Disparities in the delivery of pediatric oncology nursing care by country income classification: International survey results

Pediatric Blood & Cancer
Lisa MorrisseySara Day

Abstract

In 2014, a task force of the International Society of Paediatric Oncology (SIOP) Paediatric Oncology in Developing Countries Nursing Workgroup published six baseline standards to provide a framework for pediatric oncology nursing care in low- and lower-middle income countries (L/LMIC). We conducted an international survey in 2016-2017 to examine the association between country income level and nurses' resporting of conformity to the standards at their respective institutions. Data from a cross-sectional web-based survey completed by nurses representing 54 countries were analyzed (N = 101). Responses were clustered by relevance to each standard and compared according to the 2017 World Bank-defined country income classification (CIC) of hospitals. CIC and nurse-to-patient ratios in inpatient wards were strongly associated (P < 0.0001). Nurses in L/LMIC prepared chemotherapy more often (P < 0.0001) yet were less likely to have access to personal protective equipment such as nitrile gloves (P = 0.0007) and fluid-resistant gowns (P = 0.011) than nurses in high-resource settings. Nurses in L/LMIC were excluded more often from physician/caregiver meetings to discuss treatment options (P = 0.04) and at the time of diagnosis (P = 0.002)...Continue Reading

References

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Citations

Jan 14, 2021·BMC Nursing·Ruth Nimota NukpezahAlireza Nikbakht Nasrabadi
Dec 19, 2020·Current Opinion in Pediatrics·Joseph LubegaMurali M Chintagumpala
Jun 22, 2021·Seminars in Oncology Nursing·Esubalew MezgebuJulia Challinor

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