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Development of a culturally sensitive website for the promotion of healthy lifestyles and cancer screening utilization for effective cancer prevention among South Asians in Hong Kong.

July 19th, 2019 in ICNN Articles, International News

Dr. Winnie K.W. SO, (RN, PhD)
Ms. Tika RANA, (MSc. Stud)
Dr. Bernard M. H. LAW, (PhD)
The Nethersole School of Nursing, Faculty of Medicine, the Chinese University of Hong Kong

Background

Cancer is a common chronic disease with 18.1 million new cases and death of around 9.6 million reported worldwide in 2018 (WHO, 2019). Notably, South Asian ethnic minorities appear to be particularly vulnerable to cancer development, owing to their lack of knowledge on the strategies for cancer prevention. Indeed, the uptake of cervical cancer screening among South Asian women in Hong Kong was considerably lower than that among local Chinese women (36.9% vs 60.5%) (So et al., 2017; Cervical cancer coverage, 2019), which is partly attributed to the unawareness of local South Asians on the importance of cancer screening in cancer prevention.

Picture 1: Promotion of the website among South Asian women at a religious place

Moreover, they face difficulties in accessing publicly available healthcare services due to language barrier, culture-related factors and lack of health insurance coverage (So et al., 2015; Vandan et al., 2018). With the low level of health knowledge among these South Asian ethnic minorities being a factor for their vulnerability to cancer development, effective dissemination of information on the effective strategies for cancer prevention to these individuals is required. This project aims to develop a culturally sensitive website to disseminate the importance of adopting healthy lifestyles and cancer screening utilisation in cancer prevention among South Asians in Hong Kong.

Methodology

The content and materials required for the development of the website were first prepared. The website contains information on the strategies of prevention of chronic diseases including various cancers, presenting videos that disseminate the importance of cancer screening utilisation and adoption of healthy lifestyles in cancer prevention. Advice was sought from health professionals and South Asian community leaders on the strategies in making the content more informative. Thereafter, the website content was translated into South Asian languages and uploaded onto the website. The developed website (http://minorityhealth.nur.cuhk.edu.hk/) was then promoted among South Asians via 19 organizations including local nongovernmental organizations, ethnic minority associations, and social media to increase its publicity. Effectiveness of the website in enhancing health and cancer knowledge was assessed among the website viewers via a self-report questionnaire.

Picture 2: Project team with advisory panel members
Picture 3: Promotion of the website to South Asian

Results

Overall, the website was viewed 12,718 times. Information related to different cancers were most frequently viewed. Further, a total of 249 participants took part in the evaluation of the effectiveness of the website. More than 90% of them expressed that the website was effective in enhancing their knowledge on chronic disease and cancer prevention and that they were satisfied with the website. More than 100 inquiries were made by the website viewers via phone, Facebook page or “contact us” link, request further information on issues regarding cancer screening.

Picture 4: Promotion of the website among South Asian by setting up a booth in ethnic minority event

Conclusions

The use of a culturally sensitive website in disseminating health knowledge may be an effective way in promoting the importance of cancer screening among South Asians in Hong Kong. Healthcare policy makers should allocate resources to the development of online educational materials for a wider dissemination of health knowledge among South Asians, which would help enhance their understanding on the effective strategies for cancer prevention, thereby lowering their risk of developing cancer.

References

Cervical cancer coverage. (2019, May). Cervical Screening Programme: Statistics and Reports. Retreived from https://www.cervicalscreening.gov.hk/english/sr/sr_statistics_ccsc.html

So, W.K.W., Chan, N. S. D., Rana, T., Law, B.M.H., Leung, D.Y.P., Chan, H.Y.L., Ng, C.C., Chair, S.Y., Chan, C.W.H. (2017). Development and evaluation of multimedia interventions to promote breast and cervical health among South Asian women in Hong Kong: A project protocol. Asia- Pacific Journal of Oncology Nursing; 4(4): 361-365.

So, W.K., Chow, K.M., Choi, K.C., Chen, J.M., Chan, C.W. (2015). Perceived facilitators and barriers to cervical cancer screening among ethnic minority women in Hong Kong. Cancer Nurs;38:S7.

Vanda, N., Wong, J.Y., Fong, D.Y. (2018). Accessing health care: Experiences of South Asian ethnic minority women in Hong Kong. Nursing and Health Sciences; 21(1): 93-101.

