Deborah A. Boyle

A multifocal education strategy to enhance hospital-based Cultural competency in professional staff.

The Oncology Nursing Society (ONS) believes that cultural competence is a critical factor in providing quality cancer care to an increasingly diverse patient population (ONS, 1999). Nurses and their interdisciplinary colleagues should be educated comprehensively to foster sensitivity and responsiveness to issues of diversity. ONS (1999) issued guidelines and identified four components of educational interventions designed to enhance cultural competence: promoting cultural self-awareness, disseminating cultural knowledge, developing cultural skill building, and facilitating cultural encounters. This article describes one institution’s efforts to enhance the cultural competency of its staff by using multiple interventions over seven years. Although the effort ultimately resulted in a systemwide institutional initiative, the impetus for this novel offering originated from innovations within the institution’s cancer program.

Stand up to anonymity.

degree, technology has disguised the scope and complexity of nursing decision making and critical thinking. The detailed assessment of evolving patient complications and the prevention of potential clinical sequelae are not captured in pump settings and electronic medical record checkmarks. secondly, as a profession, we have not assumed responsibil- ity for quantifying what we do, nor have we sufficiently disseminated the outcomes of our work. We know what we do, but do others? no aspect of clinical cancer care can be completed without a nurse. Even with the newest laser device or minimally invasive surgical approach, operative therapies cannot transpire without nurses in the operating room or caring for patients pre- and postoperatively. Dosimetry advances and radiation-delivery technologies continue to evolve in quantum fashion. y et the assessment, management, and ongoing evaluation of radiation-related tox- icities remain the purview of nurses. clinical trials cannot be conducted in the absence of nurses. The assessment of eligibility, informed consent, administration of study drugs, timely blood draws for pharmacokinetic parameters, and clinical evaluation of toxicities remain the responsibilities of nurses. Even with the advent of robotics to administer chemother - apy in the future, nurses in medical oncology will be required to ensure the safety of the infusate, assume responsibility for the cre- ation of protocols that electronically monitor the patients response in the home setting, and evaluate results of automated telephone follow-up (Boyle, 2008).

Cultural Diversity Issues in Cancer Nursing

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Oncologic Critical Care

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