نبذة مختصرة : Financial toxicity, defined as the objective financial burden and the subjective emotional distress it creates, affects 30-50% of cancer patients and families. Clinical staff are often unaware of the problem and lack the tools and knowledge to have crucial conversations with persons with cancer. The purpose of this quality improvement project is to evaluate the impact of a financial toxicity educational intervention for nurses on the rate of financial toxicity screening and social work referrals for high-risk persons with cancer. The project setting was a large, academic Midwest Comprehensive Cancer Center. A convenience sample of advanced practice providers (APP) and registered nurses (RN) in the outpatient cancer supportive care and palliative medicine clinics (n=19) were invited to participate. The educational intervention consisted of three short web-based modules about financial toxicity. The project used a pre/post, web-based survey design. Chart reviews of all clinic visits took place pre/post intervention to measure the rate of financial toxicity screening, diagnosis code documentation and social work referrals. Of 19 nurses, 8 participated completed the pre/post surveys. APPs and RNs reported significant increases in financial toxicity knowledge and competency after the educational intervention. Financial toxicity screening did not demonstrate a significant change (p=0.542). However, there was an increase in the number of positive screens and referrals (p=0.003; p=0.002). APPs and RNs can benefit from regular education about financial toxicity to develop cost-related health literacy about cancer treatment. Establishing a financial toxicity screening may be an initial step in adding financial support resources to a comprehensive supportive care program. ; A five-year embargo was granted for this item.
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