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Introduction
Skills and Expertise
Publications
Publications (72)
Objectives:
This article documents the current status of global recruitment and retention of oncology nurses. A strengths, weaknesses, opportunities, and threats model was used to identify internal-to-nursing recruitment and retention factors/influences and external opportunities and threats as well as strategies and initiatives to improve the cur...
Background: To address the need for standardized, comprehensive chemotherapy/biotherapy education in Latin American and Caribbean (LAC) countries, the Association of Pediatric Hematology/Oncology Nurses (APHON) Pediatric Chemotherapy/Biotherapy Provider and Instructor program courses were culturally adapted, translated to Spanish, and piloted. The...
As African countries adopt the global goal of improving childhood cancer survival to 60% by the year 2030, intentional actions are required to improve nursing. This paper provides the perspective and amplifies the voice of African pediatric oncology nurses. It illuminates the room for improvement and provides a reference point for future comparison...
Background
Over the last decade, the population of childhood cancer survivors has rapidly increased in Latin America, opening a long chapter of challenges for healthcare providers in these countries to provide follow‐up and adult care.
Aim
In the process of exploring childhood cancer parent and patient engagement in resource‐limited settings, we h...
Introduction
Inalignment with the World Health Organization (WHO) Global Initiative for Childhood Cancer (GICC), the International Society of Pediatric Oncology initiated a program to map global pediatric oncology services. As survival rates in Africa are low and data are scant, this continent was mapped first to identify areas with greatest need....
Purpose
Globally, cancer represents an increasing proportion of child mortality as progress against infectious causes is made. Approximately 400,000 children will develop cancer, each year, around the world. Only about half of these cancers will ever be diagnosed. In high-resource settings, 80% of children will survive, but only about 30% will surv...
In November 2018, theInternational Society of Paediatric Oncology (SIOP) launched a project to map African facilities providing pediatric oncology treatment. A 55‐item digital survey was created in English, piloted in India, translated to French and Portuguese, and distributed by email, social media, or personal contacts. December 2019, 48/54 Afric...
Objective
This study examined the status of pediatric oncology nursing research in three low- and middle-income countries (LMICs) as examples across three World Health Organization regions: East Africa, Eastern Mediterranean region, and Latin America.
Data Sources
Published literature was identified from Google Scholar, PubMed, Scielo, Virtual Hea...
Purpose
A considerable barrier to global pediatric oncology efforts has been the scarcity and even absence of trained professionals in many low‐ and middle‐income countries, where the majority of children with cancer reside. In 2013, no dedicated pediatric hematology‐oncology (PHO) programs existed in Ethiopia despite the estimated annual incidence...
PURPOSE
Parent engagement in childhood cancer treatment is central for positive outcomes. Aspects of fruitful engagement have been described mainly in high-income countries (HICs) where family autonomy is valued, health care provider-patient relationships are less hierarchical, and active family participation in health care is welcomed. In many low...
As part of the SIOP global mapping programme, this paper investigated associations between Gini index, world bank status, and provision of paediatric oncology care in Africa.
DOI: 10.1002/pbc.28742
The Nursing Working Group of the International Society of Pediatric Oncology developed baseline standards for pediatric oncology nursing care in low- and middle-income countries. The standards represent the foundational support required to provide quality nursing care and address barriers such as inadequate staffing, lack of support, limited access...
The COVID‐19 pandemic is one of the most serious global challenges to delivering affordable and equitable treatment to children with cancer we have witnessed in the last few decades. This Special Report aims to summarize general principles for continuing multidisciplinary care during the SARS‐CoV‐2 (COVID‐19) pandemic. With contributions from the l...
The COVID‐19 pandemic is one of the most serious global challenges to delivering affordable and equitable treatment to children with cancer we have witnessed in the last few decades. This Special Report aims to summarize general principles for continuing multidisciplinary care during the SARS‐CoV‐2 (COVID‐19) pandemic. With contributions from the l...
