Global Diversity: Equity and Access

Transcription

1 Global Diversity: Equity and Access Europe Annie Young Emerita Professor of Nursing, University of Warwick, UK Member, ISNCC Corporate and Philanthropic Committee

2 Europe and the EU EU countries

3 BREXIT The UK will leave the European Union on 29 March 2019 Brexit poses an "immediate risk to the provision of safe and effective care" for patients in the UK 1 The UK's vote to leave the EU will have far-reaching implications for the NHS, dependent on the relationship the UK government will seek with the EU post-brexit 2 European cancer care will be impacted by the Brexit process. As nurse leaders, we need to take responsibility and guide our organisations and the nursing workforce through these changes. EONS has an important role here Royal College of Nursing, UK, NHS European Office, August EONS President, 2017

4 Difference in incidence and mortality across Europe 1 1. Bray F et al. CA CANCER J CLIN 2018;0: De Angelis et al. EUROCARE-5 Lancet Oncol. 2014;15:23 34.

5 Understand the culture in which oncology nurses work throughout Europe Europe - still fall back from civil wars ( ) e.g. how to deal with healthcare staff - we will give palliative care to anyone except xxx Just sometimes, healthcare can help cut through political differences: Europe (EONS); one supporter of: 1 st Palestinian International Nursing Conference in Oncology and Palliative Care

6 Nursing and Specialised Nursing underpinned by EU policy / organisational statements EU Principles e.g. free movement of goods, services and persons = free mobility of labour force* EU Directives e.g. Good Clinical Practice EONS nurses and nursing, working at member and organisational level 32 member organisations ECCO Value of Specialised Cancer Nursing, 2017 However, in Europe, we have grave nursing workforce issues - nursing shortages, poor retention causing reduced quality of care and negatively affecting the health of existing staff

7 What we can do through organisations Forget the shoulds and the musts Action! ISNCC global educational projects including European, involving nurses throughout Europe EONS, ECCO ReCAN Recognising European Cancer Nursing Goal: to increase recognition of the value and contribution of cancer nursing across Europe Aim: find out activities of cancer nurses in Europe and explore the worth of activities on patient experience and other outcomes; then ACT ReCAN results Wednesday Plenary

8 What we can do - Education Specialised Cancer Nursing Specialised cancer nursing lacks uniform regulation, or recognition across Europe 1 Cancer nursing provides an undeniable added value in terms of patient outcomes 1 The EONS Cancer Nursing Education Framework 2 1. ECCO Value of Specialised Cancer Nursing Position statement,

9 What we can do More than survival CARE As individuals: Prof Julia Downing, Serbia In Serbia, nurse training is at secondary school level - Develop, initiate and support a diploma level training e.g. 6 specialist nurses; 1-2 weeks training course in cancer care - Multidisciplinary education encouraged

10 What can we do? as individuals for e.g. Serbia If no cure, patients often fall off the edge there is nothing With patients, carers, parents..one group meeting last Tuesday in Belgrade, explore the needs of parents - pleading for palliative care, coordination and psychological care for their children beyond the biomedical take needs to Ministry of Health and persist RESEARCH - Nurses working clinical trials as data managers Capitalise on this workforce and the few nurses with diploma and degree education grow research skills We CAN from afar: Support research reading proposals Proofread early publications in English

11 Conclusion Surprisingly? diversity in cancer nursing across Europe Similarities in wanting the best care for our patients and families throughout Europe YES We Can! Many practical ways that we can help understand the culture throughout Europe as individuals through organisations

12 We believe that initiatives to develop a cancer control workforce in low and middle income countries (LMICs) must not only include nursing, but must begin with nursing 1 1. Challinor J and Galassi A Lancet Oncology (16) Key Stakeholder Group on Oncology Nursing in Low- and Middle-Income Countries. US NCI; INCTR, Brussels