Abstract
Medical nutrition therapy (MNT) in pediatric cancer treatment is essential. The Nutrition Department and the International Outreach Program at St. Jude Children’s Research Hospital in Memphis, TN have worked together from 2005 to 2013 to develop and implement a training program for international dietitians working with pediatric oncology patients. During that time, St. Jude hosted 15 dietitians from various countries for this 3-week-long program. The curriculum provided experience in nutrition risk screening, nutrition care process, nutrition for cancer prevention, palliative care, and exposure to nutrition support. Monthly online meetings were established through the Cure4Kids website to continue collaboration and training. Learning outcomes were developed, and the impact of the program was evaluated based on changes made by former fellows in clinical practice, research, management, and food service upon return to their country. In addition, the program was evaluated based on recognition by the medical team, professional growth/networking, and personal growth. The survey return rate was 100%: responses revealed that 80% of participants continued working in pediatric oncology, 67% participated in monthly meetings, 47% collaborated on research, 100% advanced their competency in clinical practice, 93% broadened their competency in research, 67% became increasingly competent in management, 60% implemented changes in food service, 100% were recognized for participating in the program, and 100 and 93% noted that participation in the fellowship program helped their professional and personal growth, respectively. The psychological impact of the training on healthcare providers was as important as the impact of the program on patient care.
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References
Mendes, Elizabeth. 2014. Childhood cancer research challenges and opportunities. An American Cancer Society Expert Roundtable discussion. http://www.cancer.org/research/acsresearchupdates/childhoodcancer/childhood-cancer-research-challenges-and-opportunities. Accessed 24th July 2017
Howard S, Metzger M, Wilimas J, Quintana Y, Pui C-H, Robison L, Ribeiro R (2008) Childhood cancer epidemiology in low-income countries. Cancer 112(3):461–472. https://doi.org/10.1002/cncr.23205
Mehta P, Wiernikowski JT, Petrilli SJA, Barr RD (2013) Working Group on Essential Medicines of the Pediatric Oncology in Developing Countries committee of SIOP. Essential medicines for pediatric oncology in developing countries. Pediatr Blood Cancer 60(5):889–891. https://doi.org/10.1002/pbc.24476
McHugh M, Rochman MF, Sloane DM, Berg RA, Mancini ME, Nadkarni VM, Merchant RM, Aiken LH (2016) Better nurse staffing and nurse work environments associated with increased survival of in-hospital cardiac arrest patients. Med Care 54(1):74–80. https://doi.org/10.1097/MLR.0000000000000456
Academy of Nutrition and Dietetics. Dietetic internships. http://www.eatrightacend.org/ACEND/content.aspx?id=10760. Accessed 27 July 2017
Lang T, Hodge M, Olson V, Romano PS, Kravitz RL (2004) Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes. J Nurs Adm 34(7–8):326–337
Aiken L, Clarke SP, Cheung RB, Sloane DM, Silber JH (2003) Educational levels of hospital nurses and surgical patient mortality. JAMA 290(12):1617–1623. https://doi.org/10.1001/jama.290.12.1617
Murphy A, Mosby TT, Rogers PC, Cohen J, Ladas EJ (2014) An international survey of nutritional practices in low- and middle-income countries: a report from the International Society Pediatric Oncology (SIOP) PODC Nutrition Working Group. Eur J Clin Nutr 68(12):1341–1345. https://doi.org/10.1038/ejcn.2014.122
Tanriverdi O (2013) A medical oncologist’s perspective on communication skills and burnout syndrome with psycho-oncological approach (to die with each patient one more time: the fate of the oncologists). Med Oncol 30(2):530. https://doi.org/10.1007/s12032-013-0530-y
Trufelli DC, Bensi CG, Garcia JB, Narahara JL, Abrão MN, Diniz RW, Miranda Vda C, Soares HP, Del Giglio A (2008) Burnout in cancer professionals: a systematic review and meta-analysis. Eur J Cancer Care (Engl) 17(6):524–531. https://doi.org/10.1111/j.1365-2354.2008.00927.x
Bolle J (1988) Supporting the deliverers of care: strategies to support nurses and prevent burnout. Nurs Clin North Am 23(4):843–850
Acknowledgements
This research was partially supported by (1) the American Lebanese Syrian Associated Charities, fundraising and awareness organization for St. Jude Children’s Research Hospital, and (2) Mississippi State University.
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Mosby, T.T. The Impact of Fellowship in Dietetics on Clinical Practice. J Canc Educ 34, 498–504 (2019). https://doi.org/10.1007/s13187-018-1330-z
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DOI: https://doi.org/10.1007/s13187-018-1330-z