The COVID-19 pandemic is one of the most serious global challenges to delivering affordable and equitable treatment to children with cancer we have witnessed in the last few decades. This Special Report aims to summarise general principles for continuing multi-disciplinary care during the SARS-CoV-2 (COVID-19) pandemic. With contributions from the...
We are living very difficult times. The pandemic caused by SARS‐CoV‐2 (COVID‐19) is rapidly affecting the delivery of care for children with cancer around the world. We have written this commentary to facilitate the dissemination of helpful information and useful links, and to place in perspective what we do and do not know about the COVID‐19 pande...
We estimate that there will be 13·7 million new cases of childhood cancer globally between 2020 and 2050. At current levels of health system performance (including access and referral), 6·1 million (44·9%) of these children will be undiagnosed. Between 2020 and 2050, 11·1 million children will die from cancer if no additional investments are made t...
The COVID-19 pandemic is one of the most serious global challenges to delivering affordable and equitable treatment to children with cancer we have witnessed in the last few decades. This Special Report aims to summarise general principles for continuing multi-disciplinary care during the SARS-CoV-2 (COVID-19) pandemic. With contributions from the...
Purpose: A considerable barrier to global pediatric oncology efforts has been the scarcity and even absence of trained professionals in many low-and middle-income countries, where the majority of children with cancer reside. In 2013, no dedicated pediatric hematology-oncology (PHO) programs existed in Ethiopia despite the estimated annual incidence...
The majority of children with cancer reside in low‐ and middle‐income countries (L&MIC) where there is a lack of nursing research to generate culturally appropriate standards of care (SOC). This study reviewed ten years of pediatric oncology nursing research from L&MIC. The ultimate aim is to summarize the current evidence of pediatric oncology nur...
Background/Objectives:
Most children with cancer in Africa go undiagnosed, and those diagnosed have significantly inferior chances of survival when compared to high-income countries. To complement the WHO’s mission to increase survival rates of children with cancer, this project creates a baseline of paediatric oncology resources across Africa.
Des...
Background/Objectives:
The World Health Organisation (WHO) estimates a shortage of 4.3 million healthcare workers worldwide and a mismatch of skills, competencies, clinical experience, and expectations. WHO’s call for increased medical faculty, quality education, certification and competency maintenance, directly influences the quality of global ch...
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...
Objective:
In El Salvador, at the only hospital offering pediatric oncology care, the number of children abandoning treatment for cancer has decreased in recent years (13%-3%). An investigation of caregivers' motives for abandonment was performed over 15 months from 2012-2014. Caregiver and health team perspectives on abandonment are reported usin...
Background/Objectives:
Eighty-four percent of pediatric oncology cases occur in low- and middle-income countries (LMIC), where resources are limited and chances of cure are very low. Knowledgeable providers and available, accessible, and completed treatment significantly contribute to treatment success in high-income countries (HIC), where more tha...
44
Purpose
Globally, nurses caring for children and adolescents with cancer work in diverse practice settings. Nurses in low- and middle-income countries (LMIC) are challenged by the limited scope of their professional practice, resources and education. Opportunities for education, networking and professional growth inspire and empower nurses to i...
Children and adolescents represent a small, but critically important, number of patients with cancer worldwide (14.1 million newly diagnosed adults versus 160,000 children annually). The life years saved when a child is cured of cancer are about 71 compared to 15 years for an adult in most high-income countries (HICs). In HICs, about 80% of childre...
Background:
Cancer has been the leading cause of death worldwide for more than two decades. More than 150,000 cancer cases were estimated to exist in Ethiopia each year. The goal of cancer palliative care (PC) services are to prevent and relieve suffering and to support the best possible quality of life (QOL) for patients and their families, regar...
The Paediatric Oncology in Developing Countries (PODC) committee of International Society of Paediatric Oncology (SIOP) has 10 working groups that provide a forum for individuals to engage, network, and implement improvements in the care of children with cancer in low- and middle-income countries. The development of adapted guidelines (medulloblast...
