SWAPNA JOSHI...SWAPNA JOSHI Professor & Nursing Superintendent Tata Memorial Hospital Parel...
Transcript of SWAPNA JOSHI...SWAPNA JOSHI Professor & Nursing Superintendent Tata Memorial Hospital Parel...
SWAPNA JOSHIProfessor & Nursing Superintendent
Tata Memorial HospitalParel Mumbai,India
Educational Preparation for Indian Nurses in Advancing cancer nursing Research:
Opportunities And Challenges.
Cancer numbers
Oral cavity 53842
lung 53728
stomach 43386
colorectal 36917
Cancer numbers
Breast 144937
cervix 122844
colorectal 27415
oral 23161
Cancer burden in India (female)
(Globocan12)
Cancer burden in India (male)
Cancer burden in TATA Memorial Hospital
General nursing and Midwifery (3.5 years )Indian Nursing Council / State council
Basic B.sc. Nursing ( 4 Years )P.B. B.Sc. Nursing (2 Years)
University
Specialty Courses
Oncology NursingDiploma (1 Year ) INC
State Council
Nursing Education in India
7 states (recognized oncology diploma) private setups (on job training)
Regional Cancer Centers/Hospitals
Masters in Oncology Nursing2 Years
Medical Surgical Nursing
Oncology Nursing as specialty in India
Introduction of Research in Curriculum
To Develop fundamental abilities and attitude
G.N.M.-(2007) - Theory - 25 hrs.projects in groups.Evaluated by Teachers.
B.SC. NURSING (before2000) – Theory - 45 hrs.Group Projects.Ethical committee-Principal and teachers
Masters in Oncology NursingTheory - 150 Hrs Practicals - 200 Hrs
Individual
RESEARCH process
University
Degree awarded
INSTITUTIONAL REVIEW BOARD - IRBDISEASE MANAGEMENT GROUP - DMG
• Student - (curriculum requirement)
• Staff nurse - clinical area - (Evidence based)
• C.V.A.D / PAIN / STOMA / PALLIATIVE
• Scientific papers - workshops / conferences.
• Access to resources - DIGITAL LIBRARY.
• Surveys-knowledge / practices - explored.
• Advanced nursing practices Audits done Standard operating procedures are developed.
Research OPPORTUNITIES
• Collaboration with other universities.
• Publications of scientific papers.( PhD. promotions to higher grade mandatory)
• Evidence based nursing practices.
• Accreditation of health care services.
• Involvement of nurses in developing policies and procedures.
Research OPPORTUNITIES Contd..
Research OPPORTUNITIES Contd..
• Qualified Nurse managers.
• Dual responsibility
• Disseminations of scientific studies.
• Nurse Researchers-.principal /co investigators.(international projects)
• Nurses in Ethical and scientific committee.
• Assisting in research projects:
- procedures, treatment, documentations, data collections in random control studies.
Challenges
Teachers/students
Up gradation of teachers specialized to act as mentor.
capacity building programs for teachers.
To provide student status.
Incentives, support and resources in terms of finance, time etc.
Monitoring and mentoring of students
.
Challenges
Teachers/students-
Attrition
Gap between nursing education and nursing service.(qualified nurses in education dept.)
• Research not integrated with other subjects.
• Compartmentalization of subjects.
• Long process of IRB approval.
• Attitude of physicians.
• Plagiarism., Authorship issue,fabrication of Data
Contd..
Challenges
Clinical nurses-
• Mainly accountable for patient care so overburdened due to increased workload.
• Family responsibility.
• Complacent with current status.
• Involvement of senior clinical nurses in nursing education.
• Limited opportunity for further education/updating.
Contd..
Challenges
• No further exploration once degree is awarded.
• more of surveys than interventional studies.
• Lack of administrative support to implement studies.
Contd..
Strategies to advance cancer researchContd..
• Bridging gap between Nursing education and nursing service(integration of nursing research in practice)
Strategies to advance cancer research
• Research from preventive to palliative
Contd..
Strategies to advance cancer research
• Research in rural population• Lifestyle changes its effect on health, nutrition
Contd..
Strategies to advance cancer research
• Developing practices on evidences
Contd..
Strategies to advance cancer research
• Focusing also on non cancer hospitals
Contd..
Strategies to advance cancer research
• Oncology nurse practitioners
Contd..
Strategies to advance cancer research
• Collaboration with international agencies
Contd..
Multidisciplinary Research team
Role and contribution of professional bodies
• National Research Society of India
• Oncology Nurses Association of India
• Trained nurses association of India.
• Critical Care Nursing Society
Initiate
• Research Journal club.
• Nursing Ethical Board For Evidence based Nursing Practices.
• Nurse Researcher concept in health setup.
• Ph.D in oncology.
Strategies to advance cancer research
• Recommendation in 12th Five year plan-Research grant.
Contd..
To Improve quality in Nursing care
• Through Research- on measures such as-
• Infection control practices.
• Nursing Audits
• Devices
• Nursing procedures.
• Developing guidelines for evidence based practices
IMPROVING QUALITY CARE THROUGHEVIDENCE BASED PRACTICES.
NURSINGPRACTICES
RESEARCH EVIDENCES
QC
THANK YOU