Nursing oncology

1
Nursing oncology

• Educational Program
• Sabine Perrier-Bonnet
• Alliance Mondiale Contre le Cancer (INCTR French
  branch)

2
Medical staff in Developing countries

• shortage (sometimes dramatic) of support staff in
  hospitals and health centres, both in large
  cities and in rural areas
• Doctors too often choose to practice in towns
• Lack of in-service training for both medical and
  support staff

3
Health PersonnelWHO estimates of health
Personnel, rate per 100 000 population /
year(WHOSIS) estimates extremely difficult to
obtain
Country Physicians Nurses
France (1997) 303 497
UK (1993) 164 497
India (1992) 48 45
Thailand (1995) 24 87
Turkey (1998) 121 109
Israel (1998) 385 613
Switzerland(1998) 323 779
Sudan (1996) 9 58
4
Training Issues in Cancer

• Although the training of medical personnel is a
  priority, training for support staff at the
  bedside is not sufficiently recognised as a
  necessary tool in the fight against cancer

5
Nurses Cancer Training

• In most developing countries, training is
  inadequate, unsuitable, and does not include
  cancer care
• Just one way to learn with the help of doctors
  who have trained in developed countries

6
Many obstacles for Nurses

• Shortage of medical staff
• Lack of sufficient resources
• No cancer training
• Cancer is a low health priority in most
  countries
• Cancer a cultural tragedy for the people

7
Responsibilities of nursesfor patient-centred
care

• Coordination of care and treatment with the
  oncologist
• Good knowledge of malignant diseases
• Management of
• Chemotherapy and its side effects
• Pain control
• Nursing care
• Palliative care
• Information for patients and families about
  treatment

8
Training Program

• In developing countries, the major requirements
  are
• Prevention and early diagnosis
• Chemotherapy, pain management
• Palliative Care and End of Life

9
Cancers attributable share
10
Chemotherapy knowledge

• Objectives
• Looking after patients with cancer coming back
  from Europe or USA
• Nursing implications and side effects
• Evaluation of pain and pain control

11
Palliative Care

• Nurses need a professional approach and total
  quality control to look after patients when often
  there is
• - No money
• - No medicines
• - No hope
• - Abandonment of cancer patients

12
Improving cancer nursing

• Promote initial training in nursing colleges and
  faculties of medicine
• Improve in-service training
• Recognise the work of the paramedical staff
• Encourage working in partnership with European
  and American centres and agencies for cancer
  control

13
INCTR Oncology nursing workshops 2005

• Turkey 11th -13th April
• - Recent Advances in Cancer Nursing
• Tanzania 13th 18th June
• Palliative Care workshop
• Niger 4th- 12th October
• - Training on Prevention and Early Diagnosis of
  Breast and Cervical cancer for health staff
• Senegal 12th-17th November
• - Palliative Care Workshop

14
Turkey
Senegal
Niger
Tanzania
15
Turkey

• 80 nurses, 50 from
• Turkey and 30 from
• Egypt, Israel, Cyprus, Palestine and Jordan
• Teachers from
• Turkey, France and England
• A Lymphoma Workshop for physicians was held
  simultaneously

16
Tanzania
Ocean Road Cancer Institute Dar Es Salaam

• With the collaboration of INCTR Palliative Care
  Team and the INCTR Tanzanian office
• 20 nurses and the Medical Team

Educational sessions in the INCTR Palliative Care
Workshop
17
Niger
Program Training on prevention and early
diagnosis of breast and cervical cancer
During 5 days with around 75 people each day
(surgeons, doctors, midwifes, nurses and cancer
associations members)
18
Senegal
PALLIATIVE CARE WORKSHOP
AORTIC-
AMCC-INCTR- IPOS
Organisation Africaine pour la Recherche et
lEnseignement sur le Cancer (OAREC) African
Organization for Research and Training in Cancer
(AORTIC)
19
Whats new with AMCC-INCTR Cancer Training

• Doctors, Nurses, midwives and Social Workers were
  present during the workshop
• Teaching was done through assessment (determining
  needs and level of information required),
  planning (based on desired outcome),
  prioritization, implementation, evaluation and
  documentation

20
Key elements of nurses education

• Based on learning needs
• Interactive process
• Involves doctors/nurses/individuals responsible
  for patients continuing care
• Collaborative and interdisciplinary
• Consistent across continuum of care

21
An example with Palliative Care Training

• Developing Nurses education and support
  Materials working pathways suggested like
• Palliative Care Journals
• E-Newsletters
• Distance Learning Programs

22
With a Professional acknowledgement

• Certificates in Palliative Care
• Diplomas in Palliative Care
• Resource Training Centers

23
Effective Control of cancerwill require

• Major commitments to the training of health care
  professionals
• Recognition of Cancer Nursing as a specialty
• Someone in each country to develop to Public
  education programs and to provide adequate
  facilities for treatment

24
Together we can make a difference
Tanzania, 2005 Nurses
Oncology is a specialized field and training of
oncology and palliative care nurses is vital in
order to improve the quality of life for our
patients.
Tanzania, 2005 Palliative Care Specialists