Flinders University, Caring Futures Institution, Adelaide, South Australia; Central Adelaide Local Health Network, Adelaide, South Australia; and University of Canberra, Canberra, ACT, Australia.
Port Moresby General Hospital, Papua New Guinea.
Semin Oncol Nurs. 2024 Oct;40(5):151723. doi: 10.1016/j.soncn.2024.151723. Epub 2024 Aug 30.
First, to understand Papua New Guinea (PNG) oncology nursing issues perceived through the nurses' lens of unmet supportive care needs of people affected by cancer and to identify nurses' self-perceived educational priorities in cancer care. Second, to evaluate the tailored bidirectional learning and knowledge transfer among the participants of the Australia Capital Territory Health and PNG Oncology Nursing Development Program hosted in Australia in June 2023.
A qualitative descriptive study was conducted. Two focus groups were audio-recorded, transcribed, and analyzed using inductive thematic analysis. Based on PNG oncology nurses' experiences and self-assessed educational needs, the findings were analyzed and presented separately for Time 1 before the PNG Oncology Nursing Development program and Time 2 following the completion of the program.
The findings from the Time 1 focus group identified four themes: (1) educational priorities, (2) system-wide challenges, (3) patient unmet care needs, and (4) cultural beliefs. After the completion of the educational program, there were four emergent themes: (1) new educational experiences, (2) learnings into practice, (3) culturally sensitive nursing, and (4) leadership (PNG nursing trailblazers). This study, for the first time, provided the PNG RNs with a "voice," to empower them to take more leading roles in important decision-making regarding care structures and management.
Policymakers, government officials, and international cancer organizations must continue to work together to support cancer control in PNG in light of the current and projected limited resources and barriers to timely cancer diagnosis and treatment in PNG.
Through observing and learning from a modern cancer department, PNG oncology nurses have gained insight into what is needed for a safe cancer service for both patients and nurses. Oncology nursing education in PNG needs to be further developed, enhanced, and supported for sustainability of cancer nurses in the long term.
首先，从受癌症影响人群的支持性护理需求未得到满足的角度，了解巴布亚新几内亚（PNG）肿瘤护理问题，并确定护士在癌症护理方面自我感知的教育重点。其次，评估 2023 年 6 月在澳大利亚举办的澳大利亚首都地区卫生和 PNG 肿瘤护理发展计划中参与者之间的定制双向学习和知识转移。
进行了一项定性描述性研究。对两个焦点小组进行了录音、转录，并使用归纳主题分析进行了分析。根据 PNG 肿瘤护士的经验和自我评估的教育需求，对结果进行了分析，并分别在 PNG 肿瘤护理发展计划之前的时间 1 和计划完成后的时间 2 进行了呈现。
时间 1 焦点小组的研究结果确定了四个主题：（1）教育重点，（2）全系统挑战，（3）患者护理需求未得到满足，以及（4）文化信仰。在教育计划完成后，出现了四个新的主题：（1）新的教育经验，（2）学习实践，（3）文化敏感护理，以及（4）领导力（PNG 护理开拓者）。本研究首次为 PNG RN 提供了“声音”，使他们能够在有关护理结构和管理的重要决策中发挥更大的领导作用。
鉴于目前资源有限以及 PNG 及时诊断和治疗癌症的障碍，决策者、政府官员和国际癌症组织必须继续共同努力，支持 PNG 的癌症控制。
通过观察和学习现代癌症科，PNG 肿瘤护士深入了解了为患者和护士提供安全癌症服务所需的条件。PNG 的肿瘤护理教育需要进一步发展、加强和支持，以确保癌症护士的长期可持续性。
