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Linda Abramovitz, MSN, RN, CNS, BMTCN, FAAN Lisa Morrissey, MPH, RN, MSN

Overview of the SIOP Baseline Standards FOR PEDIATRIC ONCOLOGY NURSING in low and middle income countries Обзор базовых стандартов SIOP В Детской онкологии в Развивающихся странах. Linda Abramovitz, MSN, RN, CNS, BMTCN, FAAN Lisa Morrissey, MPH, RN, MSN

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Linda Abramovitz, MSN, RN, CNS, BMTCN, FAAN Lisa Morrissey, MPH, RN, MSN

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  1. Overview of the SIOP Baseline Standards FOR PEDIATRIC ONCOLOGY NURSING in low and middle income countriesОбзор базовых стандартов SIOPВДетскойонкологии в Развивающихся странах Linda Abramovitz, MSN, RN, CNS, BMTCN, FAAN Lisa Morrissey, MPH, RN, MSN Courtney Sullivan, MSN, RN, CPNP-AC, CPHON used with permission by SIOP Baseline Nursing Standards Taskforce

  2. Baseline Nursing Standards Presentation Outlineсодержание презентацииБазовые стандарты сестринского дела • History • Overview • Advocacy Toolkit • История • Обзор • Средства поддержки used with permission by SIOP Baseline Nursing Standards Taskforce

  3. (Masera G Hematologica 2005; Siegel R Cancer Statistics 2018) Pediatric Cancer Survival Gap Event-free survival (%) Survival Gap High-income countries Low-income countries

  4. Quality of Nursing Care impacts Patient OutcomesКачество ухода за больными влияет на результаты лечения пациентов Factors influencing the quality of nursing care are associated with patient survival and complications Факторы, влияющие на качество ухода за больными, связаны с показателями выживания пациентов и осложнениями • Education / образование • 10% increase in baccalaureate-prepared nurses  5% decrease in patient mortality rates • Увеличение количества медсестер со степенью бакалавра на 10%снижает смертность на 5% • Staffing/Кадровый потенциал • Addition of one patient per nurse workload  7% increase in mortality and 7% increase in preventable deaths related to complications (e.g. shock, sepsis, pulmonary embolus) • Добавление одного пациента на нагрузку медсестры - 7% - увеличение смертности и 7% -увеличениепредотвратимойсмертности, связанной с осложнениями (например, шок, сепсис, легочная эмболия) • Practice Environment/ Атмосфера на рабочем месте • Supportive nursing work environments  better patient outcomes • Доброжелательнаярабочая среда для медсестер и улучшение исходов для пациентов (Aiken, Clarke, Sloane, Sochalski, & Silber, 2002 Seminal work; Aiken, Clarke, Cheung, Sloane, & Silber, 2003 Seminal work; Aiken et al., 2011)

  5. Pediatric Oncology nursingCестринское дело в детской онкологии/гематологии • Nurses play a vital role in the delivery of pediatric oncology care/Медсестры играют жизненно важную роль в оказании помощи • Pediatric oncology nurses need/ Медицинские сестры нуждаются в • Specialized knowledge and skills/Специализированных знания и навыках • Adequate resources/Адекватных ресурсах • Supportive leadership/Одобрительном руководстве • A safe and effective pediatric oncology program is not possible without expert and high quality nursing care/Безопасная и эффективная программа детской онкологии невозможна без экспертного и качественного ухода за больными used with permission by SIOP Baseline Nursing Standards Taskforce

  6. History of the Baseline Nursing StandardsИстория базовых стандартов ухода • Nursing pre-conference workshop held at SIOP 2012 in London/Семинар по уходу перед конференцией, проведенный на SIOP 2012 в Лондоне • LMIC nurses described many barriers to the provision of safe nursing care in their daily work/Медсестры в развивающихся странах описали многие препятствия на пути обеспечения безопасного ухода за больными в своей повседневной работе • Consensus on the need for the baseline standards for pediatric oncology nursing was achieved/Достигнут консенсус в отношении необходимости базовых стандартов для детского онкологического ухода used with permission by SIOP Baseline Nursing Standards Taskforce

