Enhancement of Oncology Nursing Education in Low- and ......Asian Oncology Nursing Society ISNCC - Strengthening the Oncology Nursing Workforce in LMICs to Address the Growing Cancer

Asian Oncology Nursing Society

ISNCC - Strengthening the Oncology Nursing Workforce in LMICs to Address the Growing Cancer Burden

Enhancement of Oncology Nursing Education in

Low- and Middle-income Countries

Winnie SO PhD RN

President Asian Oncology Nursing Society

Session ID: 46-T2 I have nothing to disclose.


Presentation Highlights

WHY educated nurses can contribute to cancer control?

WHAT are the challenges to oncology nursing education in LMICs?

HOW to strengthen oncology nursing education in LMICs?







Cancer Burden in Low- and Middle- Income Countries

GLOBOCAN, 2012

New Cancer Case World LMIC

2015 15.2 million 6.7 million (44.1%)

2035 24 million 11.2 million (46.7%)

Cancer Death World LMIC

2015 8.9 million 4.8 million (53.9%)

2035 14.6 million 8.3 million (56.8%)


World Cancer Declaration 2013

Overarching Goal

There will be major reductions in premature deaths from cancer, and improvements in quality of life and

cancer survival rates.

UICC, 2016



Strengthen health systems for cancer control

Measure cancer burden & impact of cancer plans

Reduce exposure to cancer risk factors

Universal coverage of HPV/HBV vaccination

Reduce stigma & dispel myths

Universal access to screening & early detection

Improve access to services across the care continuum

Universal availability of pain & distress management

Improve education & training of professionals

UICC, 2016



Strengthen health systems for cancer control

Measure cancer burden & impact of cancer plans

Reduce exposure to cancer risk factors

Universal coverage of HPV/HBV vaccination

Reduce stigma & dispel myths

Universal access to screening & early detection

Improve access to services across the care continuum

Universal availability of pain & distress management

Improve education & training of professionals

UICC, 2016


Global Action Plan for NCDs

WHO recommended that nations “[optimize] the scope of nurses’ and allied health professionals’ practice to contribute to the prevention and control of non-communicable disease, including addressing barriers to that contribution.”

WHO, 2013


Importance of Oncology Nursing Education in Reducing the Cancer Burden

Prevention Early Detection Treatment & Symptom Management Survivorship

• Mutebi, Wasike, Mushtaq, Kahie, & Ntoburi, 2013

• Rice, Hartmann-Boyce, & Stead, 2013

• Hui et al., 2015

• Chan, Richardson, & Richardson, 2011

• Coolbrandt et al., 2014

• Kim et al., 2011 • Park, Bae, Jung, &

Kim, 2012






• Hui et al., 2015




Kim, 2012






• Hui et al., 2015




Kim, 2012






• Hui et al., 2015




Kim, 2012







Challenges to Oncology Nursing Education, Training and Practice

1 Lack of educational pathways for specialization in oncology nursing



2 Lack of legislation to consolidate training pathways for specialized nursing roles



3 Insufficiency of continuing education



4 Challenges in recruiting professionals to oncology nursing due to practice environment



Lack of legislation

Lack of educational

pathways

Insufficient continuing education

Challenges in recruiting professionals







Strategies to Strengthen Oncology Nursing Education in LMICs

1 Incorporate basic cancer content into pre-service nursing training curricula



2 Develop nursing faculties in LMICs



3 Establish a mechanism for sharing oncology nursing programme between LMICs and HICs



4 Promote the involvement of cancer-related international organizations



5 Require organizations to follow best practices



6 Ensure programme sustainability through high-level in-country involvement and interdisciplinary collaboration


Include basic cancer content in nursing curricula

Develop nursing faculties Establish a mechanism to share nursing programme

Involvement of international organizations

Follow best practice Ensure in-country collaboration



Summary

Oncology nursing education in LMICs should be further developed, in responding to the increasing cancer burden in these countries


Summary

Strategies

Include basic cancer content in training

Develop nursing faculties

Share oncology nursing programme

Involvement of international organizations

Follow best practice

Ensure in-country collaboration


Summary

With the support from physicians, policy makers and governmental officials of LMICs,

these recommendations would be implemented to enhance the specialized training of oncology


THANK YOU! Winnie SO

President Asian Oncology Nursing Society

[email protected]


References

Chan, C. W., Richardson, A., & Richardson, J. (2011). Managing symptoms in patients with advanced lung cancer during radiotherapy: results of a psychoeducational randomized controlled trial. Journal of Pain and Symptom Management, 41(2), 347-357. doi:10.1016/j.jpainsymman.2010.04.024

Coolbrandt, A., Wildiers, H., Aertgeerts, B., Van der Elst, E., Laenen, A., Dierckx de Casterle, B., . . . Milisen, K. (2014). Characteristics and effectiveness of complex nursing interventions aimed at reducing symptom burden in adult patients treated with chemotherapy: A systematic review of randomized controlled trials. International Journal of Nursing Studies, 51(3), 495-510. doi:10.1016/j.ijnurstu.2013.08.008

GLOBOCAN. (2012). Fact sheets by population. Retrieved from http://globocan.iarc.fr/Pages/fact_sheets_population.aspx

Hui, A. J., Lau, J. Y., Lam, P. P., Chui, A. O., Fan, A. S., Lam, T. Y., . . . Sung, J. (2015). Comparison of colonoscopic performance between medical and nurse endoscopists: a non-inferiority randomised controlled study in Asia. Gut, 64(7), 1058-1062. doi:10.1136/gutjnl-2013-306293

Kim, S. H., Shin, M. S., Lee, H. S., Lee, E. S., Ro, J. S., Kang, H. S., . . . Yun, Y. H. (2011). Randomized pilot test of a simultaneous stage-matched exercise and diet intervention for breast cancer survivors. Oncology Nursing Forum, 38(2), E97-E106. doi:10.1188/11.ONF.E97-E106


References

Mutebi, M., Wasike, R., Mushtaq, A., Kahie, A., & Ntoburi, S. (2013). The effectiveness of an abbreviated training program for health workers in breast cancer awareness: innovative strategies for resource constrained environments. Springerplus, 2, 528. doi:10.1186/2193-1801-2-528

Park, J. H., Bae, S. H., Jung, Y. S., & Kim, K. S. (2012). Quality of life and symptom experience in breast cancer survivors after participating in a psychoeducational support program: A pilot study. Cancer Nursing, 35(1), E34-E41. doi:10.1097/NCC.0b013e318218266a

Rice, V. H., Hartmann-Boyce, J., & Stead, L. F. (2013). Nursing interventions for smoking cessation. Cochrane Database Systematic Review, 8, CD001188. doi:10.1002/14651858.CD001188.pub4

UICC. (2016). World cancer declaration. Retrieved from http://www.uicc.org/world-cancer-declaration WHO. (2013). Global action plan for the prevention and control of NCDs 2013-2020. Retrieved from

http://www.who.int/nmh/events/ncd_action_plan/en/

Documents

Enhancement of Oncology Nursing Education in Low- and ......Asian Oncology Nursing Society ISNCC - Strengthening the Oncology Nursing Workforce in LMICs to Address the Growing Cancer