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CANO/ACIO 2019 Conference Highlights Oncology Nursing: Celebrating our Diversity Winnipeg, MB, October 20-23, 2019 1
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CANO/ACIO 2019 Conference Highlights Oncology Nursing ......CANO/ACIO 2019 Conference Highlights. Oncology Nursing: Celebrating our Diversity. Winnipeg, MB, October 20-23, 2019. 1

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Page 1: CANO/ACIO 2019 Conference Highlights Oncology Nursing ......CANO/ACIO 2019 Conference Highlights. Oncology Nursing: Celebrating our Diversity. Winnipeg, MB, October 20-23, 2019. 1

CANO/ACIO 2019 Conference Highlights

Oncology Nursing: Celebrating our Diversity

Winnipeg, MB, October 20-23, 2019

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Objectives The primary objective for developing the Best of CANO/ACIO was to highlight key elements and salient information from the 2019 CANO Conference. The following Best of CANO review acts as a:

• A review for people who attended • An update for CANO members and/or oncology nurses

who were unable to attend the conference

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Education

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A Simulation Module: A facilitators guide for teaching nurses the administration of systemic therapyIssue: The gap between theory and practice (related to chemotherapy administration) may leave nurses

feeling unsafe or uncertain regarding administering, monitoring, and caring for the oncology population.Nurses need an opportunity to practice psychomotor and critical thinking skills prior to patientengagement.

Process: The methods utilized to develop the module included: a literature review, an environmentalscan, and consultations with key stakeholders.

Impact: Nurses found this module increased their confidence with the psychomotor skills associatedwith administering systemic therapy agents, capacity to manage an adverse event, and enhancedunderstanding of relevant paperwork required along with how to complete such documents.

Key Message: Simulation exercises offer an avenue to bridge the theoretical knowledge ofadministering systemic therapy to the clinical setting, prior to patient encounters. The resultingoutcomes can include enhanced psychomotor and critical thinking skills, increasing the confidence of thenurse administering these high risk drugs and ultimately potentially enhancing patient safety.

[email protected] October 2019

Ashley Crocker, MN, BScN, RNHalifax, NS

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Introduction of High Fidelity Simulation for Advancing Oncology Training

• Problem/Issue: 40% of staff have less than 2 years oncology experience. Need to expedite the process of maturation to expertise in oncology nursing, specifically with chemotherapy administration to ensure safe patient care is delivered.

• Context/Process: Reviewed current processes, found cost savings by switching to another foundation education provider and utilized excess resources to deliver high-fidelity simulation training with focus on high stress scenarios while utilizing local resources.

• Impact/Outcome: Increased staff confidence, reduced orientation time and cost.

• Key Messages: Simulation training is resource intensive but improves confidence in staff ability to manage complex situations. Need to ensure that sufficient time is allotted for staff to prepare in advance.

[email protected] & [email protected]

Kim Fletcher, RN BScN, C(ONC) & Laureen Plommer, RN, BN, C(ONC)

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Foundational Knowledge

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CANO Radiation SIG Workshop: Radiation Therapy Basics & Symptom Management Principles

• There is NO evidence for the historical practice of restricting the timing of cream/lotion/moisturizer applications prior to radiation treatment.

• Symptom management includes the following 4 steps: symptom reporting , symptom assessment, symptom management, and documentation per CANO RONP Standards and CCO Oncology Nursing Competencies.

• Symptom Screening Tools:• Edmonton Symptom Assessment Scale (ESAS)• MD Anderson Symptom Inventory (MDASI)• Canadian oncology Symptom Triage & Remote Support (COSTaRS) Practice Guides

• Symptom Grading Tools:• World Health Organization (WHO)• National Comprehensive Cancer Network (NCCN)• National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)• Radiation Therapy Oncology Group (RTOG)

Renata Benc ([email protected]), Amber Killam ([email protected])

Facilitators: Simonne Simon, Renata Benc, Amber Killam, Kasia Bronicki & Anet Julius

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HPV WorkshopThe Full Spectrum from HPV Prevention and Screening to Management of HPV Related Cancers

• Problem/Issue: ↑ confidence in prevention and management of HPV-related cancers.

