Oncology(Nursing(Training(in(Low2( and(Middle2(income(Countries:( - PowerPoint PPT Presentation

Oncology(Nursing(Training(in(Low2( and(Middle2(income(Countries:( Challenges(and(Opportuni<es( Sanchia(Aranda( Board(Member(2(UICC( Immediate(Past(President(–(Interna<onal(Society( of(Nurses(in(Cancer(Care( (

#3: Advancing and Applying Knowledge The role of nurses in reducing the global burden of cancer requires access to current information about cancer and the strategies that nurses can employ to foster cancer prevention, treatment and support. Goals and Actions: To increase access to education for nurses in cancer control • To increase access to and use of the evidence base for • cancer nursing To expand the global diversity of nursing research in cancer • ( (

ISNCC Membership ISNCC has the following members: • National cancer nursing societies • Regional cancer nursing societies • Oncology institutions • Individual cancer nurse practitioners, researchers, and educators Globally, ISNCC has over 60,000 cancer nursing members. ( ( (

Most(of(the(Challenges(are( Systemic(

www.globalhealthfacts.org( Nursing(Numbers(per(10,000(popula3on((2005710)(

Status(as(a(Profession( Average(Monthly(Income(( Status(Issues( US$( ( ( • ATrac<veness(( • US ( ( ($4050( • University(level(or(not( • Australia ($4660( • Graduate(Decision(Making( • Brazil ( ($1290( capacity( • Peru ( ( ($750( • Local(market(versus(export( • Poland ( ($839( • China ( ($262(

Other(Systemic(Issues( • Focus(on(Communicable(Diseases(at(entry(to( prac<ce(level(–(liTle(or(no(cancer(content( • Cancer(Nursing(is(not(a(recognised(specialist(field( – No(pathways(to(specialist(prac<ce( • Nurses(cannot(afford(specialist(educa<on( • Educa<on(available(in(high(income(countries,( even(free(educa<on( – Is(in(English( – Is(not(context(specific(

Consequences( • Few(Graduate(Qualified(Specialists( • Few(Specialist(Teachers( • LiTle(in(country(support(for(development( • Nurses(travel(for(educa<on( – More(likely(to(not(return( – Skills(and(knowledge(difficult(to(apply( • Highly(skilled(specialists(a(target(for(high( income(country(recruitment(

Priori<es( • Build(local(capacity( • Work(to(apply(high(income(resources(to(local( needs(( • Focus(beyond(the(western(concept(of( specialist(without(excluding(it( • CONTEXT,(CONTEXT,(CONTEXT(

Opportuni<es( • Low(and(Middle(Income(Countries(do( have(a(greater(emphasis(on(preven<on( and(community(health( – Midwives(and(Community(Nurses(can(be( brought(into(the(cancer(control(effort(

• Evidence supports the role of nurses in tobacco cessation • ISNCC Tobacco workshops have been conducted in China (UICC 2010) and Czechoslovakia (ISNCC 2012)

Opportuni<es( • Cancer(Centres(can(build(a(cri<cal( mass(if(willing(to(share( Shaukat Khanum Memorial Cancer Hospital & Research Centre

Some<mes(it(takes(just(one( champion(to(make(a( difference( 3(day(seminar(series(in( • Pallia<ve(Care(3/yr( 2(yr(post(RN(Diploma(in( • Oncology(Nursing(accredited(by( Pakistan(Nursing(Council( 2(yr(BSN(Cancer(Nursing( • Programme( Annual(3(day(symposium( • Pakistan(Cancer(Nursing(Forum( • Professor Virginia Gumley since(2001(3/yr( Director of Nursing Shaukat Khanum

But(even(then:( • Nurses(want(to(work(in(the(ci<es( • Poor(facili<es(including(library(and( internet( • Migra<on(of(qualified(nurses( problema<c(including(to(Middle( East,(UK,(US(and(Canada(

Opportuni<es( • Partnerships(built(with(local( knowledge(can(make(a(difference( David(Makumi(–(RN(&( Margaret(Fitch(–(RN( Peter(Kamau(–(RN( Manager(of(Cancer( Past(President(2(ISNCC( Nurse(Manager(–(Oncology( Program,(Aga(Khan( Program(2(Eldoret( University(Hospital,(Nairobi( (

Aga(Khan(&(OdeTe(Cancer( Centre(2(A(Twinning(Project( • Collaborated(in(Chemotherapy(Educa<on(( – 2(courses( – 2(parts(of(Kenya( – 70(&(35(par<cipants( • Considerable(prepara<on(to(ensure:( – Joint(curriculum(planning( – Program(adapted(to(local(needs(including(drug( availability(and(equipment( – OCC(team(spent(<me(understanding(the(local( environment(pre2course( – Maintain(expected(standard(within(local(context(

Final(Comments( • Cancer(Nursing(Educa<on(Resources(abound(in( high(income(countries( • Opportuni<es(to(adapt(these(to(low(and(middle( income(country(needs(exist( • There(is(untold(enthusiasm(from(many(quarters( • UICC(and(ISNCC(can(work(together(to(find(the( small(investment(needed(to(scale(up(these( examples(