Download The Standards and Competencies for Cancer

CANO/ACIO
Standards and
Competencies
for Cancer Chemotherapy
Nursing Practice in
Canada:
AN INTRODUCTION
Objectives
• To introduce the CANO/ACIO Standards and
Competencies for Cancer Chemotherapy
Nursing Practice and supportive tools and
documents
• To review the Standards and Competencies
development process
• To begin discussion on how the Standards and
Competencies can be integrated into practice
Background
The Canadian Association of Nurses in Oncology
(CANO/ACIO) is the national organization that supports
Canadian Nurses to promote and develop excellence in
oncology nursing practice, education, research and
leadership.
The National Strategy for Chemotherapy Administration
(NSCA/SNAC) is a special initiative of CANO/ACIO that
seeks to establish national chemotherapy administration
standards, competencies and educational resources for
oncology nurses across Canada.
Why do we need a National Strategy for
Chemotherapy Administration?
• Increasing number and complexity of
chemotherapeutic regimens (including oral)
• No national standards for Registered Nurses (RNs)
administering and caring for cancer patients receiving
chemotherapy
• Inconsistent chemotherapy nursing care across the
country
• Potential risk to patients, families, and nurses
• Chemotherapy educational resources for RNs are often
inaccessible and rarely include whole person care
A National Strategy for Chemotherapy
Administration (NSCA)
VISION : Every patient across Canada, regardless of
geography, receives chemotherapy treatment and
care from oncology nurses who meet a
predetermined standard of practice through a
comprehensive education program designed to
ensure ongoing competency.
Standards
Competencies
Educational
Resources
Standards and Competencies for Cancer
Chemotherapy Nursing Practice
• Provides standards for RNs:
–Practice
–Education
–Continuing competence
• CANO/ACIO’s Position Statement on
Cancer Chemotherapy Administration
and Care underpins standards
CANO/ACIO Position Statement on Cancer
Chemotherapy Administration and Care
• Cancer chemotherapy is high risk and complex
• Cancer chemotherapy administration and care
should be provided by Registered Nurses (RNs)
• RNs require specific knowledge and skills to
provide cancer chemotherapy administration
and care
• Cancer chemotherapy administration and care
requires a quality practice environment
A National Strategy for Chemotherapy
Administration
A Key Knowledge Exchange Strategy
NATIONAL
CHEMOTHERAPY
STRATEGY
•Standards
•Competencies
•Education Resources
Phase 3
Phase 1
Phase 2
Sept-Dec 2008
Jan 2009-July 2011
Laying the Foundation
Development
•Lit review
•Environmental Scan
•Detailed Action Plan
•Standards
•Competencies
Sept 2011+
Implementation,
Evaluation,
Sustainability
Education Resources/
Strategies
What do the Standards & Competencies mean
for you and your practice…?
• Leads to “standardized”, optimal cancer
chemotherapy nursing practice in Canada
• Applies to Registered Nurses (RNs) who provide
cancer chemotherapy care throughout Canada
• Provides general direction to RNs
• Establishes criteria for education programs
• Provides a foundation for recommendations for
quality practice environments
How were the Standards and
Competencies (S&C) developed?
Phase 1
Phase 2
Phase 3
• Membership survey
(2007) identified need
• Consensus building
process used to
develop S &C
• Implementation of the
S &C nationally
• Experts, members
and stakeholders
provided feedback
• Education tool
development
• Think Tank articulated
vision and action plan
• Environmental scan
including survey and
focus groups
• Literature search
• Evaluation of standards
• Strategy to ensure
sustainability
Standards and Competencies for Cancer
Chemotherapy Nursing Practice
• Standard A: Accountability for Practice
– Includes RN competencies
• Standard B: Quality Practice Environments
• Standard C: Competency Development
Educational Requirements
• Standard D: Continuing Competency Program
Standard A: Accountability for Cancer
Chemotherapy Nursing Practice and Care in Canada
by Registered Nurses
RNs shall provide safe and competent cancer
chemotherapy nursing care by demonstrating
the following competencies:
Competency 1:
Comprehensive Health Assessment
RNs shall perform and document
comprehensive health
assessments at the onset of
cancer chemotherapy
treatments and continuing
throughout the cancer care
continuum
Competency 2:
Supportive and Therapeutic Relationships
RNs providing care chemotherapy care will
establish, monitor, and maintain supportive
and therapeutic relationships while providing
cancer chemotherapy care to persons living
with cancer.
