School of Nursing, University of Wollongong, Sydney, NSW, Australia; Centre for Research in Nursing and Health, St George Hospital, Sydney, NSW, Australia.
Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia; Central Adelaide Local Health Network, Adelaide, South Australia.
Semin Oncol Nurs. 2024 Jun;40(3):151633. doi: 10.1016/j.soncn.2024.151633. Epub 2024 May 11.
It is well established that cancer nurses and advanced practice nurses (APN) are critical to the delivery of high-quality, accessible, safe, and affordable cancer care globally. Specialized cancer nurses and APNs with a strong foundation in the pillars of nursing practice (clinical, leadership, education, and research) are essential to optimize patient outcomes, create increased cost-efficiencies through innovative models of care delivery, and can further leverage interprofessional collaboration in cancer care. To address the existing shortcomings in cancer control, Australian cancer nurses, including APNs, and cancer nurses and APNs globally, need an evidence-informed consensus drive framework to harmonize clinical, educational and career pathways leading to specialization, advanced practice, promotion, and equitable and accessible education.
Critical perspective.
Scoping work has begun to build on the 2009 seminal Australian EdCaN framework, with ambitions to develop a contemporary practice and career framework for all cancer nurses which details clear pathways to specialized and APN roles inclusive of navigating to and through direct clinical care, research, academia, education, and management or executive leadership.
A revised framework that is cognizant of the changing landscape of contemporary cancer care, and the growing diversity of nursing roles is needed to address the imminent nursing workforce crisis.
The revised framework may support the implementation of the newly released Australian Cancer Plan and provide a career pathway model that may be adopted internationally, including in low- and middle-income countries.
癌症护士和高级实践护士（APN）对于在全球范围内提供高质量、可及、安全和负担得起的癌症护理至关重要，这一点已得到充分证实。具有护理实践（临床、领导力、教育和研究）四大支柱坚实基础的专业癌症护士和 APN，对于优化患者结局、通过创新的护理模式提高成本效益以及进一步促进癌症护理中的跨专业合作至关重要。为了解决癌症控制方面现存的不足，澳大利亚的癌症护士，包括 APN，以及全球的癌症护士和 APN，需要一个基于证据的共识驱动框架，以协调通向专业化、高级实践、晋升的临床、教育和职业途径，以及促进公平和可及的教育。
批判性视角。
已经开始对 2009 年澳大利亚 EdCaN 框架进行扩展工作，目标是为所有癌症护士制定一个当代实践和职业框架，详细说明通向专门和 APN 角色的明确途径，包括直接临床护理、研究、学术、教育以及管理或执行领导。
需要一个认识到当代癌症护理不断变化的格局以及护理角色日益多样化的修订框架，以应对迫在眉睫的护理人员危机。
修订后的框架可能支持新发布的澳大利亚癌症计划的实施，并提供一个职业途径模型，该模型可能在国际上，包括在低收入和中等收入国家采用。