  7. The Six Baseline Standards for Pediatric Oncology Nursing in Low and Middle-Income CountriesШесть базовых стандартов для сестринского ухода в развивающихся странах 1.Распределение медицинских сестер в зависимости от тяжести состояния пациентов 1. Staffing Based on Patient Acuity 2. Formalized Orientation 2. Формализованная программа подготовки 3. Continuing Education 3. Постоянное повышение квалификации и обучение 4. Multidisciplinary Teamwork 4. Многопрофильная командная работа 5. Формирование доступной безопасной среды оказания помощи 5. Resources for Safe Care 6. Практика, основанная на принципах доказательной медицины 6. Evidence-Based Practice used with permission by SIOP Baseline Nursing Standards Taskforce (Day et al., 2014; Day et al., 2015)

  8. Standard 1Стандарт I 1. Staffing Based on Patient Acuity/ Распределение медицинских сестер в зависимости от тяжести состояния пациентов • Nurse to patient ratio 1:5 (Oncology Unit)/ В отделениях детской онкологии соотношение 1:5 • Nurse to patient ratio 1:2 (Critical Care/BMT Units)/ в отделениях интенсивной терапии или ТГСК 1:2 • Specialized oncology nurses that do not rotate services/Специализированные онкологические медсестры, которые закреплены только а одним отделением 2. Formalized Orientation 3. Continuing Education 4. Multidisciplinary Teamwork 5. Resources for Safe Care used with permission by SIOP Baseline Nursing Standards Taskforce 6. Evidence-Based Practice (Day et al., 2014; Day et al., 2015)

  9. Standard 2Стандарт 2 1. Staffing Based on Patient Acuity 2. Formalized Orientation/ Формализованная программа подготовки • Минимум 2 недели официальной проф. ориентации 3 – 4 недели работы под руководством Проверка компетентности • Minimum 2 weeks of formal orientation • 3 – 4 weeks of supervised clinical experience • Validation of competency 3. Continuing Education 4. Multidisciplinary Teamwork 5. Resources for Safe Care used with permission by SIOP Baseline Nursing Standards Taskforce 6. Evidence-Based Practice (Day et al., 2014; Day et al., 2015)

  10. Standard 3СТАНДАРТ 3 1. Staffing Based on Patient Acuity 2. Formalized Orientation 3. Continuing Education/ Постоянное повышение квалификации и обучение • Minimum 10 hours/year / Минимум 10 часов в год 4. Multidisciplinary Teamwork 5. Resources for Safe Care 6. Evidence-Based Practice used with permission by SIOP Baseline Nursing Standards Taskforce (Day et al., 2014; Day et al., 2015)

  11. Standard 4СТАНДАРТ 4 1. Staffing Based on Patient Acuity 2. Formalized Orientation 3. Continuing Education 4. Multidisciplinary Teamwork/ Многопрофильная командная работа • Acknowledgement of nurses as core members of the pediatric oncology team/Признание медсестер в качестве основных участников клинической команды специалистов 5. Resources for Safe Care used with permission by SIOP Baseline Nursing Standards Taskforce 6. Evidence-Based Practice (Day et al., 2014; Day et al., 2015)

  12. Standard 5Стандарт 5 Staffing Based on Patient Acuity Formal Orientation Ongoing Education Multidisciplinary Teamwork Resources for Safe Care/ Доступная безопасная среда для оказания помощи • Safe care for staff, patient and family/Безопасный уход для персонала, пациента и семьи • PPE for handling chemotherapy/СИЗ для работы с химиопрепаратами • Protection against hazards and infections /Защита от проф. рисков и инфекций used with permission by SIOP Baseline Nursing Standards Taskforce Evidence-Based Practice (Day et al., 2014; Day et al., 2015)

  13. Standard 6Стандарт 6 Staffing Based on Patient Acuity Formalized Orientation Program Continuing Education Multidisciplinary Teamwork Resources for Safe Care Evidence-Based Practice/ Практика, основанная на принципах доказательной медицины • Nursing policies and procedures to guide the delivery of quality nursing care/ Правила и процедуры ухода за больными для оказания качественной медицинской помощи used with permission by SIOP Baseline Nursing Standards Taskforce (Day et al., 2014; Day et al., 2015)

  14. Publications: Spreading the Word PODC Nursing Working Group Position Statement Cancer Control (2015) Lancet Oncology (2014) used with permission by SIOP Baseline Nursing Standards Taskforce (Day et al., 2014; Day et al., 2015)

  15. Baseline Standards EndorsementsОдобрение базовых стандартов used with permission by SIOP Baseline Nursing Standards Taskforce

