Journal of Cancer Education

, Volume 27, Issue 2, pp 226–232 | Cite as

Educating Health Care Professionals to Provide Institutional Changes in Cancer Survivorship Care

  • Marcia GrantEmail author
  • Denice Economou
  • Betty Ferrell
  • Gwen Uman


The Institute of Medicine (IOM) 2006 report, From Cancer Patient to Cancer Survivor: Lost in Transition (In M. Hewitt, S. Greenfield and E. Stovall (Eds.), (pp. 9–186). Washington DC: The National Academies Press, 2006) identifies the key components of care that contribute to quality of life for the cancer survivor. As cancer survivorship care becomes an important part of quality cancer care oncology professionals need education to prepare themselves to provide this care. Survivorship care requires a varied approach depending on the survivor population, treatment regimens and care settings. The goal of this program was to encourage institutional changes that would integrate survivorship care into participating centers. An NCI-funded educational program: Survivorship Education for Quality Cancer Care provided multidiscipline two-person teams an opportunity to gain this important knowledge using a goal-directed, team approach. Educational programs were funded for yearly courses from 2006 to 2009. Survivorship care curriculum was developed using the Quality of Life Model as the core around the IOM recommendations. Baseline data was collected for all participants. Teams were followed-up at 6, 12 and 18 months postcourse for goal achievement and institutional evaluations. Comparison data from baseline to 18 months provided information on the 204 multidiscipline teams that participated over 4 years. Teams attended including administrators, social workers, nurse practitioners, registered nurses, physicians and others. Participating centers included primarily community cancer centers and academic centers followed by pediatric centers, ambulatory/physician offices and free standing cancer centers. Statistically significant changes at p = <0.05 levels were seen by 12 months postcourse related to the effectiveness, receptiveness and comfort of survivorship care in participant settings. Institutional assessments found improvement in seven domains of care that related to institutional change. This course provided education to participants that led to significant changes in survivorship care in their settings.


Cancer survivorship education Institutional change Quality of life Institutional survey Institutional assessment 



This study was supported by NCI-R25CA107109. Authors would like to thank the faculty: Kimlin Ashing-Giwa, PhD; Smita Bhatia, MD; Diane Blum, MSW; Marilyn Bookbinder, RN, PhD; Katherine Brown-Saltzman, RN, MSN; Michael Feuerstein, PhD, MPH; Patricia Ganz, MD; Sheldon Greenfield, MD; Sue Hieney, PhD, FAAN; Melissa Hudson, MD; Linda Jacobs, RN, PhD; Paul Jacobsen, PhD; Diana Jeffery, PhD; Judi Johnson, RN, MPH, PhD, FAAN; Vicki Kennedy, LCSW; Wendy Landier, NP; Susan Leigh, RN, BSN; Mary McCabe, RN, MA; Ruth McCorkle, PhD, FAAN, AOCN; Sandra Millon-Underwood, RN, PhD Shirley Otis-Green, MSW, ACSW, LCSW, OSW-C; Margaret Riley, RN, MN, CNAA; Leslie Robison, PhD; Sheila Santacroce, APRN, PhD; Renee Sevy-Rickles, MSW; and Bradley Zebrack, PhD, MSW, MPH.


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Marcia Grant
    • 1
    Email author
  • Denice Economou
    • 1
  • Betty Ferrell
    • 1
  • Gwen Uman
    • 2
  1. 1.City of Hope, Division of Nursing Research and EducationDuarteUSA
  2. 2.Vital Research, LLCLos AngelesUSA

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