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
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