Öz
Amaç: Bu çalışmanın amacı, Türkiye’de bulunan pediatrik onkoloji kliniklerinde çalışan hemşirelerinin küresel standartlara ulaşma durumunun incelenmektir.
Materyal ve Metot: Araştırma Mart-Mayıs 2022 tarihleri arasında 41 merkezdeki pediatrik onkoloji kliniğindeki sorumlu hemşirelere ulaşılarak gerçekleştirildi. Veriler 'Bilgi Formu' ve 'Pediatrik Onkoloji Hemşireliği Bakımı Temel Standartları' ile toplandı.
Bulgular: Kliniklerin çoğu, hasta başına düşen hemşire sayısı ilgili ilk standardı karşılamadı. Standardize edilmiş eğitimin, kliniklerin %85’inde uygulandığı ve kliniklerin çoğunun formalize oryantasyona ilişkin ikinci standardı karşıladığı saptanmıştır. Kliniklerin çoğu (%92,7) sürekli eğitim ve öğretime sahipti ve üçüncü standardı karşıladılar. Kliniklerin çoğu (%82,9) multidisipliner ekip çalışmasına ilişkin dördüncü standardı karşıladı. Kliniklerin yaklaşık yarısı beşinci ve altıncı standartları karşıladı.
Sonuçlar: Kliniklerde uzman hemşire sayısının az olduğu, hemşire/hasta oranının göreceli olarak fazla olduğu ve hemşirelerin araştırmalar için yeterli maddi destek almadığı bulundu. Kurumların ve derneklerin pediatrik onkoloji hemşirelerinin küresel standartlara ulaşmasında için stratejiler oluşturması kritik öneme sahiptir.
Anahtar Kelimeler
Kaynakça
- 1. Erdmann F, Frederiksen LE, Bonaventure A, et al. Childhood cancer: Survival, treatment modalities, late effects and improvements over time. Cancer Epidemiol. Apr 2021;71(Pt B):101733. doi:10.1016/j.canep.2020.101733
- 2. Kutluk MT, Yeşilipek A. Pediatric Cancer Registry in Turkey 2009-2018 (TPOG & TPHD). American Society of Clinical Oncology; 2019.
- 3. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7-30. doi:10.3322/caac.21590
- 4. World Health Organisation (WHO). Childhood cancer. https://www.who.int/news-room/fact-sheets/detail/cancer-in-children. Accessed April 4, 2022.
- 5. Johnston WT, Erdmann F, Newton R, Steliarova-Foucher E, Schüz J, Roman E. Childhood cancer: Estimating regional and global incidence. Cancer Epidemiol. 2021;71(Pt B):101662. doi:10.1016/j.canep.2019.101662
- 6. Kebudi R, Alkaya DU. Epidemiology and survival of childhood cancer in Turkey. Pediatr Blood Cancer. 2021;68(2):e28754. doi:10.1002/pbc.28754
- 7. Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer Statistics, 2021. CA Cancer J Clin. 2021;71(1):7-33. doi:10.3322/caac.21654
- 8. World Health Organization (WHO). International Childhood Cancer Day 2019; Providing better cancer data will help reduce the burden of childhood cancer. https://www.who.int/cancer/childhood-cancer/en/. Accessed April 5, 2022.
- 9. Day S, Hollis R, Challinor J, Bevilacqua G, Bosomprah E. Baseline standards for paediatric oncology nursing care in low to middle income countries: position statement of the SIOP PODC Nursing Working Group. Lancet Oncol. 2014;15(7):681-2. doi:10.1016/s1470-2045(14)70213-x
- 10. Linder LA. Contributions of Pediatric Oncology Nursing to Advance Care and Reduce Disparities Among Children and Adolescents with Cancer: Introduction. Semin Oncol Nurs. 2021;37(3):151165. doi:10.1016/j.soncn.2021.151165
- 11. Day SW, Sullivan CE, Morrissey L, et al. Development and Content Validation of an Instrument to Measure Baseline Standards for Pediatric Oncology Nursing in Low- and Middle-Income Countries. J Pediatr Oncol Nurs. 2021;38(4):213-224. doi:10.1177/1043454220919700
- 12. Sullivan CE, Segovia Weber L, Viveros Lamas P, Metzger ML, Rodriguez-Galindo C, Day SW. A sustainable model for pediatric oncology nursing education and capacity building in Latin American hospitals: Evolution and impact of a nurse educator network. Pediatr Blood Cancer. 2021;68(9):e29095. doi:10.1002/pbc.29095
- 13. Day S, Hollis R, Challinor J, Bevilacqua G, Bosomprah E. Baseline standards for paediatric oncology nursing care in low to middle income countries: position statement of the SIOP PODC Nursing Working Group. Lancet Oncology. 2014;15(7):681.
