professor Patsy Yates
Kath Nattress
Kim Hobbs
Ilona Juraskova
Kendra Sundquist
Project Officer:
Lynda Carnew
Project Working
Group:
Dr Margaret Davy
(Chairperson)
Consumer
Gynaecological Oncologist
General Practitioner
Radiation Oncologist
Gynaecological Clinical Nurse Specialist
Gynaecological Clinical Nurse Consultant
Psychologist
Research Psychologist
Social Worker
Education Services Manager
Patient Programs Officer
Sexual Health Educator
www.cancerlearning.gov.au