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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