Nurturing Competence and Confidence: Transforming Oncology Nursing Education

Background: At UC Davis Health Comprehensive Cancer Center, the adult infusion department serves as a vital hub for outpatient care, providing innovative cancer-directed therapies, clinical trials, and non-oncology treatments to the Sacramento region. Since 2021, we have onboarded 32 novice oncology nurses through a structured transition to oncology program. As complex treatments shift to ambulatory care settings, our infusion nurses face increased patient volume and complexity. To navigate this evolving landscape, we launched the UBR (unit-based resource) program. This initiative emphasizes competency-based education and the implementation of evidence-based practices (EBP) to ensure safe patient outcomes. By fostering a culture of peer support and collaboration, UBR empowers nurses at all levels to grow through inquiry and knowledge, enhancing care quality.
Method: The UBR program integrates a dynamic unit-based resource model, utilizing a Microsoft Teams site as a central hub for accessible educational resources. This platform facilitates on-demand, self-directed learning, empowering nurses to engage with content at their own pace. Key strategies include targeted mini-huddles, interactive presentations, hands-on simulations, and comprehensive policy reviews delivered by nurses who actively identify and address the educational gaps within our unit. The program promotes peer-to-peer communication and nurse-led education, creating a safe environment for inquiry where there are “no dumb questions.” This competency-based approach builds confidence and competence in novice nurses while fostering mutual support among all staff.
Results: Survey results highlight the transformative impact of the UBR program. Participants reported increased confidence and competence in their roles, contributing to a remarkable retention rate of 99% among our 51 RNs. Pre- and post-survey data reveal a 35% increase in familiarity with drug-specific therapies and a 45% boost in teaching confidence. These outcomes demonstrate the program’s effectiveness in equipping nurses to deliver safe, high-quality patient care while fostering an environment of peer growth and support.
Conclusion: The UBR program represents a forward-thinking approach to nursing education, focusing on evidence-based practices and continuous professional development. By prioritizing competency-based education and shared governance, UBR empowers nurses to improve patient outcomes and reinforces our adult infusion department’s commitment to excellence in oncology care. This initiative illustrates the power of structured, collaborative educational programs in cultivating and retaining exceptional oncology nursing talent, ensuring our team is well prepared to meet the challenges of modern health care. Future efforts will explore expanding the program’s reach and refining educational strategies.