Standardising Chemotherapy Nursing Practice across a Cancer Network

1
Standardising Chemotherapy Nursing Practice
across a Cancer Network

• Claire Kelly
• Network Lead Nurse
• Cancer Care Alliance of Teesside, South Durham
  North Yorkshire

2
Setting the Scene

• Teesside, South Durham North Yorkshire
• Population of 1.4 million
• Diverse population, predominantly deprived
  community
• Scarce inward mobility
• Established since 1997 post Calman-Hine

3
Chemotherapy Nursing Audit

• 9 departments across 7 hospital sites
• team practice, health safety, administration,
  education training
• Findings
• variations in practice and policies
• lack of chemotherapy training in network
• lack of evidence of competence CPD

4
Chemotherapy Nurses Forum

• Network wide membership
• Monthly meetings in external venue
• Prioritise issues from the audit and develop
  action plan
• Peer support
• Sharing resources and experiences
• Working together to achieve shared goals

5
Standards Competencies
Local chemotherapy module
Competency Framework
6
CPD - Competency Framework

• CCA Competency Framework
• Mapping the patient pathway - framework
• Identified key stages across the pathway
• Developed competencies for each stage
• 4 levels
• Knowledge, practice and evidence

7
Competencies

• Patient Assessment
• Holistic Practice
• Prevention Management of Side Effects
• Chemotherapy Administration
• Legal, ethical issues
• Research, audit, evidence based practice

8
(No Transcript)
9
Education

• Local chemotherapy module (Teesside University)
• Education Standard
• Content links to the competency framework
• Taught by members of the Chemotherapy Forum
• Multidisciplinary

10
Practice

• Practice competencies linked to the theoretical
  module - accredited
• Senior nurses assessed by external nurse
  consultant
• Learning needs identified
• Supported by chemotherapy nurses forum and
  competency framework

11
Education Pathway
Chemo nurse
Theory module
Practice Competencies
Competency Framework
Theory module
Competency Framework
Pharmacist
Porter
Competency Framework
12
Challenges

• Encouraging staff to accept new approaches to
  education
• Practice Assessment - peer review
• Relevance to peer review visits
• Uptake by multidisciplinary teams
• Ongoing implementation evaluation

13
Outcomes

• Standardised approach to education training
  across the network
• Availability of local accredited education
• Standardised approach to monitoring of
  competencies
• All chemotherapy staff have been involved in the
  project
• Enhanced collaboration and sharing