An ethical imperative: Safety and specialization as nursing priorities of WHO Global Initiative for Childhood Cancer

Pergert, Pernilla; Sullivan, Courtney; Adde, Melissa; Afungchwi, Glenn Mbah; Downing, Julia; Hollis, Rachel; Ilbawi, André; Morrissey, Lisa; Punjwani, Rehana; Challinor, Julia

doi:10.1002/pbc.28143

Cited by 24 publications

(32 citation statements)

References 27 publications

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“…baseline standards for pediatric oncology nursing care in LMICs 9 and the World Health Organization (WHO) Global Initiative in Childhood Cancer 7,10 . Our survey findings confirm the urgent need to expand access to nursing-directed subspecialized pediatric hematology/ oncology education, with 64 % of nurse respondents reporting no prior formal training despite currently working in the field.…”

Section: P a G E O F T H E N U R S Ementioning

confidence: 99%

“…In many LMICs, nurses receive on-the-job training, with limited competency-based, formal education in pediatric hematology/oncology. Due to the complexity and rapid evolution of delivering pediatric cancer-directed care, the recruitment, education and retention of a subspecialized nursing workforce has been recognized as a global priority to achieve optimal childhood cancer outcomes 7 .…”

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confidence: 99%

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Survey identifies need for subspecialized pediatric hematology/oncology nursing education in nine Еurasian countries

Салливан

Gans

Якимкова

et al. 2020

Ross. ž. det. gematol. onkol.

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Background. In 2018, Eurasian Alliance in Pediatric Oncology (EurADO) members identified pediatric hematology/oncology nursing education as a regional priority. In most participating Eurasian countries, pediatric hematology/oncology nursing is not recognized as a subspecialty; thus, subspecialized education offerings may be limited. A working group of nurse leaders was formed to set nursing priorities to advance pediatric cancer nursing and subspecialized education in the region. As an initial project, members determined a need to develop a train-the-trainer course for regional implementation to improve nurses’ subspecialty knowledge.Purpose/Objective. A needs assessment was conducted to evaluate Eurasian nurses’ pediatric hematology/oncology education needs to inform the development of a pediatric hematology/oncology nursing train-the-trainer course in Eurasia.Design/Methods. From August to September 2019, a paper-based needs assessment was disseminated in English and Russian to working group members for dissemination to pediatric cancer nurses in their hospitals. Items included multiple choice, yes/no, Likert-type scale and open-ended questions. Questions assessed participant demographics, subspecialty education topics of interest and perceived high-risk issues for nurses and patients.Results. Responses were received from 233 nurses representing 13 hospitals in 9 countries. Priority topics of interest included overview of pediatric cancers and treatment, chemotherapy administration and side effects, oncologic emergencies and vascular access. Nurses reported that patients in their settings were at high-risk for infection, depression/psychological issues, treatment-related side effects and complications. Perceived high-risk areas for nurses included stress/burnout, high workloads/short-staffing, hazardous drug and blood borne pathogen exposure and limited equipment.Conclusion. Survey findings reveal a lack of subspecialty pediatric hematology/oncology education opportunities for nurses practicing in Eurasian hospitals. The Eurasia Pediatric Hematology/Oncology Nursing Course was developed based on survey results and is currently being implemented across centers in the region.

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Section: P a G E O F T H E N U R S Ementioning

confidence: 99%

mentioning

confidence: 99%

Survey identifies need for subspecialized pediatric hematology/oncology nursing education in nine Еurasian countries

Салливан

Gans

Якимкова

et al. 2020

Ross. ž. det. gematol. onkol.

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“…An essential step for improving childhood cancer care in underserved countries is training nurses in the pediatric cancer specialty who are allowed to practice full-time in this specialty (Challinor et al, 2014;Day et al, 2014;Ribeiro et al, 2016). Recent work by the International Society of Pediatric Oncology nursing workgroup for developing countries strongly supports the need for nursing specialization in pediatric oncology in low-to middle-income countries (LMIC; Morrissey et al, 2019;Pergert et al, 2019). Nursing specialization in the care of children with cancer provides the foundation for implementing successful childhood cancer and blood disorder treatment programs.…”

Section: Introductionmentioning

confidence: 99%

Distance-Based Education for Nurses Caring for Children With Cancer in Sub-Saharan Africa

Hockenberry

Mulemba

Nedege

et al. 2020

J Pediatr Oncol Nurs

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Nursing specialization in the care of children with cancer provides the foundation for implementing successful childhood cancer and blood disorder treatment programs throughout the world. Excellence in nursing education is at the center of all that is needed to maximize cures for children with cancer in low- and middle-income countries (LMIC). While the burden of childhood cancer care is the highest in LMIC, opportunities for continuing nursing education and specialization are extremely limited. Capacity-building programs using distance-based learning opportunities have been successful in sub-Saharan Africa and provide insight into successful, continuing professional development. The Global Hematology-Oncology Pediatric Excellence (HOPE) program part of Texas Children’s Hospital in Houston, Texas, has developed and implemented a distance-based training program designed for nurses working in sub-Saharan Africa. Following a needs assessment, Global HOPE developed a program using both the Moodle (modular object-oriented dynamic learning environment) distance-based learning platform and computer notebooks that hold the course content. The program teaches basic principles of nursing care for a child with cancer and has been implemented in Malawi, Uganda, and Botswana. Courses are taught using a modular approach and core competencies are established for each module. Frequent teaching sessions using Zoom and WhatsApp reinforce independent learning experiences. Formal course evaluation includes written pre- and posttests, self-competency assessments, and simulated checkoffs on essential pediatric oncology nursing competencies. The success of this distance-based learning program emphasizes the importance of formal training for nurses in LMIC to become full-time specialists in pediatric oncology nursing.

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“…1,2 Your published article, An ethical imperative: safety and specialization as nursing priorities of WHO Global Initiative for Childhood Cancer (Pergert and colleagues) reveals the importance of ongoing efforts to support implementation of the Baseline Nursing Standards. 3 Given that the majority of hospitals are not meeting the standards in low-and middle-income countries (LMIC), as well as some high-income countries (HIC), 4,5 advocacy initiatives are required to raise awareness of the need to meet these standards. During the COVID-19 pandemic, health facilities face new challenges in meeting the standards.…”

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confidence: 99%

“Comment on: An ethical imperative: safety and specialization as nursing priorities of WHO Global Initiative for Childhood Cancer”

Abramovitz

Afungchwi

Punjwani

et al. 2020

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An ethical imperative: Safety and specialization as nursing priorities of WHO Global Initiative for Childhood Cancer

Cited by 24 publications

References 27 publications

Survey identifies need for subspecialized pediatric hematology/oncology nursing education in nine Еurasian countries

Survey identifies need for subspecialized pediatric hematology/oncology nursing education in nine Еurasian countries

Distance-Based Education for Nurses Caring for Children With Cancer in Sub-Saharan Africa

“Comment on: An ethical imperative: safety and specialization as nursing priorities of WHO Global Initiative for Childhood Cancer”

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