The Latin American Center for Pediatric Oncology Nursing Education

Day, Sara W.; Segovia, Lorena; Viveros, Paola; Alqudimat, Mohammad R.; Rivera, Gaston K.

doi:10.1097/ncc.0b013e318292f0dd

Cited by 18 publications

(26 citation statements)

References 14 publications

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“…Dedicated nurse educators provide instruction in core pediatric oncology nursing theory and clinical skills to new nurses as well as ongoing education for all staff. This model has proven to be sustainable for more than 10 years in Latin America and has been replicated in other resource‐limited countries such as Pakistan . Rotation of nurses is another major impediment to delivering quality care.…”

Section: Discussionmentioning

confidence: 99%

Disparities in the delivery of pediatric oncology nursing care by country income classification: International survey results

Morrissey

Lurvey

Sullivan

et al. 2019

Pediatric Blood & Cancer

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Background In 2014, a task force of the International Society of Paediatric Oncology (SIOP) Paediatric Oncology in Developing Countries Nursing Workgroup published six baseline standards to provide a framework for pediatric oncology nursing care in low‐ and lower‐middle income countries (L/LMIC). We conducted an international survey in 2016–2017 to examine the association between country income level and nurses’ resporting of conformity to the standards at their respective institutions. Procedure Data from a cross‐sectional web‐based survey completed by nurses representing 54 countries were analyzed (N = 101). Responses were clustered by relevance to each standard and compared according to the 2017 World Bank–defined country income classification (CIC) of hospitals. Results CIC and nurse‐to‐patient ratios in inpatient wards were strongly associated (P < 0.0001). Nurses in L/LMIC prepared chemotherapy more often (P < 0.0001) yet were less likely to have access to personal protective equipment such as nitrile gloves (P = 0.0007) and fluid‐resistant gowns (P = 0.011) than nurses in high‐resource settings. Nurses in L/LMIC were excluded more often from physician/caregiver meetings to discuss treatment options (P = 0.04) and at the time of diagnosis (P = 0.002). Key educational topics were missing from nursing orientation programs across all CICs. An association between CIC and the availability of written policies (P = 0.009) was found. Conclusions CIC and the ability to conform to pediatric oncology baseline nursing standards were significantly associated in numerous elements of the baseline standards, a likely contributor to suboptimal patient outcomes in L/LMIC. To achieve the goal of high‐quality cancer care for children worldwide, nursing disparities must be addressed.

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Section: Discussionmentioning

confidence: 99%

Disparities in the delivery of pediatric oncology nursing care by country income classification: International survey results

Morrissey

Lurvey

Sullivan

et al. 2019

Pediatric Blood & Cancer

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“…Recognizing oncology nurses in LMICs have limited access to specialized education and clinical training, the International Outreach Nursing Program at St. Jude Children’s Research Hospital created the Latin American Center for Pediatric Oncology Nursing Education in Santiago, Chile to provide education, resources, and support to local nurse educators (16). In turn, these nurse educators educate the entire nursing staff at partner sites throughout Latin America.…”

Section: Discussionmentioning

confidence: 99%

“…In turn, these nurse educators educate the entire nursing staff at partner sites throughout Latin America. The educators provided pediatric oncology education to more than 1,000 nurses who can improve the quality of care and ultimately survival of patients throughout Latin America (16). …”

Section: Discussionmentioning

confidence: 99%

The Need for Hematology Nurse Education in Low- and Middle-Income Countries: A Community Case Study in Tanzania

Buser

2017

Front. Public Health

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Hematology-related diseases, such as anemia, malaria, sickle cell disease (SCD), and blood cancers, have differing rates of survival between high-income and low- and middle-income countries (LMICs). Nurses in LMICs have an unmet need for specialty training and education to address hematology and hemato-oncology disorders. A gap in the literature exists about hematology nurse education and clinical service demands in LMICs. This community case study documents a collaborative hematology and basic hemato-oncology education program to sustainably strengthen nurse capacity at a national referral hospital and university in Tanzania. The goal of the intervention was to provide culturally competent nurse training in pediatric and adult hematology. A certified pediatric nurse practitioner with hematology and oncology experience provided culturally competent training and staff development to nurses over two weeks to meet this goal. Prior to development of a training schedule, nurses confidentially identified five of their top learning needs. Main hematology and basic oncology educational needs identified by nurses were the management of anemia, safe handling of cytotoxic agents, and treatment of SCD. The format of the education varied from bedside teaching to formal presentations to one-on-one individual discussions. Overall, nurses expressed satisfaction with the education and verbalized appreciation for teaching and training activities tailored to meet their needs. Specialized training in hematology and hemato-oncology has the potential to increase nurses’ confidence, respect, and participation in interprofessional team decision-making. Lessons learned from the impact of collaborative nurse education and partnership in Tanzania can be generalized to other LMICs. This community case study highlights the importance of specialty nurse education, interprofessional development, and global partnerships needed to improve patient outcomes.

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“…Models to improve the quality of nursing care through specialized education include partnership with established pediatric cancer units, lecture series, regional training schools and development of pediatric oncology nurse educator positions, as demonstrated in Latin America [33][34][35][36]. Establishment of the pediatric oncology nurse educator position led to cost-effective ongoing nursing education and documented competence in key skills, peripheral and central venous catheter management and chemotherapy administration [32,37].…”

Section: Nursing Education and Skills Trainingmentioning

confidence: 99%

Supportive medical care for children with acute lymphoblastic leukemia in low- and middle-income countries

Ceppi

Antillón

Pacheco

et al. 2015

Expert Review of Hematology

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In the last two decades, remarkable progress in the treatment of children with acute lymphoblastic leukemia has been achieved in many low- and middle-income countries (LMIC), but survival rates remain significantly lower than those in high-income countries. Inadequate supportive care and consequent excess mortality from toxicity are important causes of treatment failure for children with acute lymphoblastic leukemia in LMIC. This article summarizes practical supportive care recommendations for healthcare providers practicing in LMIC, starting with core approaches in oncology nursing care, management of tumor lysis syndrome and mediastinal masses, nutritional support, use of blood products for anemia and thrombocytopenia, and palliative care. Prevention and treatment of infectious diseases are described in a parallel paper.

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The Latin American Center for Pediatric Oncology Nursing Education

Abstract: Nurse educators equipped with knowledge and skills can improve the quality of care and ultimately survival of patients throughout Latin America.

Cited by 18 publications

References 14 publications

Disparities in the delivery of pediatric oncology nursing care by country income classification: International survey results

Disparities in the delivery of pediatric oncology nursing care by country income classification: International survey results

The Need for Hematology Nurse Education in Low- and Middle-Income Countries: A Community Case Study in Tanzania

Supportive medical care for children with acute lymphoblastic leukemia in low- and middle-income countries

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