Lisa Morrissey1, Megan Lurvey1, Courtney Sullivan2, Julia Challinor3, Peter W Forbes4, Linda Abramovitz3,5, Glenn M Afungchwi6, Rachel Hollis7, Sara Day2,8. 1. Department of Nursing, Boston Children's Hospital, Boston, Massachusetts. 2. Department of Global Pediatric Medicine, St Jude Children's Research Hospital, Memphis, Tennessee. 3. School of Nursing, University of California, San Francisco, California. 4. Clinical Research Center, Boston Children's Hospital, Boston, Massachusetts. 5. Global Cancer Program, University of California, San Francisco, California. 6. Department of Pediatrics, Banso Baptist Hospital, Kumbo, Cameroon. 7. Department of Nursing, Leeds Children's Hospital, Leeds, United Kingdom. 8. College of Nursing, University of Tennessee Health Science Center, Memphis, Tennessee.
Abstract
BACKGROUND: In 2014, a task force of the International Society of Paediatric Oncology (SIOP) Paediatric Oncology in Developing Countries Nursing Workgroup published six baseline standards to provide a framework for pediatric oncology nursing care in low- and lower-middle income countries (L/LMIC). We conducted an international survey in 2016-2017 to examine the association between country income level and nurses' resporting of conformity to the standards at their respective institutions. PROCEDURE: Data from a cross-sectional web-based survey completed by nurses representing 54 countries were analyzed (N = 101). Responses were clustered by relevance to each standard and compared according to the 2017 World Bank-defined country income classification (CIC) of hospitals. RESULTS: CIC and nurse-to-patient ratios in inpatient wards were strongly associated (P < 0.0001). Nurses in L/LMIC prepared chemotherapy more often (P < 0.0001) yet were less likely to have access to personal protective equipment such as nitrile gloves (P = 0.0007) and fluid-resistant gowns (P = 0.011) than nurses in high-resource settings. Nurses in L/LMIC were excluded more often from physician/caregiver meetings to discuss treatment options (P = 0.04) and at the time of diagnosis (P = 0.002). Key educational topics were missing from nursing orientation programs across all CICs. An association between CIC and the availability of written policies (P = 0.009) was found. CONCLUSIONS: CIC and the ability to conform to pediatric oncology baseline nursing standards were significantly associated in numerous elements of the baseline standards, a likely contributor to suboptimal patient outcomes in L/LMIC. To achieve the goal of high-quality cancer care for children worldwide, nursing disparities must be addressed.
BACKGROUND: In 2014, a task force of the International Society of Paediatric Oncology (SIOP) Paediatric Oncology in Developing Countries Nursing Workgroup published six baseline standards to provide a framework for pediatric oncology nursing care in low- and lower-middle income countries (L/LMIC). We conducted an international survey in 2016-2017 to examine the association between country income level and nurses' resporting of conformity to the standards at their respective institutions. PROCEDURE: Data from a cross-sectional web-based survey completed by nurses representing 54 countries were analyzed (N = 101). Responses were clustered by relevance to each standard and compared according to the 2017 World Bank-defined country income classification (CIC) of hospitals. RESULTS: CIC and nurse-to-patient ratios in inpatient wards were strongly associated (P < 0.0001). Nurses in L/LMIC prepared chemotherapy more often (P < 0.0001) yet were less likely to have access to personal protective equipment such as nitrile gloves (P = 0.0007) and fluid-resistant gowns (P = 0.011) than nurses in high-resource settings. Nurses in L/LMIC were excluded more often from physician/caregiver meetings to discuss treatment options (P = 0.04) and at the time of diagnosis (P = 0.002). Key educational topics were missing from nursing orientation programs across all CICs. An association between CIC and the availability of written policies (P = 0.009) was found. CONCLUSIONS: CIC and the ability to conform to pediatric oncology baseline nursing standards were significantly associated in numerous elements of the baseline standards, a likely contributor to suboptimal patient outcomes in L/LMIC. To achieve the goal of high-quality cancer care for children worldwide, nursing disparities must be addressed.
Authors: Margaret E Kruk; Todd P Lewis; Catherine Arsenault; Zulfiqar A Bhutta; Grace Irimu; Joshua Jeong; Zohra S Lassi; Susan M Sawyer; Tyler Vaivada; Peter Waiswa; Aisha K Yousafzai Journal: Lancet Date: 2022-04-27 Impact factor: 202.731
Authors: Elizabeth R Sniderman; Dylan E Graetz; Asya Agulnik; Radhikesh Ranadive; Yuvanesh Vedaraju; Yichen Chen; Meenakshi Devidas; Guillermo L Chantada; Laila Hessissen; Rashmi Dalvi; Kathy Pritchard-Jones; Carlos Rodriguez-Galindo; Daniel C Moreira Journal: Cancer Date: 2022-01-24 Impact factor: 6.921