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Nursing oncology. Educational Program Sabine Perrier-Bonnet Alliance Mondiale Contre le Cancer (INCTR French branch). Medical staff in Developing countries. shortage ( sometimes dramatic ) of support staff in hospitals and health centres, both in large cities and in rural areas
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Nursing oncology Educational Program Sabine Perrier-Bonnet Alliance Mondiale Contre le Cancer (INCTR French branch) Annual Meeting 2005
Medical staff inDeveloping countries • shortage (sometimesdramatic) 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
Health PersonnelWHO estimates of health Personnel, rate per 100 000 population / year(WHOSIS): estimates extremely difficult to obtain
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
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
Many obstacles for Nurses • Shortage of medical staff • Lack of sufficient resources • No cancer training • Cancer is a low health priorityin most countries • Cancer: a cultural tragedy for the people
Responsibilities of nursesfor patient-centred care • Coordination of care and treatment with the oncologist • Good knowledge of malignant diseases • Management of: • Chemotherapyand its side effects • Pain control • Nursing care • Palliative care • Information for patients and families about treatment
Training Program In developing countries, the major requirements are: • Prevention and early diagnosis • Chemotherapy, pain management • Palliative Care and End of Life
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
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
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
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
Turkey Senegal Niger Tanzania
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
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
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 association’s members)
Senegal PALLIATIVE CARE WORKSHOP AORTIC- AMCC-INCTR- IPOS Organisation Africaine pour la Recherche et l’Enseignement sur le Cancer (OAREC) African Organization for Research and Training in Cancer (AORTIC)
What’s 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
Key elements of nurses’ education • Based on learning needs • Interactive process • Involves doctors/nurses/individuals responsible for patient’s continuing care • Collaborative and interdisciplinary • Consistent across continuum of care
An example with Palliative Care Training • Developing Nurses’ education and support Materials: working pathways suggested like… • Palliative Care Journals • E-Newsletters • Distance Learning Programs
With a Professional acknowledgement • Certificates in Palliative Care • Diplomas in Palliative Care • Resource Training Centers
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
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