New models for elevating the practice and status of community-based nursing across the spectrum of cancer care in Central and Eastern Europe

作者: Catharine Grimes , Richard Sebastian Wanless , John Damonti

DOI: 10.1016/J.EJON.2014.07.008

关键词: Nurse educationCapacity buildingHealth promotionDistrict nurseMedicineFamily medicineScope of practicePalliative careHealth equityHealth careNursing

摘要: Abstract Purpose This supplement comprises an evaluation of Bridging Cancer Care, initiative the Bristol-Myers Squibb Foundation first conceived in 2007, addressing disparities cancer care between Central and Eastern Europe Western Europe. The strategic focus was refined 2010 to put particular emphasis on capacity building nurses terms education, training empowerment. Methods based review data information from program's monitoring framework biannual reports submitted by grantees Foundation. Eleven were selected develop case studies, which illustrate a) role tobacco cessation, b) expansion scope practice for general health promotion, prevention early detection cancer, c) contemporary models care, navigation psychosocial support d) establishment nurse programs palliative Results Between 2013, 22 grants awarded Russia, Poland, Czech Republic, Hungary Romania. characterized impact improved equity, outcomes, public awareness about cancer. With regard all projects targeted disproportionately affected populations (children, poor, rural, ethnic) among whom 35,493 individuals reached either through screening or community clinical care. In relation building, overall 5724 healthcare workers, primarily nurses, received various aspects while more than 50,000 patients 470,000 members educational initiatives. Most have been sustained beyond funding. Conclusion positive results achieved predominantly greater empowerment, supported development 17 different, customized nurse-focused curricula. Such can increase nurses' knowledge skills as demonstrated examination testing workplace. Several also resulted enhanced leadership attributes eleven lead changes involving nurses. eight cases, these subsequently embodied new policies.

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