• Context/Process: 1) Primary prevention of HPV (Vaccine); 2) Cervical Cancer Screening; 3) Gynecologic pre-invasive and invasive HPV lesions; 4) Anal cancer in women and men

• Impact/Outcome: 5% of cancers worldwide attributable to HPV

• Key Messages: Primary prevention with HPV prophylactic vaccines

• HPV testing is set to become primary screening tool• Identify those at Risk to r/o cancer or regression while balancing harms • Future: AIN guidelines regarding Screening Recommendations

[email protected]

Fortier, M., Buick, C., Vicus, D., Bouchard, C.

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Research

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The Journey from Here to There …and Maybe Back Again: A Mixed Methods Evaluation of Patient Satisfaction and Symptom Experiences in Patients with Blood-based Cancer Transitioning from Acute Cancer Treatment to the Community

• Problem: The transition from hospital to home is a challenging time for adult patients with hematological cancers and/or stem cell transplantation. Little is known about patients’ perspectives on inpatient care supporting transition.

• Method: Using a mixed methods design, near discharge, we surveyed 41 participant volunteers from an adult acute cancer unit (demographics, ESAS-R, PMHPMS-M) and for a sub-set, also conducted 13 digitally recorded, in-depth semi-structured interviews within 6 weeks of discharge.

• Results: Findings support that patient satisfaction is multidimensional and that it appears linked to care provider, perceived needs of care, and multiple personal factors like symptoms, knowledge and access to care. Nurses were viewed as both strongly needed and providing of emotional support.

• Key Message: Although preliminary, our findings highlight the importance of the acute cancer care and transition experience to patient satisfaction and revealed opportunities for strengthening clinical resources and education interventions to support transition.

10Contact Diana E. McMillan, RN, PhD: [email protected]

D.E. McMillan1,2, K.L. Rieger1, N. Zenchyshyn2, J. Bolianatz1, A. Lucas2, D. Grantham2, K. Mitchell1,3, S. Jafri1, N. Klassen1, M. Iwetan1, C. Smidt1, R. Gumber1

1Rady Faculty of Health Sciences, College of Nursing, University of Manitoba, Winnipeg, MB, Canada; 2Health Sciences Centre, Winnipeg, MB, Canada; 3School of Nursing, Red River College, Winnipeg, MB, Canada

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Integrating oncology practice and academic worlds: Results from an international survey

• Objective: To better understand how oncology nurses integrate clinical practice and graduate studies; and how graduate preparation can impact oncology nursing care and patient outcomes.

• Procedure: An anonymous, web-based survey was disseminated through social media and email to graduate prepared nurses who identified working in oncology practice/research.

• Outcome: Preliminary results reveal three major themes: taking the leap into graduate studies, challenge of navigating conflicting worlds, and the benefits & strategies to succeed and thrive

• Key Messages: Researchers can capitalize on clinician interest in research beyond recruitment; clinicians can work with researchers to gain deeper understanding and knowledge of the research; and, it is important for administrators to realize potential value of incorporating research roles into clinical skill mix to enhance job satisfaction and increase retention.

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For more information, please contact Dr. Kristen Haase, [email protected]

Co-authors: Haase, K., Horrill, T., Lambert, L., Powell, T., & Strohschein, F.

