(21) Getting in their HEEADSSS: Educating Novice Pediatric Nurses about AYA Oncology Care

Location: Exhibit Hall D

First Author Presenting(s)

Rebecca Côté, MSc BScN RN (she/her/hers)

Clinical Program Nurse Coordinator
The Hospital for Sick Children
Toronto, Ontario, Canada

Co-Author Not Presenting(s)

CK

Chana Korenblum, MD FRCPC

Adolescent Medicine Staff Physician
The Hospital for Sick Children and Princess Margaret Cancer Centre
Toronto, Ontario, Canada
Alia Petropoulos, MScN RN CPHON (she/her/hers)

Interprofessional Education Specialist
The Hospital for Sick Children
Toronto, Ontario, Canada

Title: Getting in their HEEADSSS: Educating Novice Pediatric Nurses about AYA Oncology Care

Abstract : Basis of Inquiry:
Adolescents and young adults with cancer (AYA) have distinct biopsychosocial needs, requiring a different care approach than younger children. Novice nurses often feel ill-prepared to support this unique population.

Purpose:
A one-hour educational session was designed for novice oncology nurses at a large pediatric center in Canada, focusing on the unique considerations when caring for AYA.

Methods:
Using a PDSA cycle iterative model, an education session was designed using evidence-based guidelines to equip pediatric oncology nurses with the knowledge and skills necessary to provide age-appropriate care for patients 13+ years of age. The session described AYA developmental milestones and used the HEEADSSS framework to cover common AYA health and psychosocial issues, including mental health concerns, the impact of lifestyle choices, peer relationships, body image, sexual health, and long-term consequences of cancer therapy in survivorship.

The session emphasized the importance of building rapport and trust with AYA, recognizing their need for privacy and autonomy, and involving them in decision-making. Additionally, the session highlighted the role of family dynamics and the need for a collaborative approach that includes caregivers, while respecting and fostering patients’ growing independence.

The session was imbedded in newly-hired nursing orientation held quarterly and was evaluated using a bespoke feedback survey with quantitative and qualitative components.

Outcomes:
Over the past year, four sessions were conducted, with 20/31 participants completing the feedback survey. By the end of the session, nurses reported a deeper understanding of the complexities of AYA care and felt better prepared to provide support. Based on survey results and participants' questions during the sessions, each subsequent session was revised. This iterative approach ensured content remained relevant and addressed the evolving needs of nurses and AYA patients. This targeted education intervention has helped ensure that AYA patients receive developmentally appropriate, compassionate, and evidence-based care.