Training subspecialty nurses in developing countries: Methods, outcome, and cost

Wilimas, Judith A.; Donahue, Nora; Chammas, Georgette; Fouladi, Maryam; Bowers, Lynne Jordan; Ribeiro, Raul C.

doi:10.1002/mpo.10242

Cited by 35 publications

(38 citation statements)

References 8 publications

(9 reference statements)

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“…l Using gerontological nursing to develop international partnerships. l Assisting in developing and evaluating frameworks for gerontological nurse training and education in developing countries (see Wilimas et al, 2003). When working in a developing country, I moved from the theory of understanding that the care of older adults would be culturally different to experiencing what this meant in my own nursing practice.…”

Section: What Is To Be Done?mentioning

confidence: 99%

Using a Squat Toilet: Aging in a Developing Country

Hirst

2013

J Gerontol Nurs

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Section: What Is To Be Done?mentioning

confidence: 99%

Using a Squat Toilet: Aging in a Developing Country

Hirst

2013

J Gerontol Nurs

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“…In contrast, pediatric oncology education and training is generally unavailable for nurses in developing countries. This lack of education is likely to contribute to the disparity in survival rates, as undereducated nurses are unable to meet the demands of pediatric cancer care (Wilimas et al, 2003;Barr et al, 2006). A second critical problem in developing countries is the workload of the nurse, with a patient nurse ratio reported as high as 30 patients per one nurse.…”

Section: Overviewmentioning

confidence: 99%

“…After 4 years of operation several concerns resulted in a decision to close the school. The cost of operating the school was more than the proposed budget, and many nurses could not attend the school because they were not able to commit to 12 weeks away from home (Wilimas et al, 2003).…”

Section: Background International Outreach Nursing Historymentioning

confidence: 99%

“…To close the survival gap between the outcome of childhood cancer in developed and developing countries provision of care in pediatric cancer units by specialized professionals is needed (Wagner & Antic, 1997;McGregor et al, 2007). Nurses comprise the largest group of health care providers in pediatric oncology in developing countries, yet specialized education and training is generally not available for these nurses and is potentially one of the reasons for the disparity in survival rates (Wilimas et al, 2003). In addition the patient to nurse ratio is much higher than recommended for pediatric oncology nursing care (Day et al, 2008).…”

Section: Significance Of the Studymentioning

confidence: 99%

“…Most hospitals in developed countries provide extensive pediatric oncology education and training to newly hired nurses and require nurses to complete a chemotherapy certification course before administering these drugs. In contrast, pediatric oncology education and training is generally not available for nurses in developing countries and is potentially one of the reasons for the disparity in survival rates (Wilimas et al, 2003). This major deficit of clinical practice is widely recognized.…”

Section: Pediatric Oncology Nursing In Developing Countriesmentioning

confidence: 99%

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Evaluating the Impact of the Guatemalan Nursing Program on Staff, Organizational, and Clinical Outcomes

Day¹

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There is great disparity between the outcome of childhood cancer in developed and developing countries. Nurses, who comprise the largest group of health care professionals globally, are essential to successful treatment. Pediatric oncology education is generally unavailable for nurses in developing countries. This lack of education is likely to contribute to the disparity in survival rates, as undereducated nurses are unable to meet the demands of pediatric cancer care. A second critical problem in developing countries is the workload of the nurse, with a patient nurse ratio reported as high as 30 patients per one nurse.In 2006, the quality of nursing care at St. Jude Children's Research Hospital's partner site in Guatemala was assessed using standards from six Joint Commission International quality domains. Although quality standards were found lacking in all six domains, the most critical needs with relevance to nursing were identified in the domain of Staff Qualifications and Education. To meet this need, the Guatemalan Nursing Program (GNP) was developed. Because of the critical needs determined by the assessment, the primary focus of the program was improving nursing education and staffing. A secondary focus was on improving all quality standards with relevance to nursing.This research study was designed to evaluate the GNP's fidelity and impact on staff, organizational, and clinical outcomes. Staff and organizational outcomes were evaluated using a before and after one group design often used in program evaluation. The clinical outcomes were evaluated using a control site comparison but no randomization and was therefore a quasi-experimental design. Variables analyzed included staff variables of continuing education hours, chemotherapy competency, central venous line care competency, and completion of pediatric oncology nursing education course for newly hired nurses, organizational variables of Joint Commission International standards and patient to nurse ratio, and clinical variables of event free survival and abandonment. Logic model theory provided the conceptual framework for both the development and evaluation of the GNP.This study substantiated that prior to GNP implementation a lack of education for pediatric oncology nurses existed in Guatemala and demonstrated that a nurse educator can positively impact staff outcomes related to pediatric oncology education. The GNP also positively affected organizational outcomes. Compared to pre program results, the number of Joint Commission International standards met post program increased considerably. In 2006, the patient to nurse ratio was 6 to 8 (average 7) patients per nurse and in 2009, the patient to nurse ratio was 4 to 6 (average 5) patients per nurse. The study found a statistically significant association with an improved CIN of treatment abandonment within the first year of diagnosis. Abandonment of treatment is a critical problem in developing countries. Although many studies have looked at abandonment and its causes; no study has looked...

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Establishment of a Pediatric Oncology Program and Outcomes of Childhood Acute Lymphoblastic Leukemia in a Resource-Poor Area

Howard

Pedrosa²,

Lins³

et al. 2004

JAMA

274

249

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CUTE LYMPHOBLASTIC LEUKEmia (ALL), the most common childhood cancer, has a cure rate of 80% in resourcerich countries. [1][2][3][4][5][6] However, more than 80% of the world's children live in less-advantaged countries, where the cure rate generally does not exceed 35%. [7][8][9][10][11] The outcome of treatment of childhood ALL, which depends on effective chemotherapy and supportive care, serves as an index of the status of pediatric oncology in countries with limited resources. Because of its high incidence and its curability, ALL is a logical initial target for pediatric cancer programs under development in such countries. The causes of treatment failure in resource-poor countries include relapse, abandonment of therapy, and death from toxicity because of suboptimal supportive care, delayed diagnosis, and comorbid conditions. [8][9][10][11][12][13][14][15][16][17][18][19] Strategies to reduce some of these problems have been studied, 17,18 and establishment of a dedicated pediatric oncology program in El Salvador was associated with an increase in ALL survival from 5% to 48%. 9

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Training subspecialty nurses in developing countries: Methods, outcome, and cost

Abstract: Programs to teach subspecialty nursing in developing countries are effective and can improve medical care. Such programs should be based on past experience and evaluated as to cost and effectiveness.

Cited by 35 publications

References 8 publications

Using a Squat Toilet: Aging in a Developing Country

Using a Squat Toilet: Aging in a Developing Country

Evaluating the Impact of the Guatemalan Nursing Program on Staff, Organizational, and Clinical Outcomes

Establishment of a Pediatric Oncology Program and Outcomes of Childhood Acute Lymphoblastic Leukemia in a Resource-Poor Area

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