Competency 3:
Management of Cancer Symptoms and Treatment
Side Effects
RNs providing cancer
chemotherapy care will manage
cancer symptoms and treatment
side effects in collaboration with
the inter-disciplinary health care
team.
Competency 4:
Teaching and Coaching
RNs providing cancer
chemotherapy care
will provide teaching
and coaching specific
to the assessed
learning needs of
persons receiving
cancer chemotherapy.
Competency 5:
Facilitating Continuity of Care\Navigating the
System
RNs providing cancer chemotherapy care work
to promote continuity of care and help
persons navigate the health care system.
Competency 6:
Decision-Making and Advocacy
RNs providing cancer chemotherapy care
promote autonomous decision-making and
advocate for the well-being of persons
receiving cancer chemotherapy care.
Competency 7:
Professional Practice and Leadership
RNs providing cancer chemotherapy care
participate in and support professional
practice and leadership.
Standard B: Quality Practice Environment for Optimal
Cancer Chemotherapy Nursing Practice
1. Organizational Systems:
RNs shall advocate and promote
adequate systems to ensure a
quality practice environment for
the care of persons receiving
cancer chemotherapy within their
organizations.
Standard B: Quality Practice Environment for
Optimal Cancer Chemotherapy Nursing Practice
2. Organizational Policies and Procedures:
RNs shall advocate and promote appropriate
policies, procedures and processes related to
cancer chemotherapy care within their
organization.
Standard B: Quality Practice Environment for
Optimal Cancer Chemotherapy Nursing Practice
3. Continuity of Care:
RNs shall advocate and promote collaboration and
communication between settings and providers responsible
for the care of persons receiving cancer chemotherapy to
develop processes, policies and procedures ensuring
continuity and safe transfers of care.
Standard C: Educational Requirements for Developing
Competence in Cancer Chemotherapy
1. RNs shall complete the requirements for a
chemotherapy educational program prior to
accepting responsibility for persons requiring
cancer chemotherapy care.
2. The cancer chemotherapy education program
shall include a theoretical and clinical evaluation
component, including supervised clinical practice.
Standard C: Educational Requirements for
Developing Competence in Cancer Chemotherapy
3. The education program shall include, at a
minimum, the topics indicated in the S&C
document.
4. Organizations shall determine and provide
education on additional competencies
required to provide care within their system,
and evaluate the outcomes.
Standard C: Educational Requirements for
Developing Competence in Cancer Chemotherapy
5. An objective evaluation of learning shall be
conducted after completion of the theoretical
education.
6. The clinical practice component follows the
completion of the theoretical component and
shall include supervised clinical experience with
an RN who has specialized knowledge, skill,
critical thinking, and clinical judgment in cancer
chemotherapy care.
Standard D: Cancer Chemotherapy
Continuing Competence Program
• RNs shall demonstrate continuing competence in
cancer chemotherapy annually
• Continuing competence programs include:
– Identification of learning needs
– The development of individualized learning
plans
– A strategy to report achievement of continuing
competence
Standards and Competencies Toolkit
A toolkit was developed to provide resources to
support the dissemination of the Standards and
Competencies nationwide.
Tool #1: Promotional Poster
Tool #2: National Resource List – coming soon
Tool #3: Recommended Content for Organizations
to Include in Cancer Chemotherapy Policies
Tool #4: Self Assessment Tool and Learning Plan
Tool #5: Introductory PowerPoint presentation
The Standards and Competencies for
Cancer Chemotherapy Practice and Toolkit
Can be found on the
CANO\ACIO website:
http://www.canoacio.ca/national_chemothera
py_administration_standards
Your Thoughts?
• What will the S&C look like in your practice?
• What is already in place at your organization to
support the S&C in practice? What is missing?
• What are the challenges to S&C implementation
in your organization?
• What will enable implementation?
• What are the consequences of not implementing
these S&C for Chemotherapy Nursing Practice?
• (for patients? For RNs? For the organization?)
We want to hear from you.
Please forward your comments, questions, and suggestions to
CANO/ACIO at [email protected]