World Health Organization (WHO). (2019). Latest global cancer data: cancer burdern rises to 18.1 millin new cases and 9.6 cancer deaths in 2018 . Retrieved from https://www.who.int/cancer/PRGlobocanFinal.pdf

ICCN 2020 will be in London, UK: Abstract Submissions are Open!

Linda U. Krebs, PhD, RN, AOCN, FAAN
Chair, Conference Management Committee, ISNCC

The ISNCC Board of Directors and its Conference Management Committee are thrilled to announce the next International Conference on Cancer Nursing (ICCN 2020) to be held March 29th through April 1st, 2020 at Imperial College, London, UK! The theme for the conference is “Innovation and Inspiration: Celebrating the Global Impact of Oncology Nurses.” This is a most appropriate theme as 2020 has been designated as “The Year of the Nurse” by the World Health Organization. Additionally, 2020 is the 200th anniversary of the birth of Florence Nightingale, so we will have plenty to celebrate!

The ISNCC Board of Directors and its Conference Management Committee are thrilled to announce the next International Conference on Cancer Nursing (ICCN 2020) to be held March 29th through April 1st, 2020 at Imperial College, London, UK! The theme for the conference is “Innovation and Inspiration: Celebrating the Global Impact of Oncology Nurses.” This is a most appropriate theme as 2020 has been designated as “The Year of the Nurse” by the World Health Organization. Additionally, 2020 is the 200th anniversary of the birth of Florence Nightingale, so we will have plenty to celebrate!

The conference will focus on all aspects of cancer nursing and our ability to impact patients, families, communities and nations through clinical practice, education, health policy, leadership, and research. Through scholarly discourse, networking and collaboration among oncology nursing educators, practitioners, researchers, and leaders from across the globe, we will showcase the remarkable work and dedication of nurses involved in cancer care.

The conference offers a wide variety of educational opportunities including pre-conference programs, plenary speakers, oral presentations, instructional sessions, and poster sessions as well as social and cultural events to educate and celebrate nurses. A special highlight will be the Robert Tiffany Award keynote address sponsored by the Royal Marsden Hospital NHS Foundation Trust.

ICCN 2020 will be ISNCC’s 23rd conference! It is especially exciting to be holding it in London, the birthplace of ISNCC. Imperial College will be an exceptional venue for our meeting. Located near Hyde Park and adjacent to museums, cultural sites, great restaurants, and shopping, it provides multiple modern meeting rooms and wonderful spots for networking and interacting with colleagues, sponsors and exhibitors. Pre-conference sessions will be held minutes away from Imperial College at the Royal Marsden. Tours of this remarkable facility are being arranged for those who are interested.

ABSTRACT SUBMISSION IS Now OPEN

We also are excited to announce that abstract submissions are now being accepted for oral, rapid-fire, poster, and instructional sessions through the Abstract Portal. Visit iccn2020.org/ for more information.

Numerous topics will be accepted in the following categories: administration, management/ leadership, advanced practice, education, general practice, health policy, and research. The deadline for submission will be August 19th, 2019 at 11:59P EDT. Please see the portal for full information including requirements for submission.

We hope that you will submit an abstract and plan to attend ICCN 2020 in London, March 29th through April 1st, 2020. The conference provides a wonderful opportunity to share your professional activities and projects focused on cancer nursing administration, practice, education, health policy, leadership, and research. It also is a great opportunity to catch up with old friends, make new friends and enjoy all that the conference and London have to offer!

If you would like to know more about ICCN2020 and are not on ISNCC’s mailing list, please join the mailing list at:

Advancing the further Dissemination of ISNCC Position Statements

April 30th, 2019 in ICNN Articles

Author: Yongyi Chen, ISNCC Communications Committee

With the great effort of ISNCC Communications Committee, eight documents of ISNCC Position Statements have been translated from English into Chinese. The ISNCC Cancer Pain Position Statement, ISNCC Palliative Care Position Statement, Models of Palliative Care Position Statement, Cervical Cancer Prevention and Screening Position Statement and their PPTs are involved.

The portfolio of ISNCC Communications Committee, Dr. Yongyi Chen led the translation work. Dr. Winnie So who is the Committee member was in charge of the proofreading work. This has lasted for nearly five months from November 2018 to March 2019.

It is of vital significance that the translated version of Position Statements could bridge the information gap for cancer nurses worldwide to get access to ISNCC key resources. The distribution of position statements could enhance internal and external communication of ISNCC in the endeavor reducing the global cancer burden. The next steps are to add those Position Statements through ISNCC website, as well as issue in Chinese’s nursing conferences. It is expected that they will be presented in Chinese nursing journals in the near future.