Although morbidity from childhood cancer is second only to unintentional injuries in highincome countries, in low-income countries, it hardly hits the radar screen compared with death from pneumonia, diarrhea, malaria, neonatal sepsis, preterm birth, and neonatal asphyxia. Nevertheless, the extraordinary progress made in treating childhood cancer i...
Childhood cancer care requires a multidisciplinary team of highly trained professionals to ensure quality care along the treatment continuum. Nurses represent the largest workforce in health care, and are uniquely positioned to evaluate patient response to treatment, as well as to provide support, education, and comfort to families. Pediatric oncol...
Nurses at a meeting of the Asociación de Hemato Oncología Pediátrica de Centroamérica y El Caribe recognized food safety as one of the main issues affecting patient care. The objective was to increase awareness of food safety issues among caregivers for pediatric cancer patients in Guatemala and El Salvador. A low-literacy booklet about food safety...
There is no existing pediatric oncology nursing curriculum written specifically for low- and middle-income countries (LMICs), where 80% of children with cancer reside. In 2012, the International Society of Pediatric Oncology Nursing Working Group sought to address this gap with a 3-phase study.
Phase 1: identify educational priorities of LMIC nurse...
En 2005, des infirmieres en oncologie pediatrique du Canada et de l’hopital La Mascota, de Managua, au Nicaragua, ont collabore dans le cadre d’un projet pilote de leadership infirmier. Le projet, qui beneficiait du soutien financier du Pediatric Oncology Group of Ontario (POGO), avait ete mis sur pied a la suite d’une consultation aupres de l’equi...
In 2005, with financial support from the Pediatric Oncology Group of Ontario, a pilot nursing leadership project linked pediatric oncology nurses from Canada with nurses at the La Mascota Hospital in Managua, Nicaragua. Following consultation with the pediatric oncology team in Nicaragua, a program was developed to strengthen clinical nursing leade...
To describe behavioral adjustment in children and adolescents with acute lymphoblastic leukemia (ALL) and to determine whether behavioral adjustment is correlated with cognitive and academic abilities.
Descriptive, cross-sectional design.
Two pediatric oncology treatment centers.
47 children and adolescents who had been receiving ALL therapy for at...
Given the increasing incidence of childhood cancer, increasing survivor rates, and documented incidence of sequelae, nurses need evidence on which to base interventions for families at risk. The authors review and critique research studies that evaluated the impact of treatment for childhood cancers. Implications for nursing practice are discussed....
ISSUES AND PURPOSE. Given the increasing incidence of childhood cancer, increasing survivor rates, and documented incidence of sequelae, nurses need evidence on which to base interventions for families at risk. The authors review and critique research studies that evaluated the impact of treatment for childhood cancers. Implications for nursing pra...
This descriptive study of health-related quality of life of children with cancer compared children/adolescents', parents' and teachers' ratings for somatization, depression and anxiety to determine if there were significant correlations among respondent scores. In addition, the percentage of agreement among respondents and significant differences b...
This descriptive study of health-related quality of life of children with cancer compared children/adolescents', parents' and teachers' ratings for somatization, depression and anxiety to determine if there were significant correlations among respondent scores. In addition, the percentage of agreement among respondents and significant differences b...
This is the second official document of the SIOP Working Committee on Psychosocial Issues in Pediatric Oncology constituted in 1991. It develops one of the topics enclosed in the first document approved by the SIOP Board. The topic, “School/Education,” is addressed to the Pediatric Oncology Community as guidelines to follow for considering this iss...
Thesis (Ph. D.)--University of California, San Francisco, 1997. Bibliography: leaves 69-74.
Typescript. Thesis (M.S.)--San Francisco State University, 1991. Includes bibliographical references (leaves 52-62).
Projects
Project (1)