Chemotherapy: Open Access

Chemotherapy: Open Access
Open Access

ISSN: 2167-7700

Case Report - (2016) Volume 5, Issue 1

Professional Competence in Oncology: Challenges for Education

Edvane Birelo Lopes De Domenico1*, Mariangela Abate De Lara Soares1, Cristiane Decat Bergerot1 and Ivan Torres Pisa2
1Paulista School of Nursing, Federal University of São Paulo, São Paulo, Brazil
2Departament of Health Informatic, Federal University of São Paulo, São Paulo, Brazil
*Corresponding Author: Edvane Birelo Lopes De Domenico, Paulista School of Nursing, Federal University of São Paulo, São Paulo, Brazil, Tel: 55 11 987025482 Email:

Abstract

The oncology care is one of the most distinguished scenarios, considering cancer diagnosis plurality, treatment types, physical symptoms (from the treatment or the disease), and comorbidities, variety of socio-demographic and cultural profiles of patients and family, and also physical, material and technological resources. In this sense, the health professional that works in oncology has a daily challenges to ensure the quality of care and should be updated in these different aspects [1].

Keywords: cancer diagnosis plurality,oncology,weaknesses,chemotherapy

Introduction

The oncology care is one of the most distinguished scenarios, considering cancer diagnosis plurality, treatment types, physical symptoms (from the treatment or the disease), and comorbidities, variety of socio-demographic and cultural profiles of patients and family, and also physical, material and technological resources. In this sense, the health professional that works in oncology has a daily challenges to ensure the quality of care and should be updated in these different aspects [1].

Training programs in oncology are the responsibility of professional educational and health institutions specialized. They are responsible to create practical skills-based professional education programs that result in rapid enhancement to the quality of care with concerns in deeply humanistic, honest, and responsible in the use of the limited resources reality [2,3]. As any other health specialization it is a big challenge to train qualified professionals and keep them in their professional careers, prompting questions as: What would be the skills required for professionals to work in oncology? How to develop and to improve these skills?

Certainly the patient care process in oncology is complex, requiring professional clinical judgment and critical thinking. The refinement of cognitive skills for making complex and judicious decision can be obtained with the use of active teaching methods, such as Concept Mapping (CM), a graphical tool that aims to organize and represent the knowledge (ihmc.us) [4]. The CM is structured based on fundamental concepts and their relationships. Usually, the concepts are highlighted in text boxes. The relationship between two concepts is represented by a line or an arrow, containing a "connecting word" or a "connecting phrase". Applied to labor activity, the construction of CM allows the professional to a self-assessment of how the concepts are organized from their previous cognitive structure and which are the gaps of knowledge [5]. The weaknesses and potentialities to solve problems can be noticed in this process. CM strategy is widely used in different educational contexts and in all areas of knowledge. There is a software so called CMapTools (cmap.ihmc.us) developed at the Florida Institute for Human & Machine Cognition (IHMC) that helps the CM construction. It also enables browsing and sharing knowledge by various professionals on issues of collective interests.

Our experience applying CM to teach the oncology areas for nurses in different levels of training – undergraduate, postgraduate: lato sensu and stricto sensu– to teach the oncology areas for nurses in different levels [6]. The issues can be developed from the basic to the most complex concepts, according to the students’ educational level. Clinical oncology cases may also be solved using MC strategy.

The steps for decision making can be elucidated in the boxes, linked by appropriated words or phrases, establishing relationships, overlaps, and complexity of the process [7]. An example of CM with basic concepts on chemotherapy subject is shown in Figure 1.

chemotherapy-Liver-Lung

Figure 1: CM chemotherapy basic concepts.

Conclusion

In view of the wide applicability of the CM and the positive and certified experience, we expected that this brief explanation may raise the reader’s motivation to know more about this important teaching skills, arousing curiosity and interest in using this tool, as an updated an enthusiastic teaching strategy, that favor the learning process and improvement knowledge in Oncology. We really endorse the CM for this purpose.

References

  1. Day DD, Hand MW, Jones AR, Harrington NK, Best R, et al. (2014) The oncology nursing society leadership competency project: developing a road map to professional excellence. Clinical Journal of Oncology Nursing 18:432-436.
  2. Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M (2013)Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database of Systematic Reviews 28: 1-3.
  3. Moore PM, Rivera Mercado S, GrezArtigues M, Lawrie TA (2013) Communication skills training for healthcare professionals working with people who have cancer. The Cochrane Library 28: CD003751.
  4. Domínguez-Marrufo LS, Manzano-Caudillo J (2012) Mastery and appropriation of concept mapping in higher education. Concept Maps: Theory, Methodology, Technology Proc. of the Fifth Int. Conference on Concept Mapping A. J. Cañas, J. D. Novak, J.Vanhear, Eds. Valletta, Malta.2: 345-352.
  5. Novak JD, Covak, AJ (2008) The theory underlying concept maps and how to construct and use them.
  6. Trevisani M, Cohrs CR, Soares MAL, Duarte JM, Mancini F, et al (2015) Evaluation of learning in oncology of undergraduate nursing with the use of concept mapping. Journal of Cancer Education 869: 1-8.
  7. De Domenico EBL, Porfirio RBM, Cohrs CR, Duarte JM, Ponto JA, et al (2014) Concept Maps to solve clinical health cases: how we do it. In: Sixth International Conference on Concept Mapping, 2014, Santos SP. Proceedings of the Sixth International Conference on Concept Mapping. São Paulo: USP IHMC EACH 1: 124-131.
Citation: De Domenico EBL,De Lara Soares MA,Bergerot CD,Pisa IT (2015) Professional Competence in Oncology: Challenges for Education . Chemo Open Access 5:179.

Copyright: © 2015 Edvane, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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