Applying Primary Nursing Care Model for Cancer Patients in Hong Kong

January 30th, 2019 in ICNN Articles, International News

Author: Ms. Chan Sau Yee

Credentials: RN, MSN, FHKAN (Medicine-Oncology)

Affiliation: Department of Clinical Oncology, Pamela Youde Nethersole Eastern Hospital, Hong Kong

Background
Hospital Authority in Hong Kong has adopted and promoted the primary nursing as the care delivery model since 2003. It aims to facilitate a better organization of nursing care and enhance the autonomy in clinical nursing practice so as to enhance the quality of patient care and increase the professional accountability.

Objectives
In the Department of Clinical Oncology of Pamela Youde Nethersole Eastern Hospital (PYNEH) of Hong Kong, we applied this nursing care model to two specific groups of cancer patient for the purpose of ensuring the patient safety, better adherence to the clinical management plan and the continuity of care.

Methodology
These two specific groups of patients were: (1) patients with head and neck cancer underdoing radical non-surgical oncology treatment; and (2) patients suffered from neutropenic sepsis. They were selected because severe toxicities were commonly reported during the late phase of treatment among the former, whereas the latter condition was an oncology emergency and potentially fatal. Both of them required intensive medical and nursing management and support.

The primary nurse introduced herself to a cancer patient.

A Primary Nursing Team was developed and 12 qualified oncology nurses were invited to join. The team was responsible for literature review, developed evidence-based nursing care protocol, related workflow and update of nursing care plan. Training to all ward nurses was provided by the team before implementation including care protocol, special assessment and care to enhance engagement and compliance. Electronic documentation was adopted to serve as a care planning template, facilitate better communication among nurses and easy access of patients’ progress by multidisciplinary team.

It was also integrated with the weekly nursing grand round led by the nurse consultant and senior nurses to enhance the nursing standard and render support.

Results
Compliance audit and documentation review were performed before and 3 months after the start of the program. The overall staff compliance rate increased from 73% to 94% for the Neutropenic Sepsis Team; and from 63% to 87% for the Head and Neck Team.

Moreover, documentation review showed that (i) more than 95% of primary nurses were able to assess and provided specific and effective nursing care to patients with head and neck cancer or neutropenic sepsis, (ii) communication among the ward nurses was enhanced, and (iii) documentation was clearer with more essential details.
Furthermore, the value of this program was recognized by the Nursing Service Department (NSD) of our Hospital. We had shared the logistic, roll out plan and essence of the program with frontline nurses of other Departments in the Primary Nursing Workshop organized by NSD in 2016 and 2017 respectively.

Nursing grand round with the primary nurse in an oncology ward to review the clinical care.

Conclusions
Oncology nursing plays a critical role in ensuring patient safety and providing quality care. The implementation of primary nursing care model was challenging; however, it demonstrated the benefits of provision of personalized nursing care that tailor-made for individual patient’s needs, and increasing the satisfaction for both the patients and nurses.

The Summary of the 2nd Book Donation Activity at ICCN 2018

October 15th, 2018 in ICNN Articles, ISNCC Projects

BACKGROUND
Affecting by the disparity of global economic development, the imbalanced distribution of cancer nursing education resources is a fact. There are insufficient cancer textbooks in low and middle-income countries.

AIM
Based on the achievements of the 1st book donation activity, the 2nd book donation activity aims to provide texts to nurses in low and middle-income countries who do not have adequate access to new/relatively new cancer nursing materials.

IMPLEMENTATION

  • Recorded the information of book donators and recipients on the book donation information form.
  • This 2nd book donation activity was greatly supported by all the ISNCC members and participants of ICCN 2018 with 56 textbooks in English and 15 textbooks in Chinese donated to nurses from underdeveloped areas, e.g. Kenya,Tonga, Uganda,South Africa , Zambia, Brazil, Nepal,Ghana,India, Indonesia, western region of China.
  • The contents of books covered: Clinical Guidelines for Cancer Care, Evidence-based Cancer Care, Cancer Palliative Care Handbook, Vascular Access Devices Guidelines for Cancer, Cancer Targeted Medicine Care, Quality Control of Cancer Care, etc.
  • Traced the influence of book donation and invited some of the recipients to write blogs regarding their feelings and thoughts towards this activity.

EFFECTS

  • Promote the sharing of educational resources.
  • Advance the development of cancer care in underdeveloped areas.
  • Enhance the internal and external communication of ISNCC.
  • Dedicate love to cancer nurses in need globally.