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Being with the cancer patient at each step of the way

• The patient journey is complex, emotional, multifaceted. Emotional support is needed at each step of the journey

• Needs identified: psychological support, becoming an empowered patient, practical issues, managing information overload, transitioning to the new normal

• Only 33% of patients received association recommendation from their healthcare professional (The Leukemia & Lymphoma Society of Canada or other) ; 60% of patients and caregivers would take action if referral tear sheet provided

• Patients find the support they need at each step of the way when they connect with LLSC

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[email protected]@lls.org

Authors, The Leukemia & Lymphoma Society of Canada

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Clinical Practice

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Culturally Sensitive EOL CARE

• FICA (Faith, Importance, Community, Address)

• Identify unique preferences, communicate to team, attempt to accommodate

• Death Rituals

• Nurses must bridge the gap between themselves and the pt/family they are caring for

• Living My Culture videos on Virtual Hospice

• Ask, Listen, Respect

[email protected]

Laurie Ann Holmes RN, BScN CON(C)CHPCN(C)

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Impact of telephone nursing services for adults with cancer on quality of symptom management: COSTaRS project

• Problem: Little is known about the quality of telephone-based nursing management of patients with cancer- tx related symptoms.

• Process: Quality improvement project analyzing audio recorded calls and auditing related chart documentation.

• Impact: For 63 calls, SMAT quality score was 71% (range 21-100%) for audio and 63% (range 19-100%) for documentation. Few used COSTaRS

• Key Messages: Higher quality scores when COSTaRS was used. Nurses documented less than they discussed

[email protected]

L Jolicoeur, K Balchin, D Stacey, C Ludwig, M Carley, F Kelly, S Madore, C Kuziemsky, L Jibb, COSTaRS QI

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First Steps to Providing Culturally Sensitive Patient centered Care

• Problem/Issue: Traditional nursing education and practice provide practitioners with strong clinical and technical skills. However, less focus has been given to understanding the role culture plays in the delivery of healthcare. Cultural awareness and sensitivity are important components of caring for others.

• Context/Process: Canada is an increasingly diverse country, with many nationalities represented. Building skill sin cultural safety starts with self examination of ones own beliefs and values and how that can influence the care we provide. Through experiential learning opportunities, we gave participants the opportunity to explore further their own beliefs and values and how that could impact care.

• Impact/Outcome: Participants develop a better understanding of how to practice in a culturally safe way. Develop an understanding of the difference between cultural competency and cultural safety

• Key Messages: Incorporating an understanding of cultural safety into nursing education, supports practicing from a person centered perspective. Part of having a culturally safe practice is to regularyexamine our own beliefs and values and how these may influence or interactions with patients and families.

[email protected]

Karen Brooks, Sarah Champ & Jennifer Anderson

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The Role of A Digital Web-Based Breast Cancer Surgery Decision Aid in Supporting Breast Cancer Patients

• Problem/Issue: Breast cancer patients across Canada don’t always have the information they feel they need to make an informed decision about breast cancer surgery and post-surgery options.

• Context/Process: A steering committee of breast cancer patients from across Canada identified the information that was needed pre-surgery and post-surgery to understand their surgical options. The information was then developed into a digital decision aid that was reviewed by a surgical oncologist at the Ottawa Hospital. The decision aid also included information about the lived experience of patients who had experience with each procedure.

• Impact/Outcome: Patients are able to access comprehensive, patient friendly information in an easy to use digital tool

• Key Messages: The decision aid can be accessed at www.cbcn.ca/surgeryguide

[email protected]

Author: Sharon Young – Canadian Breast Cancer Network

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Patient Reported Outcomes Moving symptom management into the hands of patients

• Current communication strategies for symptom management in the outpatient setting can leave patients confused and frustrated

• A patient reported outcome and symptom management tool proof of concept was completed using El.S.K.A

• Patients reported a “better experience using El.S.K.A”, “easy to use”, “easy to get help from videos for the side effect I had”.

