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.

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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.

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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.

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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. 

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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.

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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.

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• 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.