Nursing’s Potential to Address the Growing Cancer Burden in Low- and Middle-Income Countries

Challinor, Julia; Galassi, Annette; Al-Ruzzieh, Majeda A; Bigirimana, Jean Bosco; Buswell, Lori; So, Winnie K.W.; Steinberg, Allison Burg; Williams, Makeda

doi:10.1200/jgo.2015.001974

Cited by 61 publications

(65 citation statements)

References 103 publications

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“…The role of specialized oncology nurses is important for cancer control through education, counseling, proper administration of chemotherapy and palliation. Structured oncology nursing training programs are a necessity for Africa and other LMIC to improve the quality of cancer care [ 78 ].…”

Section: Down Staging Compliance To Chemotherapymentioning

confidence: 99%

An update on the management of breast cancer in Africa

Vanderpuye

Grover

Hammad

et al. 2017

Infect Agents Cancer

120

124

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BackgroundThere is limited information about the challenges of cancer management and attempts at improving outcomes in Africa. Even though South and North Africa are better resourceds to tackle the burden of breast cancer, similar poor prognostic factors are common to all countries. The five-year overall Survival rate for breast cancer patients does not exceed 60% for any low and middle-income country (LMIC) in Africa. In spite of the gains achieved over the past decade, certain characteristics remain the same such as limited availability of breast conservation therapies, inadequate access to drugs, few oncology specialists and adherence to harmful socio-cultural practices. This review on managing breast cancer in Africa is authored by African oncologists who practice or collaborate in Africa and with hands-on experience with the realities.MethodsA search was performed via electronic databases from 1999 to 2016. (PubMed/Medline, African Journals Online) for all literature in English or translated into English, covering the terms “breast cancer in Africa and developing countries”. One hundred ninety were deemed appropriate.ResultsBreast tumors are diagnosed at earlier ages and later stages than in highincome countries. There is a higher prevalence of triple-negative cancers. The limitations of poor nursing care and surgery, inadequate access to radiotherapy, poor availability of basic and modern systemic therapies translate into lower survival rate. Positive strides in breast cancer management in Africa include increased adaptation of treatment guidelines, improved pathology services including immuno-histochemistry, expansion and upgrading of radiotherapy equipment across the continent in addition to more research opportunities.ConclusionThis review is an update of the management of breast cancer in Africa, taking a look at the epidemiology, pathology, management resources, outcomes, research and limitations in Africa from the perspective of oncologists with local experience.

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Section: Down Staging Compliance To Chemotherapymentioning

confidence: 99%

An update on the management of breast cancer in Africa

Vanderpuye

Grover

Hammad

et al. 2017

Infect Agents Cancer

120

124

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“…However, contrary to these ndings, other studies states that nurses around the globe are knowledgeable and play a vital and central role in the delivery of all cancer treatment modalities, principally surgical, radiation, and medical oncology. For patients undergoing surgical intervention, nurses teach patients what to expect before, during, and after procedures (33,34).…”

Section: Discussionmentioning

confidence: 99%

Low Caring Morale: A Qualitative Study of Ghanaian Pediatric Oncology Nurses’ Care Practice Challenges.

Nukpezah

Fomani

Hasanpour

et al. 2020

Preprint

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Background: Pediatric cancer is a global problem, and some studies have highlighted that nurses in a low-income country experience work related challenges. Other studies have confirmed that nurses' caring work is often affected by several intrinsic and extrinsive factors which directly or indirectly influence the level of nurses' caring morale. But no study has explored this phenomenon among the pediatric oncology nurses in Ghana. The purpose of this study is to explore and understand the challenges that the pediatric oncology nurses experience when caring for children with cancer in Ghana. Methods: A qualitative descriptive study was conducted from August 2019 - April 2020, among 14 Ghanaian pediatric oncology nurses who were purposively sampled. The data collection instrument was a face-to-face, in-depth, semi-structured individual interview. The interviews were recorded, transcribed verbatim, and analyzed inductively using Elo and Kyngas content analysis approach. The criteria proposed by Guba and Lincoln were used to ensure the validity of the research.Results: The analysis of the interviews, suggests that the challenges that the pediatric oncology nurses experience are: Time-consuming care, Low Job motivations, Inadequate logistics, Work stress, Reduced labor force, Low knowledge level, Absence of team work and the Perception of contracting cancer. Conclusions: The results point to a number of organizational and personal constraints that leads to low morale of nurses who work at the pediatric oncology ward. There is the need for the administrative managers of hospitals, government and other stake holders to invest in human, material and financial resources for delivering child hood cancer care services. It is hoped that by addressing this challenges, there would be improvement in the care that is provided to children with cancer and also positively improve the care giving morale of the nurses.

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“…Facing such barriers, the cancer patients are more likely to use the complementary and alternative medicine which could have minimum or even zero evidence to support its efficacy and safety (4). Moreover, for the cancer survivors these conditions may bring anxiety and low quality of life (5,6). Supportive care to assist the patients in having a smooth transition from active treatment to post-treatment care at the community settings has been long advocated as a standard clinical cancer care (7,8).…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation and validation of the cancer survivors’ unmet needs measure among gynecological cancer patients in Indonesia

et al. 2020

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Background: The number of gynecological cancer survivors in Indonesia is growing, yet little is recognized about their supportive care needs due to a lack of validated assessment to measure them. This study aimed to culturally adapt the Cancer survivors' unmet needs into Indonesian language and to test its validity and reliability for Indonesian gynecological cancer patients. Methods: We performed the translation and adaptation of the Cancer survivors' unmet needs based on Beaton's cross-cultural adaptation process of self-report measure. We then evaluated the psychometric properties of Cancer survivors' unmet needs-Indonesian with 298 participants from three hospitals across Indonesia. Results: Five factors were extracted from Exploratory Factor Analysis with factor loading >0.4. Cancer survivors' unmet needs-Indonesian had negative correlations with The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30, indicating that the higher score of unmet needs resulted in the lower score of quality of life. The Cronbach's α coefficient for the Cancer survivors' unmet needs-Indonesian ranged from 0.75-0.95. Conclusions: The Cancer survivors' unmet needs-Indonesian version offers a valid and reliable scale for assessing supportive care needs among Indonesian gynecological cancer patients. The Cancer survivors' unmet needs-Indonesian could help clinicians to assess supportive care needs among Indonesian gynecological cancer patients. The low-resource countries such as Indonesia could use the evidence from the Cancer survivors' unmet needs assessment to develop the supportive care service in the clinical settings.

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Nursing’s Potential to Address the Growing Cancer Burden in Low- and Middle-Income Countries

Cited by 61 publications

References 103 publications

An update on the management of breast cancer in Africa

An update on the management of breast cancer in Africa

Low Caring Morale: A Qualitative Study of Ghanaian Pediatric Oncology Nurses’ Care Practice Challenges.

Cross-cultural adaptation and validation of the cancer survivors’ unmet needs measure among gynecological cancer patients in Indonesia

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