Impact of the Guatemalan Nursing Program on Treatment Abandonment in Children with Cancer

2.50
Hdl Handle:
http://hdl.handle.net/10755/304175
Category:
Full-text
Type:
Presentation
Title:
Impact of the Guatemalan Nursing Program on Treatment Abandonment in Children with Cancer
Author(s):
Day, Sara W.; Carty, Rita M.; McKeon, Leslie
Lead Author STTI Affiliation:
Non-member
Author Details:
Sara W. Day, PhD, RN, swday@uab.edu; Rita M. Carty, DNSc, RN, FAAN; Leslie McKeon, RN, PhD;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: In 2007, a comprehensive nursing program was implemented at the National Pediatric Oncology Unit in Guatemala to improve the quality of nursing care. Twenty-four new nursing positions were created, decreasing nurse patient ratio from 1:7 to 1:5, and a full-time nurse educator was hired to provide pediatric oncology education. In addition, processes were established to improve 20 nursing quality standards. 'The purpose of this study was to assess the program's impact on treatment abandonment in children with cancer. Treatment abandonment is a critical problem in developing countries and a leading cause of death for children with cancer.

Methods: Pre-program (January 2004-December 2006) cumulative incidence (CIN) of treatment abandonment was compared to post-program CIN (January 2007 to October 2008) at the intervention site (Guatemala) and to a control site in which no new nursing interventions were implemented during the study period. The sample included 1,936 patients diagnosed with cancer during study period.

Results: Pre-program CIN of treatment abandonment for the intervention site (10.2 ' 1.2) was significantly higher (p = .045) than post-program CIN (6.5 ' 1.3). 'Post- program CIN of treatment abandonment for the intervention site (6.5 ' 1.3) was significantly lower (p = 0.0003) than post-program CIN for the control site (14.7 ' 2.7).

Conclusion: Significant improvement in the CIN of treatment abandonment within the intervention site and as compared to the control site was found.' Several factors may have contributed to the study's findings. Well educated nurses are better able to provide parents with insight regarding the need to continue therapy, and the improved nurse-patient ratio allowed more time for nurses to provide individualized parent education. In developing countries, abandonment is seen as the primary domain of psychologists and social workers. A combined effort of nursing and psychosocial intervention may be the best option for preventing abandonment.

Keywords:
clinical outcomes; developing countries; quality nursing care
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleImpact of the Guatemalan Nursing Program on Treatment Abandonment in Children with Canceren
dc.contributor.authorDay, Sara W.en
dc.contributor.authorCarty, Rita M.en
dc.contributor.authorMcKeon, Leslieen
dc.contributor.departmentNon-memberen
dc.author.detailsSara W. Day, PhD, RN, swday@uab.edu; Rita M. Carty, DNSc, RN, FAAN; Leslie McKeon, RN, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/304175-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b>In 2007, a comprehensive nursing program was implemented at the National Pediatric Oncology Unit in Guatemala to improve the quality of nursing care. Twenty-four new nursing positions were created, decreasing nurse patient ratio from 1:7 to 1:5, and a full-time nurse educator was hired to provide pediatric oncology education. In addition, processes were established to improve 20 nursing quality standards. 'The purpose of this study was to assess the program's impact on treatment abandonment in children with cancer. Treatment abandonment is a critical problem in developing countries and a leading cause of death for children with cancer. <p><b>Methods: </b>Pre-program (January 2004-December 2006) cumulative incidence (CIN) of treatment abandonment was compared to post-program CIN (January 2007 to October 2008) at the intervention site (Guatemala) and to a control site in which no new nursing interventions were implemented during the study period. The sample included 1,936 patients diagnosed with cancer during study period. <p><b>Results: </b>Pre-program CIN of treatment abandonment for the intervention site (10.2 ' 1.2) was significantly higher (p = .045) than post-program CIN (6.5 ' 1.3). 'Post- program CIN of treatment abandonment for the intervention site (6.5 ' 1.3) was significantly lower (p = 0.0003) than post-program CIN for the control site (14.7 ' 2.7). <p><b>Conclusion: </b> Significant improvement in the CIN of treatment abandonment within the intervention site and as compared to the control site was found.' Several factors may have contributed to the study's findings. Well educated nurses are better able to provide parents with insight regarding the need to continue therapy, and the improved nurse-patient ratio allowed more time for nurses to provide individualized parent education. In developing countries, abandonment is seen as the primary domain of psychologists and social workers. A combined effort of nursing and psychosocial intervention may be the best option for preventing abandonment.en
dc.subjectclinical outcomesen
dc.subjectdeveloping countriesen
dc.subjectquality nursing careen
dc.date.available2013-10-22T20:30:33Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:30:33Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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