Oncology(Nursing(Training(in(Low2( and(Middle2(income(Countries:( - - PowerPoint PPT Presentation

Oncology(Nursing(Training(in(Low2( and(Middle2(income(Countries:( Challenges(and(Opportuni<es(

Sanchia(Aranda(

Board(Member(2(UICC(

Immediate(Past(President(–(Interna<onal(Society(

• f(Nurses(in(Cancer(Care(

(

The role of nurses in reducing the global burden of cancer requires access to current information about cancer and the strategies that nurses can employ to foster cancer prevention, treatment and support. Goals and Actions:

• To increase access to education for nurses in cancer control
• To increase access to and use of the evidence base for

cancer nursing

• To expand the global diversity of nursing research in cancer

( (

#3: Advancing and Applying Knowledge

ISNCC has the following members:

• National cancer nursing societies
• Regional cancer nursing societies
• Oncology institutions
• Individual cancer nurse practitioners,

researchers, and educators Globally, ISNCC has over 60,000 cancer nursing members.(

( (

ISNCC Membership

Most(of(the(Challenges(are( Systemic(

Nursing(Numbers(per(10,000(popula3on((2005710)(

www.globalhealthfacts.org(

Status(as(a(Profession(

Average(Monthly(Income(( US$( (

• US (

( ($4050(

• Australia

($4660(

• Brazil

( ($1290(

• Peru

( ( ($750(

• Poland (

($839(

• China

( ($262(

Status(Issues( (

• ATrac<veness((
• University(level(or(not(
• Graduate(Decision(Making(

capacity(

• Local(market(versus(export(

Other(Systemic(Issues(

• Focus(on(Communicable(Diseases(at(entry(to(

prac<ce(level(–(liTle(or(no(cancer(content(

• Cancer(Nursing(is(not(a(recognised(specialist(field(

– No(pathways(to(specialist(prac<ce(

• Nurses(cannot(afford(specialist(educa<on(
• Educa<on(available(in(high(income(countries,(

even(free(educa<on(

– Is(in(English( – Is(not(context(specific(

Consequences(

• Few(Graduate(Qualified(Specialists(
• Few(Specialist(Teachers(
• LiTle(in(country(support(for(development(
• Nurses(travel(for(educa<on(

– More(likely(to(not(return( – Skills(and(knowledge(difficult(to(apply(

• Highly(skilled(specialists(a(target(for(high(

income(country(recruitment(

Priori<es(

• Build(local(capacity(
• Work(to(apply(high(income(resources(to(local(

needs((

• Focus(beyond(the(western(concept(of(

specialist(without(excluding(it(

• CONTEXT,(CONTEXT,(CONTEXT(

Opportuni<es(

• Low(and(Middle(Income(Countries(do(

have(a(greater(emphasis(on(preven<on( and(community(health(

– Midwives(and(Community(Nurses(can(be( brought(into(the(cancer(control(effort(

• Evidence supports the

role of nurses in tobacco cessation

• ISNCC Tobacco

workshops have been conducted in China (UICC 2010) and Czechoslovakia (ISNCC 2012)

Opportuni<es(

• Cancer(Centres(can(build(a(cri<cal(

mass(if(willing(to(share(

Shaukat Khanum Memorial Cancer Hospital & Research Centre

Some<mes(it(takes(just(one( champion(to(make(a( difference(

• 3(day(seminar(series(in(

Pallia<ve(Care(3/yr(

• 2(yr(post(RN(Diploma(in(

Oncology(Nursing(accredited(by( Pakistan(Nursing(Council(

• 2(yr(BSN(Cancer(Nursing(

Programme(

• Annual(3(day(symposium(
• Pakistan(Cancer(Nursing(Forum(

since(2001(3/yr(

Professor Virginia Gumley Director of Nursing Shaukat Khanum

But(even(then:(

• Nurses(want(to(work(in(the(ci<es(
• Poor(facili<es(including(library(and(

internet(

• Migra<on(of(qualified(nurses(

problema<c(including(to(Middle( East,(UK,(US(and(Canada(

Opportuni<es(

• Partnerships(built(with(local(

knowledge(can(make(a(difference(

David(Makumi(–(RN(&( Manager(of(Cancer( Program,(Aga(Khan( University(Hospital,(Nairobi( Margaret(Fitch(–(RN( Past(President(2(ISNCC( Peter(Kamau(–(RN( Nurse(Manager(–(Oncology( Program(2(Eldoret(

(

Aga(Khan(&(OdeTe(Cancer( Centre(2(A(Twinning(Project(

• Collaborated(in(Chemotherapy(Educa<on((

– 2(courses( – 2(parts(of(Kenya( – 70(&(35(par<cipants(

• Considerable(prepara<on(to(ensure:(

– Joint(curriculum(planning( – Program(adapted(to(local(needs(including(drug( availability(and(equipment( – OCC(team(spent(<me(understanding(the(local( environment(pre2course( – Maintain(expected(standard(within(local(context(

Final(Comments(

• Cancer(Nursing(Educa<on(Resources(abound(in(

high(income(countries(

• Opportuni<es(to(adapt(these(to(low(and(middle(

income(country(needs(exist(

• There(is(untold(enthusiasm(from(many(quarters(
• UICC(and(ISNCC(can(work(together(to(find(the(

small(investment(needed(to(scale(up(these( examples(