- 14. Pelletier W, Bona K. Assessment of financial burden as a standard of care in pediatric oncology. Pediatric blood & cancer. 2015;62(S5):619-631. doi: 10.1002/pbc.25714
- 15. Pelletier W, Bona K. Assessment of Financial Burden as a Standard of Care in Pediatric Oncology. Pediatr Blood Cancer. 2015;62(5):619-31. doi:10.1002/pbc.25714
- 16. Belderson KM, Billett AL. Chemotherapy Safety Standards: A Pediatric Perspective. Journal of Pediatric Oncology Nursing. 2017;34(3):156-159. doi:10.1177/1043454217697670
- 17. Day S, Challinor J, Hollis R, Abramovitz L, Hanaratri Y, Punjwani R. Paediatric oncology nursing care in low-and middle-income countries: a need for baseline standards. Cancer Control. 2015;2015:111-116.
- 18. Day SW, McKeon LM, Garcia J, et al. Use of Joint Commission International standards to evaluate and improve pediatric oncology nursing care in Guatemala. Pediatr Blood Cancer. 2013;60(5):810-5. doi:10.1002/pbc.24318
- 19. Neuss MN, Gilmore TR, Belderson KM, et al. 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, Including Standards for Pediatric Oncology. J Oncol Pract. 2016;12(12):1262-1271. doi:10.1200/jop.2016.017905
- 20. Morrissey L, Lurvey M, Sullivan C, et al. Disparities in the delivery of pediatric oncology nursing care by country income classification: International survey results. Pediatr Blood Cancer. 2019;66(6):e27663. doi:10.1002/pbc.27663
- 21. Sullivan CE, Morrissey L, Day SW, Chen Y, Shirey M, Landier W. Predictors of Hospitals' Nonachievement of Baseline Nursing Standards for Pediatric Oncology. Cancer Nurs. 2020;43(4):E197-e206. doi:10.1097/ncc.0000000000000688
- 22. Mezgebu E, Anwarali S, Durañona M, Challinor J. Pediatric Oncology Nursing Research in Low- and Middle-Income Countries: Exemplars from Three Regions. Semin Oncol Nurs. 2021;37(3):151168. doi:10.1016/j.soncn.2021.151168
Öz
Objective: This study’s purpose is to investigate the achievement of baseline standards for pediatric oncology nursing care in Türkiye.
Materials and Methods: The research was carried out with nurse administrators in 41 pediatric oncology clinics between March and May 2022. Data were collected by an 'Information Form' and ‘Baseline Standards for Pediatric Oncology Nursing Care’.
Results: Most of the clinics did not meet the first standard related to staffing based on patient acuity. It was found that 80.5% of the clinics that applied formalized education in pediatric oncology clinics, and they met the second standard related to formalized orientation. Most of the clinics (92.7%) had continuing education and training and they met the third standard. Most of the clinics (82.9%) met the fourth standard related to multidisciplinary teamwork. Nearly half of the clinics met the fifth and sixth standards.
Conclusion: It was revealed that there are not many specialist nurses working in the clinics, that the nurse-to-patient ratio is relatively high, and nurses do not receive sufficient financial support for research. Institutions and societies must create strategies that specify pediatric oncology nurses to the achievement of baseline standards.
Anahtar Kelimeler
Kaynakça
- 1. Erdmann F, Frederiksen LE, Bonaventure A, et al. Childhood cancer: Survival, treatment modalities, late effects and improvements over time. Cancer Epidemiol. Apr 2021;71(Pt B):101733. doi:10.1016/j.canep.2020.101733
- 2. Kutluk MT, Yeşilipek A. Pediatric Cancer Registry in Turkey 2009-2018 (TPOG & TPHD). American Society of Clinical Oncology; 2019.
- 3. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70(1):7-30. doi:10.3322/caac.21590
- 4. World Health Organisation (WHO). Childhood cancer. https://www.who.int/news-room/fact-sheets/detail/cancer-in-children. Accessed April 4, 2022.