  16. Leadership and Advocacy Workshop:Disseminating the Baseline Nursing Standards

  17. Baseline standards advocacy toolkitспособы поддержки Базовых стандартов • Publications/ Публикации • Current Publications/ Текущие публикации • Introduction to the Baseline Standards • Введение в базовые стандарты • Overview of the Baseline Nursing Standards PowerPoint Presentation/ Обзор базовых стандартов ухода PowerPoint Презентация • Introduction to Overview Slide Presentation/ Введение в Обзор презентация • Baseline Standards Summary Document/ Базовые стандарты Резюме документа • Elevator Speeches/Мотивационная речь • Overview of Elevator Speeches: PowerPoint Presentation / Введение- презентация PPT • Sample Written Elevator Speeches/Примеры написания мотивационной речи • Video of Elevator Speeches/ Видео • Endorsements/Согласования • Sample Endorsement Letter/ Пример письма согласования • Endorsement Template/ Шаблон согласования • List of Baseline Standards Endorsements/ Список базовых стандартов used with permission by SIOP Baseline Nursing Standards Taskforce https://siop-online.org/baseline-nursing-standards-advocacy-toolkit

  18. To Learn More About the Baseline Nursing standardsЧтобы узнать больше о базовых стандартах ухода https://siop-online.org/baseline-nursing-standards @nusbaselinestds used with permission by SIOP Baseline Nursing Standards Taskforce

  19. Acknowledgements Power Point Presentation Development Team Linda Abramovitz, MSN, RN, CNS, BMTCN, FAAN (United States) Lisa Morrissey, MPH, RN, MSN (United States) Courtney Sullivan, MSN, RN, CPNP-AC, CPHON (United States) Presentation Reviewers Sara Day, PhD, RN, FAAN (United States) Rachel Hollis, FRCN, RGN, RSCN, MHsc(United Kingdom) Pearl Semetsa, RN (Botswana) Liz SnidermanMSN, APRN, CPNP-AC, CPHON (United States) Rima Saad, MSN, RN, CPHON (Lebanon) Workshop Sponsors: Children’s National Health Systems, Association of Pediatric Hematology/Oncology Nursing (APHON), Dana-Farber Boston Children’s Cancer and Blood Disorders Center, St Jude Children’s Research Hospital, International Society of Pediatric Oncology (SIOP), The Aslan Project and UCSF Global Cancer Program used with permission by SIOP Baseline Nursing Standards Taskforce

  20. Workshop Planning Committee and Participants SIOP PODC Leadership and Advocacy Workshop Planning Committee Linda Abramovitz, MSN, RN, CNS, BMTCN, FAAN and Rehana Punjwani, BSN, RN (Co-Chairs) Courtney Sullivan, MSN, RN, CPNP-AC, CPHON, Glenn Mbah, MPH, BSN, RN & Rachel Hollis, FRCN, RGN, RSCN, MHsc SIOP PODC Leadership and Advocacy Workshop participants: Linda Abramovitz (US), Carmen Auste (PH), Sara Day (US), Marie-Solange Doucot (FR), Yuliana Hanaratri (ID), Kathy Houlahan (US), Scott Howard (US), Sun Jiwen (CN), Kathy Kelly (US), Paola Viveros Lamas (CH), Asha Mahajan (IN), Glenn Mbah (CM), Lisa Morrissey (US), Rehana Punjwani (PAK), Xiumei Qi (CN), Paul Rogers (CA), Rima Saad (LB), Pearl Semetsa (BT), Beth Siever (US), Louise Soanes (UK), Liz Sniderman (US), Courtney Sullivan (US), Rose Szeles (US), Belinda Tieku-Ward (GH), Lorena Segovia Weber (CL) and Jordan Wildermuth (US)

  21. References Aiken, L. H., Cimiotti, J. P., Sloane, D. M., Smith, H. L., Flynn, L., & Neff, D. F. (2011). The effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical care, 49(12), 1047. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Jama, 288(16), 1987-1993. Aiken, L. H., Clarke, S. P., Cheung, R. B., Sloane, D. M., & Silber, J. H. (2003). Educational levels of hospital nurses and surgical patient mortality. Jama, 290(12), 1617-1623. Day S, Hollis R, Challinor J, Bevilacqua G, Bosomprah E. (2014). Baseline standards for paediatric oncology nursing care in low to middle income countries: position statement of the SIOP PODC Nursing Working Group. The Lancet Oncology, Volume 15, Issue 7, 681 – 682. Day S, Challinor J, Hollis R, Abramovitz L, Hanaratri Y, Punjwani R. (2015). Paediatric oncology nursing care in low- and middle- income countries: a need for baseline standards. Cancer Control, 111-115. used with permission by SIOP Baseline Nursing Standards Taskforce

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