The JADPRO Podcast

Steven H. Wei, EdD, MPH, MS, PA-C, DFAAPA, Advanced Practice Provider Supervisor at MD Anderson Cancer Center, discusses the impact of a positive team culture on well-being. With years of expertise in both clinical practice and research, Dr. Wei guides us through his research, unveiling the nuanced ways in which psychological safety impacts the daily lives, resilience, and overall well-being of advanced practitioners. Related Content: Humble Inquiry: The Gentle Art of Asking Instead of Telling by Edgar Schein  JL1013C: Examining the Role of Psychological Safety and Its Relationship With Clinician Well-Being Among Advanced Practitioners The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth Hardcover by Amy Edmondson

Get some tips for preparing for your trip to JADPRO Live, happening in Orlando from November 9-12, 2023. JADPRO Live is an annual educational conference for advanced practitioners in heme/onc, including nurse practitioners, physician assistants, pharmacists, and other advanced practice nurses.    Related content:  Download the Conference Playbook Blinq digital business card app  JADPRO Live agenda  The Elevator Pitch: Communicating Your Expertise, Experience, and Value to Patients, Co-Workers, and Prospective Employers in an Instant. J Adv Pract Oncol 2021;12(3):250–252. https://doi.org/10.6004/jadpro.2021.12.3.5 

Ly Dsouza, PA-C, MPAS, a physician assistant in clinical research in the Lymphoma/Myeloma Department at MD Anderson Cancer Center in Houston, describes the hybrid role of a research advanced practice provider (APP). This unique role combines the responsibilities of a study coordinator and provider, capitalizing on the APP's clinical knowledge and close management of toxicities to guide the patient through a CAR T-cell clinical trial. Related Content:  The Role of the Research Advanced Practice Provider in CAR T-Cell Clinical Trials. J Adv Pract Oncol 2023;14(1):54–66. https://doi.org/10.6004/jadpro.2023.14.1.5 APSHO Educator Modules on CRS and more topics.

Jibran Majeed, DNP, ACNP-BC, CCRN, of Memorial Sloan Kettering Cancer Center, details how his team created a clinical decision tool to help with decision making for patients who present with new venous thromboembolism. Related Content Implementing a Clinical Decision Tool to Improve Oncologic Venous Thromboembolism Management Cancer-Associated Venous Thromboembolic Disease, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology

Gastrointestinal stromal tumors (GISTs) are considered rare, yet they represent the most common sarcomas of the gastrointestinal tract. Sandra Brackert, NP, of UCLA Sarcoma Center, and Kathleen Polson, NP, of Dana-Farber Cancer Institute, speak with host Wendy Vogel, MSN, FNP, AOCNP®, on the effective management of patients with GIST who have progressed on multiple therapies.  Related Content:  Management of Patients With Advanced Gastrointestinal Stromal Tumor: Emphasis on Fourth-Line Treatment With Ripretinib. J Adv Pract Oncol 2023;14(4):317–328. https://doi.org/10.6004/jadpro.2023.14.4.6 GIST Support International: https://www.gistsupport.org/  GIST Cancer Research Fund: https://gistinfo.org/  The Life Raft Group: https://liferaftgroup.org/ 

Many communication skills that advanced practice providers (APP) develop are similar to those of other providers. However, a survey reveals unique communication challenges for APPs that stem from public lack of understanding of this unique role on the multidisciplinary care team. Related Content: General and Unique Communication Skills Challenges for Advanced Practice Providers: A Mixed-Methods Study. https://doi.org/10.6004/jadpro.2022.13.1.3 Episode 41: The Never-Ending Need to Explain Yourself: Defining Your AP Role. /episode-41-the-never-ending-need-to-explain-yourself-defining-your-ap-role.aspx Comskil: Communication Skills Training Program & Research Laboratory. https://www.mskcc.org/hcp-education-training/communication-skills-research