• With simple available technology patients can communicate more effectively their healthcare providers

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[email protected]

Janet Funk

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Cancer and Pregnancy, a new population

• Incidence: 1/1000,

• Disease sites: similar to non-pregnant in that age group• Melanoma, lung, breast, Hodgkin's

• Diagnosis may be delayed because of pregnancy

• Treatment: chemo safe in 2nd+3rd trimester, dose/ cycle BSA, weekly tx preferred, tx stopped ~35 wks. to allow hematological recovery

• delay Radiotherapy, Endocrine and Immunotherapy

• Care must be coordinated with Oncologist, High Risk OBS. Neonates

[email protected]

Laurie Ann Holmes RN, BScN CON(C)CHPCN(C)

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Man Up: Testicular Cancer Awareness• Problem/Issue: There is a need to increase awareness about Testicular

Cancer in our young male population.• Context/Process: Our greatest weapon of defense in Testicular Cancer

awareness is to become informed with various resources available.• Impact/Outcome: By being informed, by having a voice and initiating

conversations with younger males, we are allowing them better chance for early detection and prompt treatment.

• Key Messages: By increasing awareness we will have a better chance of breaking down the walls, getting more males to talk about their “Testicles”

[email protected]

Wendy Robinson

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Incorporating Palliative Care Approaches in Oncology Nursing

• Problem/Issue: Oncology nurses need educational support to integrate palliative care approaches in cancer care

• Context/Process: The needs for palliative care are increasing and patients may require palliative care in any setting

• Impact/Outcome: Early palliative care is associated with reduced symptoms, longer survival and higher patient satisfaction

• Key Messages: Oncology nurses are in an excellent position to champion early palliative care and to work with patients/families in incorporating their wishes and values in treatment planning.

[email protected]

Jiahui Wong, Cathy Kiteley, Samantha Scime, Mary Jane Esplen

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Leadership/Models of Care

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Urgent Cancer Care Clinic: Lessons learned over the last 5 years and how it will shape the next 5 years.

• Problem/Issue: How to Allow for more patient flow opportunities within an Urgent Cancer Care Clinic

• Context/Process: Current state there is not enough space and time within our current Urgent Cancer Care Clinic.

• Impact/Outcome: Consideration for an appointment based system to increase the number of patient seen in a day and increasing the telephone helpline numbers to prevent patients from needing to be seen.

• Key Messages: More work is required to allow for more patient volumes for both the clinic and the associated helpline.

23Primary Author’s email address: [email protected]

Tracey Schlamb, CCMB

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Rural Navigation : Traveling down the road of diversityMarcia Garvie, RN, BN, B.Ed, CON(C) Michelle Rosentreter, RN, BN, CON(C) Michele Staszkiewicz, MSW, RSW

Problem/Issue:

• Many rural patients do not wish to have work up or treatment for cancer due to barriers and difficulty to access services. Each rural patient needs to be assessed in all domains including access to travel, living conditions, support systems, engagement and adherence

Context/Process:• When providing rural patients care we need to investigate and understand and assess all potential barriers to care

Impact/Outcome: • In order to support rural patients we need to understand the range of those potential barriers.

Once needs are established we need to connect locally, and work in partnership with patients. Each community and patient we serve is different and the services they can offer is unique.

Key Messages:• By customizing our responses to patient and family needs, we work towards our goal, which is to assist each person

diagnosed with cancer and their family to connect with compassionate and high quality cancer professionals. 24

[email protected]

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Celebrating the implementation of a new electronic health record

• Our new EMR helps experts oncology nurses to meet the CANO competencies and standards of practice.

• EMR implementation challenges identified by stakeholders in the first 4 months of go live:

• User learning curve, defining new workflows, dealing with decreased productivity, patient safety and satisfaction and work stress and absenteeism

• Benefits of the new EMR:• Improved access to patient information to care provider across the region,

embedded evidence based guidelines, improved patient engagement with MyChart and opportunity to data driven quality improvement.

[email protected]

Lynne Jolicoeur RN, MScN & Jennifer Newton, RN, BScN, MEd

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An Exploration of Patient Centred Care Perspectives in a Colorectal Cancer Survivorship Program

• The needs of colorectal cancer survivors were multifactorial (psychosocial & physical); in priority are the following: distress (anxiety/depression), cancer related fatigue and bowel care.

