ISSN 1866-8836
Клеточная терапия и трансплантация

N-01. Current Issues of Nursing in Oncology, Hematology and bone marrow transplantation: Initial results and prospects of supplementary professional training program at the St. Petersburg Pavlov University

Tamara V. Chikicheva1, Yulia V. Devyatovskaya2, Maria M. Ivannikova2

1 Irkutsk Regional Clinical Hospital, Irkutsk, Russia
2 Tin’kov Family Charitable Foundation, Moscow, Russia


Contact: Yulia V. Devyatovskaya, phone: +7 (929) 599-69-32, e-mail: y.devyatovskaya@tinkovfund.org

doi 10.18620/ctt-1866-8836-2023-12-3-1-176

Summary

Currently, in Russia there is no big choice for professional training programs focused on nursing staff, there is a lack of qualified specialists, and there are no recognized regulatory credentials and options for making certain decisions related to their work. Inadequate salaries are coupled with constant overtime work. There can be 30 patients per a medical nurse, thus being several times higher than the labor standards established in Russia. It is necessary to train highly skilled nurses to work in oncology and hematology departments and units who could be able to follow current approaches to diagnostics, treatment, and care of these patients. The Pavlov First St. Petersburg State Medical University supported by the Tin’kov Family Foundation, has arranged a supplementary professional training program Modern Issues of Nursing in Oncology, Hematology and Bone Marrow Transplantation (BMT). The objectives of this training program are to prepare skilled specialists who possess a range of universal and professional competencies, enabling them to independently provide nursing care. This includes mastering of basic theoretical knowledge, practical skills, development of nursing behavior, thinking, and skills, as well as ability to solve professional tasks and apply a preventive, diagnostic, and to apply the algorithms of the “Nursing’’ educational profile.

Results

The first group of nurses underwent training from May 22 to June 30, 2023, at the Pavlov University. The training program (144 academic hours) included 7 modules of theoretical program online and two weeks of practical training in the hospital wards of the RM Gorbacheva Research Institute of Pediatric Oncology, Hematology, and Transplantation. The following theoretical modules were scheduled for subsequent practical use: (1) Theoretical aspects of nursing work in oncology and hematology clinics and BMT wards; (2) Nursing care and monitoring of patients with oncohematological diseases and BMT recipients; (3) Specifics of some manipulations in nursing care in oncology and hematology clinics and BMT wards; (4) Implementation of measures for prevention of non-infectious and infectious complications in patients with oncohematological diseases and BMT recipients; (5) Management of medical records, managing the activities of the medical staff at the oncology and hematology clinics and BMT wards; (6) Clinical use of blood and (or) its components in oncology and hematology clinics and BMT wards; (7) Providing emergency medical care in oncology and hematology clinics and BMT wards. The first group consisted of 13 nurses from 6 cities in Russia and 7 healthcare settings. The entire training and internship were focused on specific features of preparation, management, and care of patients during and after bone marrow transplantation. Each trainee in the program was assigned to a personal internship supervisor. To fully master the program, there was a constant rotation of each trainee at all departments of the Center. The results of training and practical skills acquisition were monitored closely.

Conclusion

Approximately 70% of time at the patient’s bedside are spent by the medical nurses, thus suggesting their significant role in the treatment outcomes. This professional training program holds the potential to enhance the quality of medical care across various country regions, thereby contributing to improved survival rates for patients undergoing hematopoietic stem cell transplantation (HSCT). The program will have an impact on the development of oncohematology care not only in a distinct region but, generally, in Russia. The regions engaged into HSCT activities should encourage their nurses to participate in these supplementary professional training programs.

Keywords

Professional training, oncohematology, nursing staff, non-profit organization, education, skilled staff.


Supplement 12-3
09/30/2023

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doi 10.18620/ctt-1866-8836-2023-12-3-1-176

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