Feeling like your tank is empty? You may be coping with change fatigue. Katherine Albert, DNP, FNP-BC, AOCNP, of University of Colorado at Colorado Springs, speaks to host Wendy Vogel, MSN, FNP, AOCNP, about how the pandemic has depleted our reserves and left us unprepared to deal with rapid changes in health care. Katherine and Wendy discuss strategies to refuel your tank, including early communication, team cohesion, and taking time to rest, reflect, and recover. Related Content: Change Management Leading change: Why transformation efforts fail https://hbr.org/1995/05/leading-change-why-transformation-efforts-fail-2 Healthcare Leadership Lab https://healthcareleadershiplab.com/ Change Fatigue The relationship among change fatigue, resilience, and job satisfaction of hospital staff nurses https://doi.org/10.1111/jnu.12373 Change fatigue in health care professionals—an issue of workload or human factors engineering? https://doi.org/10.1016/j.jopan.2014.02.007 Change fatigue, job satisfaction, and organizational commitment among nurses https://www.proquest.com/openview/09167b00934b43fc5a829fc9efb2d8b2/1?pq-origsite=gscholar&cbl=18750&diss=y Practice Adaptive Reserve Change implementation: The association of adaptive reserve and burnout among inpatient medicine physicians and nurses. https://doi.org/10.1080/13561820.2018.1451307 Burnout among primary care providers and staff: Evaluating the association with practice adaptive reserve and individual behaviors. https://doi.org/10.1007/s11606-020-06367-z Surge Capacity Exploring the concept of surge capacity https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No2May09/Articles-Previous-Topics/Surge-Capacity.html The pandemic has depleted people's surge capacity. Here are ways to recharge. https://www.cbc.ca/news/canada/kitchener-waterloo/jennifer-moss-happiness-column-surge-capacity-1.6202050

Teams do their best work when they feel connected. Ginger Johnson, speaker and author, talks with host Wendy Vogel, MSN, FNP, AOCNP®, on the power of connection to align values and encourage new ideas and growth within health-care teams. Related Content: Connectivity Canon by Ginger Johnson Use code CANON5 for $5 off ZYX's of Connecting Art of Gathering by Priya Parker

Health-care disparities create barriers to disease prevention, early detection, and treatments. These disparities are found across all cancer types. In this episode, Rose DiMarco, PharmD, BCPS, BCOP, Thomas Jefferson University Hospitals, and Joseen Chundamala, PharmD, University of Pennsylvania Health System, discuss actionable steps oncology advanced practitioners can incorporate into their everyday practice to consistently provide high-quality care to all patients. Related Content: Social Determinants of Health and Cancer Disparities: What Can APs Do to Improve Patient Care? (APSHO members only) Single Item Literacy Screener (SILS) Harvard Implicit Association Test (IAT) Social Determinants of Health

Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood. Having multiple ACEs is a major risk factor for many health conditions, including cancer. Host Wendy H. Vogel, MSN, FNP, AOCNP®, talks with Sharon Moore, DPh, Regional Coordinator for ONE Tennessee and Public Health Academic Detailer for Metro Drug Coalition, on how being cognizant of potential ACEs a patient with cancer may have can help inform and improve the care and education advanced practitioners provide. Related Content: ONE Tennessee Metro Drug Coalition The Origins of Addiction: Evidence From the Adverse Childhood Experiences Study by Vincent Felitti, MD PACEs Connection CDC: Adverse Childhood Experiences (ACEs) The Effect of Multiple Adverse Childhood Experiences on Health: A Systematic Review and Meta-Analysis by Hughes et al. Adverse Childhood Experiences and the Presence of Cancer Risk Factors in Adulthood: A Scoping Review of the Literature From 2005 to 2015 by Ports et al. Adverse Childhood Experiences (ACEs), Cell-Mediated Immunity, and Survival in the Context of Cancer by Steel et al. The Association Between Adverse Childhood Experiences and Risk of Cancer in Adulthood: A Systematic Review of the Literature by Holman et al.

In late 2021, R. Donald Harvey, PharmD, BCOP, FCCP, FHOPA, of the Winship Cancer Institute of Emory University, traveled to Nigeria for 2 weeks as a visiting Fulbright Specialist to train pharmacists on best practices in chemotherapy for cancer treatment. He recounts unforgettable experiences and lasting impressions his counterparts left on him, as well as plans for continuing to help strengthen the capacity of cancer treatment and care in Nigeria. Related Content: Project Bink Blue Fulbright Specialist Program

Gretchen McNally, PhD, ANP-BC, AOCNP, of The Ohio State University James Cancer Hospital, talks about the language of addiction, recognizing signs of an opioid or substance use disorder, and universal precautions to take through the lens of a case study. Related Content: Addiction in Patients With Cancer: Challenges and Opportunities JL811: Opioid Use Disorders: Experience, Knowledge and Interest Among Oncology Advanced Practice Providers and Pharmacists JL725: Oncology Advanced Practice Providers: Opportunities to Positively Impact the Opioid Epidemic

Seeing an increase in interventional radiology (IR) referrals and patient wait times, in 2019, an advanced practitioner mobile IR team was started to perform paracentesis and thoracentesis at a major cancer center. Hear from Caitlin Treacy, MS, AGACNP, of Memorial Sloan Kettering Cancer Center, on this advanced practitioner–led team, including hiring, training, and outcomes. This poster received the Outstanding Poster Award at JADPRO Live 2021. Related Content: (JL910) Implementation and Impact of an Advanced Practice Provider-Led Bedside Procedural Team at a Major Cancer Institution

