SWAPNA JOSHIProfessor & Nursing Superintendent

Tata Memorial HospitalParel Mumbai,India

Educational Preparation for Indian Nurses in Advancing cancer nursing Research:

Opportunities And Challenges.

Cancer numbers

Oral cavity 53842

lung 53728

stomach 43386

colorectal 36917

Cancer numbers

Breast 144937

cervix 122844

colorectal 27415

oral 23161

Cancer burden in India (female)

(Globocan12)

Cancer burden in India (male)

Cancer burden in TATA Memorial Hospital

General nursing and Midwifery (3.5 years )Indian Nursing Council / State council

Basic B.sc. Nursing ( 4 Years )P.B. B.Sc. Nursing (2 Years)

University

Specialty Courses

Oncology NursingDiploma (1 Year ) INC

State Council

Nursing Education in India

7 states (recognized oncology diploma) private setups (on job training)

Regional Cancer Centers/Hospitals

Masters in Oncology Nursing2 Years

Medical Surgical Nursing

Oncology Nursing as specialty in India

Introduction of Research in Curriculum

To Develop fundamental abilities and attitude

G.N.M.-(2007) - Theory - 25 hrs.projects in groups.Evaluated by Teachers.

B.SC. NURSING (before2000) – Theory - 45 hrs.Group Projects.Ethical committee-Principal and teachers

Masters in Oncology NursingTheory - 150 Hrs Practicals - 200 Hrs

Individual

RESEARCH process

University

Degree awarded

INSTITUTIONAL REVIEW BOARD - IRBDISEASE MANAGEMENT GROUP - DMG

• Student - (curriculum requirement)

• Staff nurse - clinical area - (Evidence based)

• C.V.A.D / PAIN / STOMA / PALLIATIVE

• Scientific papers - workshops / conferences.

• Access to resources - DIGITAL LIBRARY.

• Surveys-knowledge / practices - explored.

• Advanced nursing practices Audits done Standard operating procedures are developed.

Research OPPORTUNITIES

• Collaboration with other universities.

• Publications of scientific papers.( PhD. promotions to higher grade mandatory)

• Evidence based nursing practices.

• Accreditation of health care services.

• Involvement of nurses in developing policies and procedures.

Research OPPORTUNITIES Contd..

Research OPPORTUNITIES Contd..

• Qualified Nurse managers.

• Dual responsibility

• Disseminations of scientific studies.

• Nurse Researchers-.principal /co investigators.(international projects)

• Nurses in Ethical and scientific committee.

• Assisting in research projects:

- procedures, treatment, documentations, data collections in random control studies.

Challenges

Teachers/students

Up gradation of teachers specialized to act as mentor.

capacity building programs for teachers.

To provide student status.

Incentives, support and resources in terms of finance, time etc.

Monitoring and mentoring of students

.

Challenges

Teachers/students-

Attrition

Gap between nursing education and nursing service.(qualified nurses in education dept.)

• Research not integrated with other subjects.

• Compartmentalization of subjects.

• Long process of IRB approval.

• Attitude of physicians.

• Plagiarism., Authorship issue,fabrication of Data

Contd..

Challenges

Clinical nurses-

• Mainly accountable for patient care so overburdened due to increased workload.

• Family responsibility.

• Complacent with current status.

• Involvement of senior clinical nurses in nursing education.

• Limited opportunity for further education/updating.

Contd..

Challenges

• No further exploration once degree is awarded.

• more of surveys than interventional studies.

• Lack of administrative support to implement studies.

Contd..

Strategies to advance cancer researchContd..

• Bridging gap between Nursing education and nursing service(integration of nursing research in practice)

Strategies to advance cancer research

• Research from preventive to palliative

Contd..

Strategies to advance cancer research

• Research in rural population• Lifestyle changes its effect on health, nutrition

Contd..

Strategies to advance cancer research

• Developing practices on evidences

Contd..

Strategies to advance cancer research

• Focusing also on non cancer hospitals

Contd..

Strategies to advance cancer research

• Oncology nurse practitioners

Contd..

Strategies to advance cancer research

• Collaboration with international agencies

Contd..

Multidisciplinary Research team

Role and contribution of professional bodies

• National Research Society of India

• Oncology Nurses Association of India

• Trained nurses association of India.

• Critical Care Nursing Society

Initiate

• Research Journal club.

• Nursing Ethical Board For Evidence based Nursing Practices.

• Nurse Researcher concept in health setup.

• Ph.D in oncology.

Strategies to advance cancer research

• Recommendation in 12th Five year plan-Research grant.

Contd..

To Improve quality in Nursing care

• Through Research- on measures such as-

• Infection control practices.

• Nursing Audits

• Devices

• Nursing procedures.

• Developing guidelines for evidence based practices

IMPROVING QUALITY CARE THROUGHEVIDENCE BASED PRACTICES.

NURSINGPRACTICES

RESEARCH EVIDENCES

QC

THANK YOU