• Problem addressed by gaining an understanding of patient centred care and the development of a logic model

• Cancer Care Ontario (CCO) in conjunction with the Canadian Partnership Against Cancer have developed online evidence based assessment tools to address these care needs (www.cancercareontario.ca/en/symptom-management).

• Key Messages: Shift from a disease centred to person centred cancer care approach. Patient centred care requires care integration, recognizing the patient experience and increasing patient engagement in survivorship care. CCO’s Evidenced based tools can be utilized and measurable patient outcomes can be evaluated.

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Helen Frederickson NP, Dr. M. Timofeeva, Dr. D. Robson, Aronea Benea CNS, Jessica Lau NP, Shima Davati RD

[email protected]

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More Great PresentationsEducationInuusi Aqqusaaqtara – An Inuit Cancer Project: Savanah Ashton

Bridging the Gap of Diverse Views on Cannabis Use in Cancer Care: Erin M’Larkey, Samantha Scime, Domenic Tavares

Person Centered Care Standards for the Support and Care of Transgender Clients in the CIBC Breast Centre: Marta BisikerEngaging Patients and Families in the Development of Education resources: Carolyn Fifiield

Diversity in Access – How are Nursing Students Connecting to the World of Oncology: Lauren Hogberg

A Simulation Module- A Facilitors Guide for Teaching Nurses the Administration of Systemic Therapy: Ashley Crocker

Using and Escape Room to Facilitate Learning in an Undergraduate Oncology Nursing Course: Catherine Fox, Sara Garcia, Leslie Ramos-Charlton, Cheryl Claeys

Introduction of High Fidelity Simulation for Advancing Oncology Training: Laureen M. Plommer, Kim Fletcher

Improving Care for Patients and Families from Diverse Cultural, Spiritual, and Religious Backgrounds: Ogechi Asagwara, Ellen Paulley

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Foundational KnowledgeHazardous Drug Administration – an Interdisciplinary Approach to Safety: Jennifer NewtonThyroid Cancer – Is It Really the Good Cancer to Have?: Jennifer PetronisExploring Diverse Bone Marrow Failure Disease and the Impact on Individuals and Families: Lauren Cosolo, Samantha ScimeHPV Workshop – The Full Spectrum form HPA Prevention and Screening to Management of HPV Related Cancers: Danielle Vicus, Celine Bouchard, Michel Fortier, Catriona BuickAcute Leukemia 101: Lauren Cosolo, Catriona Buick

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ResearchAccess to Cancer Care Among Indigenous Peoples in Canada – A Scoping Review: Tara C. HorrillDescribing Cancer Incidence, Stage at Diagnosis; and Outcomes of First Nations and All Other Manitobans – A Retrospective Analysis: Tara C. HorrillA Pilot Intervention Study to Understand and Support the Symptom Relief and Palliative Care Needs of Inner City Populations in Edmonton: Anna Santos Salas, Health Morris, Bronwen LeGuerrierRevolutionizing Cancer Care Through Precision Medicine and Patient Empowerment Using Experience -Based Co-Design: Rebecca Plett, Denise Bryant-LukosiusExploring the Post-Test Psychological Functioning and Cancer Prevention Decisions of Women Undergoing Multi-Gene Testing for Hereditary Breast and Ovarian Cancer Risk: Linday CarlssonMoving Beyond “You Need to Take Care of Yourself”. – Engaging Family Caregivers of People with Advanced Cancer in an Individually tailored Physical Activity Intervention: Jamie L, PennerCortisol, CRP, Cytokines, and Treatment Related Symptoms in Breast Cancer Survivors Submitted to a Swedish Massage Intervention – Preliminary Results: Emiliana BomfimAmbulatory Oncology Clinic Nurses Perspective of Patient-Reported Outcomes: Danielle Mach