The ninth annual JADPRO Live conference wrapped up in October, and Wendy Vogel, MSN, FNP, AOCNP®, Executive Director of APSHO, and Annie Yueh, Editor of JADPRO, take a look back at their favorite moments, interesting statistics, and attendee feedback.  Related Content: Episode 46: Your True Self: A New Take on How to Combat Burnout The Mary Pazdur Award for Excellence in Advanced Practice in Oncology JADPRO Article of the Year: Clinical Trial Design and Drug Approval in Oncology: A Primer for the Advanced Practitioner in Oncology

Cancer-related fatigue (CRF) is one of the most prevalent, debilitating symptoms for patients with cancer. It is also a multifactorial problem for which there is no one solution. Emily A. Lemke, DNP, AGPCNP-BC, AOCNP®, of the Medical College of Wisconsin, summarizes data on one potential option: 2,000 mg of American ginseng daily. She reviews the safety and efficacy, where to source it, and tools to measure fatigue in patients. Related Content: Ginseng for the Management of Cancer-Related Fatigue: An Integrative Review. J Adv Pract Oncol 2021;12(4):406–414 Ginseng (American) in About Herbs Ginseng Board of Wisconsin Evaluation of the psychometric properties of the PROMIS Cancer Fatigue Short Form with cancer patients. J Psychosom Res. 2016 Feb;81:9-13 MFSI (Multidimensional Fatigue Symptoms Inventory) ESAS (Edmonton Symptom Assessment System)

This week, we're sharing an episode from Cancer Buzz, the podcast of the Association of Community Cancer Centers (ACCC). While most cancer programs in the United States report that they employ advanced practitioners (APs), they are often not utilized to the full scope of their abilities in clinical research. In this episode, Beth Faiman, PhD, MSN, APRN-BC, AOCN, FAAN, shares the evolution of the advanced practitioner role at her institution, where APs have a larger voice in the research process and clinical trial protocols, serve as champions to advocate for patients and research staff, and collaborate with their team to promote best practices in clinical trial delivery. Look for more on the Summit findings on the ACCC website.

Margaret Leddy, PA-C, of Duke University Health System, wants to turn the idea of self-care on its head. She starts by asking: Who are you really? By identifying your core values and what you enjoy doing, you can start taking small steps to focus on yourself and thrive even in a setting with high rates of burnout. Related Content: The Way of Integrity by Martha Beck Brené Brown's List of Values

Donald C. Moore, PharmD, BCPS, BCOP, DPLA, of Atrium Health, Levine Cancer Institute, in Concord, North Carolina, talks with host Wendy Vogel, MSN, FNP, AOCNP®, on recent data and strategies for managing adverse events of ibrutinib, acalabrutinib, and zanubrutinib in the treatment of B-cell malignancies. Related Content: A Review of the Bruton Tyrosine Kinase Inhibitors in B-Cell Malignancies. J Adv Pract Oncol 2021;12(4):439–447. https://doi.org/10.6004/jadpro.2021.12.4.8

This week, we're sharing an episode from Cancer Buzz, the podcast of the Association of Community Cancer Centers (ACCC). Listen about how oncology advanced practitioners (APs) can play a greater role in clinical research and, according to a recent national study, have a strong interest in doing so. Hear how APs can leverage their deep role in the day-to-day cancer care decisions to improve diversity in clinical trials by bringing their experience to trial design and the accrual process. In spring 2021, ACCC and Harborside hosted a Virtual Summit to Define on the Role Oncology Advanced Practitioners in Equitable Cancer Care Delivery. Each summit session focused on one specific domain of care delivery—Care Coordination and Communication; Clinical Trials; and Acknowledging and Mitigating Implicit Bias. Look for more on the Summit findings coming soon to the ACCC website. Related Content: Understanding Attitudes and Roles of Oncology Advanced Practitioners in the Setting of Cancer Clinical Trials: A Pilot Study. J Adv Pract Oncol 2021;12(5):465–476.

This week, we're sharing an episode from Cancer Buzz, the podcast of the Association of Community Cancer Centers (ACCC). Increasing diversity and equity in clinical trials will require buy-in and commitment from all stakeholders in the research enterprise. In this episode, Colleen Lewis, MSN, ANP-BC, AOCNP, talks about the critical role oncology advanced practitioners can play in moving the needle on equity and inclusion in cancer clinical trials. In spring 2021, ACCC and Harborside hosted a Virtual Summit to Define on the Role Oncology Advanced Practitioners in Equitable Cancer Care Delivery. Each summit session focused one specific domain of care delivery—Care Coordination and Communication; Clinical Trials; and Acknowledging and Mitigating Implicit Bias. Look for more on the Summit findings coming soon to the ACCC website.