Interprofessional Cancer Education in Cape Breton District Health Authority

Improved patient care is at the heart of a project designed to train cancer health professionals to provide cancer education to their peers.

Funded by Health Canada, with Cancer Care Nova Scotia as the project lead, Partners for Interprofessional Cancer Education has trained six health professionals from Cape Breton District Health Authority as facilitators.

The training provides expertise in interprofessional learning -- a greater appreciation of each others' values, knowledge and abilities; collaborative, patient-centred care and cultural sensitivity and safety for First Nations communities. These facilitators will educate health professionals in their district. Together with 32 other facilitators from across Nova Scotia and Prince Edward Island, they will reach more than 1,100 community-based health professionals over the next year.

"Canada's government commends Cancer Care Nova Scotia and its partners for their leadership in this project. By April 2008, more than 1,000 Nova Scotian health professionals will be better trained to help cancer patients," said Tony Clement, federal Minister of Health. "The introduction of interprofessional education across Nova Scotia will benefit not only the patients who will receive unprecedented treatment and support, but also the teams of professionals who work in cancer care."

"With the expertise and commitment of districts, and the strength of our other partners, we are extending the value and reach of Cancer Care Nova Scotia's original interprofessional education program, the interprofessional core curriculum," said Theresa Marie Underhill, chief operating officer, Cancer Care Nova Scotia. "Through this project, we are enhancing it, extending the training of health professionals and providing the necessary supports for them to deliver the interprofessional core curriculum to others."

"Cancer care involves a team approach and this program will help strengthen our team," said Mona Baryluk, director of the Cape Breton Cancer Centre. "Sharing our knowledge and experience with other health-care professionals will give them enhanced skills and a special perspective on cancer care. Our goal is to provide the safest and best possible care to our patients and this education program will make a difference."

Health professionals with an expertise in cancer or palliative care were recruited to participate in the training. Medical and radiation oncologists, palliative care physicians and nurses, social workers, pharmacists, nursing students from St. Francis Xavier University and First Nations representatives working in health were among those trained.

"I've always been sold on the benefits of a team approach to learning, so I was excited to have the opportunity to participate in the facilitator training," said Hugh Toner, a pharmacist with the Cape Breton District Health Authority and one of the 38 health professionals trained as an interprofessional facilitator. "I was very impressed. We learned how to engage learners in discussion and encourage the sharing of different perspectives to enrich the learning. It was very powerful and I'm looking forward to sharing my learning with others. When health professionals learn with, from and about each other, everyone benefits - especially patients."

The Registered Nurses Professional Development Centre, in collaboration with other partners, implemented the first phase of the project, the development of the facilitator training program. First Nations consultants worked with the Registered Nurses Professional Development Centre to ensure cultural safety and sensitivity was woven throughout the training program. The centre also revised the case studies included in Cancer Care Nova Scotia's interprofessional core curriculum, which facilitators will be delivering.

Beginning in April, facilitators will deliver the core curriculum program to community based health professionals in Nova Scotia and P.E.I. The curriculum has 10 modules including, pain and symptom management, treatment and side effects. By April 2008, 1,100 health professionals will have a better knowledge in these areas as well as an improved understanding and appreciation of the expertise of their team members and the community resources available to patients and families. The curriculum will also be included in the undergraduate nursing program at St. Francis Xavier University.

As part of the project, Cancer Care Nova Scotia will support facilitators in developing a community of practice to build the body of knowledge and expertise in interprofessional learning through better interaction with one another.

An evaluation, led by Dalhousie Continuing Medical Education, for both facilitators and participants will cover both intended and self-reported changes in practice. Possible ways for evaluating the project from the patient perspective are also being discussed.

In addition to Cancer Care Nova Scotia, Partners for Interprofessional Care Education includes: district health authorities, the IWK Health Centre, the Registered Nurses Professional Development Centre, Dalhousie University Continuing Medical Education, Dalhousie University College of Pharmacy, Division of Continuing Pharmacy Education, the Union of Nova Scotia Indians, the Confederacy of Mainland Mi'kmaq, St. Francis Xavier School of Nursing, Seniors' Secretariat and Prince Edward Island Department of Health.

Cancer Care Nova Scotia is a program of the Department of Health, created to reduce the burden of cancer on individuals, families, and the health-care system through prevention, screening, education and research.