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ResearchThe Journey from Here to There and Maybe Back Again – A Mixed Methods Evaluation of Patient Satisfaction and Symptom Experiences in Patients with Blood-based Cancer Transitioning from Acute Cancer Treatment to the Community: Diana E. McMillan, Kendra L. Rieger, Nadia ZenchyshynAdolescent and Young Adults [AYA] Cancer – How Do We Bridge the Gap Between Pediatric and Adult Cancer Patients and How Do We Best Support This Diverse Population: Sean Gamblin, Emma Thurston, Laurie Ann HolmesHow Do Patients With Brain Tumor Rate Their Pain and Quality of Life in a Neurology Outpatient Setting Compared to Other Patients Surveyed: Andrea Maria LaiznerIntegrating Oncology Practice and Academic Worlds – Results from an International Survey: Kristen R. HaaseFrom Novice to Expert – How Young Adults who Received a Hematopoietic Stem Cell Transplant Manage their symptoms: Billy VinetteUnderstanding the Knowledge, Attitudes, Beliefs, and Immunization Practices of CLL Patients Regarding Pneumococcal Vaccination: Erin StrueDeveloping a Debriefing Tool and Request Form to Address Challenges to Supporting Oncology Nurses: Linda-Forson, Dagmara KolodziejczykIntegrating and Early Palliative Approach into Advance Colorectal Cancer Care – Results of Piloting an Early Integrated Palliative Approach to Care: Lisa ShirtBeing with the Patient at Every Step – A Market Research Study to Help Individualize Your Approach to Patient Care: Caroline Mitchell

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Clinical Practice

Providing Culturally Sensitive End of Life Care: Laurie Ann Holmes

Development of a Nurse-Led Supportive Care Clinic for Oncology Patients in the Outpatient Setting: Charlene Rodriques, Yvonne Pettipas

Impact of Telephone Nursing Services for Adults with Cancer on Quality of Symptom Management, Patient Outcomes, and Emergency6 Visits –A Pan-Canadian Oncology Symptom Triage and Remote Support [COSTaRS] Project: Lynne Jolicoeur, Katelyn Balchin

A Development of Nursing Resources for Immune Check Point Inhibitors: Carolyn Fifield

Working Together Towards a Safer Tomorrow – Medication Management Safety Committee: Jodi Hyman

From the Headlines to the Bedside – Standardizing Infusion Practices in One Health Authority: Kim Chapman

First Steps to Providing Culturally Sensitive Patient Centered Care: Jennifer Anderson, Karen Brooks, Sarah Champ

Cancer and Work: A Review of the Return to Work Program and Job Analysis Tool: Christine Maheu, Maureen Parkinson

Cancer in Pregnancy – A New Population of Patients: Laurie Ann Holmes

Embracing Diversity – Awareness Events Based on Listening to Patient’s Experiences and Addressing Unmet Needs: Maurene McQuestion

Diverse Patients, Diverse Needs – Creating an Oral Therapy Patient Education Guide for Patients with Renal Cell Carcinoma: Dawn A Knight

Implementation of a Febrile Neutropenia Management Protocol for Patients with Acute Leukemia: Lauren Cosolo, Catriona Buick

Electronic Symptom K.ollector A.nd Advice: Janet Cynthia Funk

The Role of a Digital Web-Based Breast Cancer Surgery Decision Aid in Supporting Breast Cancer Patients: Sharon Young

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Clinical Practice

Collaborative Care, Education, and Support for Evolving Roles in Ambulatory Care- My Experience as a Licensed Practical Nurse with Administration of Subcutaneous and Intravenous Chemotherapy and Biotherapy: Mandip Parmar

A Nurses’ Competencies Leading to High Quality Care in CAR-T Cell Therapy: Catherine HupeCAR-T Cell Therapy – Driving 101: Margaret ForbesTransitions of Care for Oncology Patients Between Outpatient and Community Home Health: Megan Noakes, Ruby GiddaIMBRASE – Immune and Molecular Therapy Bolstering and Supporting Patient Adverse Events Program – A Quality Improvement Initiative: Nancy Gregario