- 5. Johnston WT, Erdmann F, Newton R, Steliarova-Foucher E, Schüz J, Roman E. Childhood cancer: Estimating regional and global incidence. Cancer Epidemiol. 2021;71(Pt B):101662. doi:10.1016/j.canep.2019.101662
- 6. Kebudi R, Alkaya DU. Epidemiology and survival of childhood cancer in Turkey. Pediatr Blood Cancer. 2021;68(2):e28754. doi:10.1002/pbc.28754
- 7. Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer Statistics, 2021. CA Cancer J Clin. 2021;71(1):7-33. doi:10.3322/caac.21654
- 8. World Health Organization (WHO). International Childhood Cancer Day 2019; Providing better cancer data will help reduce the burden of childhood cancer. https://www.who.int/cancer/childhood-cancer/en/. Accessed April 5, 2022.
- 9. Day S, Hollis R, Challinor J, Bevilacqua G, Bosomprah E. Baseline standards for paediatric oncology nursing care in low to middle income countries: position statement of the SIOP PODC Nursing Working Group. Lancet Oncol. 2014;15(7):681-2. doi:10.1016/s1470-2045(14)70213-x
- 10. Linder LA. Contributions of Pediatric Oncology Nursing to Advance Care and Reduce Disparities Among Children and Adolescents with Cancer: Introduction. Semin Oncol Nurs. 2021;37(3):151165. doi:10.1016/j.soncn.2021.151165
- 11. Day SW, Sullivan CE, Morrissey L, et al. Development and Content Validation of an Instrument to Measure Baseline Standards for Pediatric Oncology Nursing in Low- and Middle-Income Countries. J Pediatr Oncol Nurs. 2021;38(4):213-224. doi:10.1177/1043454220919700
- 12. Sullivan CE, Segovia Weber L, Viveros Lamas P, Metzger ML, Rodriguez-Galindo C, Day SW. A sustainable model for pediatric oncology nursing education and capacity building in Latin American hospitals: Evolution and impact of a nurse educator network. Pediatr Blood Cancer. 2021;68(9):e29095. doi:10.1002/pbc.29095
- 13. Day S, Hollis R, Challinor J, Bevilacqua G, Bosomprah E. Baseline standards for paediatric oncology nursing care in low to middle income countries: position statement of the SIOP PODC Nursing Working Group. Lancet Oncology. 2014;15(7):681.
- 14. Pelletier W, Bona K. Assessment of financial burden as a standard of care in pediatric oncology. Pediatric blood & cancer. 2015;62(S5):619-631. doi: 10.1002/pbc.25714
- 15. Pelletier W, Bona K. Assessment of Financial Burden as a Standard of Care in Pediatric Oncology. Pediatr Blood Cancer. 2015;62(5):619-31. doi:10.1002/pbc.25714
- 16. Belderson KM, Billett AL. Chemotherapy Safety Standards: A Pediatric Perspective. Journal of Pediatric Oncology Nursing. 2017;34(3):156-159. doi:10.1177/1043454217697670
- 17. Day S, Challinor J, Hollis R, Abramovitz L, Hanaratri Y, Punjwani R. Paediatric oncology nursing care in low-and middle-income countries: a need for baseline standards. Cancer Control. 2015;2015:111-116.
- 18. Day SW, McKeon LM, Garcia J, et al. Use of Joint Commission International standards to evaluate and improve pediatric oncology nursing care in Guatemala. Pediatr Blood Cancer. 2013;60(5):810-5. doi:10.1002/pbc.24318
- 19. Neuss MN, Gilmore TR, Belderson KM, et al. 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, Including Standards for Pediatric Oncology. J Oncol Pract. 2016;12(12):1262-1271. doi:10.1200/jop.2016.017905
- 20. Morrissey L, Lurvey M, Sullivan C, et al. Disparities in the delivery of pediatric oncology nursing care by country income classification: International survey results. Pediatr Blood Cancer. 2019;66(6):e27663. doi:10.1002/pbc.27663
- 21. Sullivan CE, Morrissey L, Day SW, Chen Y, Shirey M, Landier W. Predictors of Hospitals' Nonachievement of Baseline Nursing Standards for Pediatric Oncology. Cancer Nurs. 2020;43(4):E197-e206. doi:10.1097/ncc.0000000000000688
- 22. Mezgebu E, Anwarali S, Durañona M, Challinor J. Pediatric Oncology Nursing Research in Low- and Middle-Income Countries: Exemplars from Three Regions. Semin Oncol Nurs. 2021;37(3):151168. doi:10.1016/j.soncn.2021.151168
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Erken Görünüm Tarihi | 31 Mayıs 2023 |
| Yayımlanma Tarihi | 6 Haziran 2023 |
| Gönderilme Tarihi | 17 Kasım 2022 |
| Kabul Tarihi | 12 Mayıs 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 8 Sayı: 2 |
