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提高儿科肿瘤护理标准的成就与困境:一个公私合作项目

Achievements and pitfalls in improving Pediatric Oncology Nursing standards: A public-private partnership project.

作者信息

Farooq Wasfa, Shaikh Hamid Saeed, Anwar Shenila, Punjwani Rehana, Raza Muhammad Rafie

机构信息

Pediatric Hematology-Oncology Department, Indus Hospital & Health Network, Karachi, Pakistan.

Department of Medicine, Ziauddin University, Karachi, Pakistan.

出版信息

Can Oncol Nurs J. 2022 Apr 1;32(2):319-321. eCollection 2022 Spring.

PMID:35582256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9040789/
Abstract

RATIONALE

Approximately 8,000 new cases of pediatric cancer arise annually in Pakistan. However, there is a dire survival rate of 30-35% due to various factors, especially a lack of competent nurses in pediatric oncology care. Public-private partnerships (PPP) supported by a My Child Matters (MCM) Grant from Sanofi Espoir Foundation was granted to Indus Hospital & Health Network (IH&HN) to improve pediatric nursing standards.

METHODS

Starting in 2016, nurses from hospitals across Pakistan were enrolled in a continuing education program, which included a comprehensive, hands-on training component. A group chat was created following the training for communication and mentorship regarding challenges faced locally.

RESULTS

Seventy-seven pediatric oncology nurses were successfully trained by IH&HN over three years.

DISCUSSION

Challenges included lack of government funding, shortage of specialist nurses, frequent shifting of nurses away from pediatric care, and indifferent attitudes. Success of the project could have been maximized if trained nurses were motivated and retained by hospitals.

CONCLUSION

Development and maintenance of PPP in national healthcare systems is essential to improve pediatric oncology nursing care.

摘要

理论依据

巴基斯坦每年约有8000例儿童癌症新发病例。然而,由于各种因素,尤其是儿科肿瘤护理方面缺乏合格的护士,生存率低至30%-35%。赛诺菲希望基金会的“我的孩子很重要”(MCM)资助项目支持公私合作(PPP),该项目授予了印度河医院与健康网络(IH&HN),以提高儿科护理标准。

方法

从2016年开始,巴基斯坦各地医院的护士参加了一个继续教育项目,其中包括全面的实践培训内容。培训结束后创建了一个群组聊天,用于就当地面临的挑战进行沟通和指导。

结果

三年内,印度河医院与健康网络成功培训了77名儿科肿瘤护士。

讨论

挑战包括政府资金不足、专科护士短缺、护士频繁从儿科护理岗位离职以及态度冷漠。如果医院能够激励并留住经过培训的护士,该项目的成功率本可以最大化。

结论

国家医疗系统中公私合作的发展和维持对于改善儿科肿瘤护理至关重要。

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本文引用的文献

1
Insights for the future of health system partnerships in low- and middle-income countries: a systematic literature review.低、中收入国家卫生系统伙伴关系的未来展望:系统文献回顾。
BMC Health Serv Res. 2020 Jun 22;20(1):571. doi: 10.1186/s12913-020-05435-8.
2
Development and Content Validation of an Instrument to Measure Baseline Standards for Pediatric Oncology Nursing in Low- and Middle-Income Countries.开发和内容验证用于衡量中低收入国家儿科肿瘤护理基线标准的工具。
J Pediatr Oncol Nurs. 2021 Jul-Aug;38(4):213-224. doi: 10.1177/1043454220919700. Epub 2020 May 26.
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J Coll Physicians Surg Pak. 2018 Mar;28(3):229-232. doi: 10.29271/jcpsp.2018.03.229.
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Global challenges in pediatric oncology.儿科肿瘤学的全球挑战。
Curr Opin Pediatr. 2013 Feb;25(1):3-15. doi: 10.1097/MOP.0b013e32835c1cbe.
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Public-private partnership scenario in the health care system of Pakistan.巴基斯坦医疗体系中的公私合作伙伴关系情景。
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Leadership, management and technical lessons learnt from a successful public-private partnership for TB control in Nepal.从尼泊尔结核病防控公私伙伴关系成功案例中汲取的领导力、管理及技术经验教训。
Int J Tuberc Lung Dis. 2005 Sep;9(9):1013-7.