Coordinating Prostate Cancer Care and Sexual Health Rehabilitation – Developing Competency in a New and Diverse Role : Brittany SchultzFacilitatèurs et barriers de l’impantation du rôle de l’infirmière prati ienne speciallisée dans oes programmes de cancérologie du Quebec: Christine Perrouty, Billy Vinette

Adminstration d’agents antinéoplasiques intraveineux – une méthod panquébecoise uniformisée, le fruit d’untravail en réseau: JoseeBeaudet

Le Programme ERAS en chirurgie oncologique: l’importance du role infirmier: Genèvieve D’AoustOut of Necessity Come Opportunity! Nursing Management of Oral Agents in the Outpatient Clinical Setting: Irena HibbertMan Up – Testicular Cancer Awareness: Wendy Lea RobinsonHow Might the Experiences of Bereaved Family Members be Studies in the Context of Medial Assistance in Dying [MAID]: Tracy L. PowellAn Interpretive Description of Moral Distress in Oncologic Nursing: Brenda Peters-Watral

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Leadership / Models of CareUrgent Cancer Care Clinic Lessons Learned Over the Last 5 Years and How It will Shape the Next 5 Years: Tracey SchlambStreamlining the Pre-Diagnosis Phase for Patients with a High Suspicion of Cancer – A Nurse Practitioner led Cancer Diagnostic Clinic: Leah JodoinThe ABCs of RDC – The Rapid Diagnostic Clinic Cancer Care Manitoba: Nicole Koschik, Milagros DuqueInterdisciplinary Collaboration to Improve the Process of Genetic Testing for Ovarian Cancer Patients: Joanne Power Establishing and Effective Navigational Support Program for Patients Separated from Family, Culture, and Community: How we are Responding to the Unique Needs of our Inuit Patients and Family Members: Gwen R. Barton, Carolyn Roberts, Gabrielle JodouinFacing Forward – An Inclusive Cancer Nursing Knowledge and Practice Framework: Allyson Nowell, Colleen CampbellIntergenerational Diversity – How to Lead, Educate, and be a Valued member of a Multigenerational Work Place: Erin Streu, Barbara Hues, Breanne WrayCelebrating the Implementation of a New Electronic Health Record – A Presentation for Diverse Stakeholders: Lynne Jolicoeur, Emma KuzmiczKeep Calm and Refer On: Provincial Cancer Regerral and Navigation Service, Cancer Care Manitoba: Elizabeth Kazina, Mona WilferRural Navigation – Travelling Down the Road of Diversity: Michelle L. Rosentreter, Marcia Garvie, Michele StaszkiewiczAn Exploration of Patient Centered Care Perspective in a Colorectal Cancer Survivorship Program – a Logic Model: Helen FredericksonClosing Gaps in Healthcare for Nunavummiut Through Care Coordination: Laureen Pameolik, Robyne Ruff, Barb GregoireOptimization of the Specialized Oncology Nurse in the Ambulatory Care Unit: Andrea KnoxDiversity in Nursing Practice – A One Year Pilot Project to Develop a Primary Care Nursing [PCN] Role in a Malignant Hematology Outpatient clinic: Michelle MakiTransforming our Nursing Model of Care: Bernadine O’Leary, Roxanne RodgersDevelopment of an Outpatient Unit specializing in Acute Leukemia Services: Lauren Cosolo, Catriona BuickDévelopment et implantation du modèle de collaboration interdisciplinaire en cancer de la prostate résistant à la castation au CHU de Québec-UniveristéLaval: Sophie Paquet

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Strategic Working Session

Building Capacity Within and Beyond our Canadian Boarders to Enhance Oncology Care: Linda Watson, Margaret Ritch, Maurene McQuestion

Writing for Publication – Getting Started and Being Successful: Margaret Fitch

A Conversation about Oncology Nurses Role in Optimizing Care of Older Adults with Cancer – Engaging on Insights Gained: Fay J. Strohschein, Martine T.E. Puts, Kristine Haase, Lorelei Newton, Margaret Fitch

Café Scientifique – Nurses Researching the Science – Calling all CANO Members to Come Together to Inspire Research Collaboration: Christine Maheu, Aronela Benea, Kristen Haase, Leah Lambert, Virginia Lee, Manon Lemonade, Sally Thorne, Marian Lucktar-Flude, Tracy Powell, Jill Bally, Jacqueline Galica, Fay Stohschein, Tara Horrill

CANO Learning Pathway – Next Steps: Sarah Champ

Key Note Address

Leadership - It Starts with Me – Harness the Power of Personal Leadership: Michelle Ray

Decision Making – Lived Lessons from the Bedside: Lisa Streeter

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Other Sessions / SymposiumsHealth Equity, Social Determinants of Health, and Cultural Safety - What Do Oncology Nurses Have to do With It?: Tara Horill, Allison Wiens

Sexual and Gender Minorities with Cancer – Moving away from the Margins: Morgan Stirling

Celebrating our Diversity to Strengthen our Bond: Linda Watson and Laura Burnet

Neuroendocrine Tumors - A Medical and Nursing Perspective: Ralph P. W. Wong, Zoe Ignacio

Malignant Hematology and Stem Cell Transplant Nursing: Nan Cox-Kennett, Margaret Forbes, Reanne Booker

Living Well with Pancreatic Cancer - Maintaining Excellence in Oncology Nursing Care of Patients/Families Living with Pancreatic Cancer: Shari Moura, Michelle Forman, Carolyn Hoeschen, Rebecca Latimer

Radiation Therapy Basics & Advanced Symptom Management: Amber Killam, Simonne, Simon, Renata Benc, Maurene McQuestion, Anet Julius

Chemotherapy Induced Nausea Vomiting – Contemporary Challenges of Management:

Advancing Immuno-Oncology Essentials: Marcia Flynn-Post, Nancy Gregorio, Leslie Marvell, Nathalie Godin

Integrating Geriatric Assessment into Oncology Nursing Care: Fay J. Strohschein, Martine T. E. Puts, Kristen R. Haase, Lorelei Newton, Brandy Vanderbyl, Manon Lemonde, Cindy Kenis

Overview of Ovarian Cancer, ERAS, and Management of Common Surgical Oncology Complications: Michelle Ellwood, Joanne Power, Anita Long

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Building a Nutritional Toolbox for Oncology Nurses: Angela MartensExcellence in Oncology Nursing Leadership – A Hands on Workshop to Build Capacity to Lead Ourselves and Others : Ruby Gidda, Shelley Lawrence, Janice ChobanukBuilding Skills in Navigation: Zenith Poole, Jennifer Anderson, Komal PatelIncorporating Interprofessional Palliative Care Practice in Oncology Nursing: Jiahui Wong, Mary Jane Esplen, Cathy Kiteley

Empowering Oncology Nurses Through Knowledge and Practice to Improve Transitions Post Treatment and Survivorship Care: Linda Watson, Margaret FitchCanada Collective Perspective on Metastatic Breast Cancer & Case Studies: Hamid Mithu MithoowaniCurrent and Emerging Role of PARP Inhibitors – Ovarian Cancer:Understanding and Responding to the Needs of Adolescent and Young Adults [AYA] with Cancer: Linda Watson

Building on Experience – Optimizing Management of Patients Receiving IO TreatmentCAR-T Patient Management – A Nursing Perspective: Theresa LatchfordKeeping Pace with the Ci-Clibs – Practical Perspectives on CDK4/6 Inhibitors in HR+/HER2- Metastatic Breast Cancer

It’s Not an Easy Fix: Adherence to Adjuvant Endocrine Therapy After Breast Cancer: Leah Lambert