Oncology Training Needs Assessment Among Health Care Professionals in Nigeria.

Autor:	Adejumo PO; Department of Nursing, Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan, Nigeria., Oluwasanu MM; Department of Health Promotion and Education, Faculty of Public Health, African Regional Health Education Center, College of Medicine, University of Ibadan, Ibadan, Nigeria., Ntekim A; Department of Radiation Oncology, Faculty of Clinical Sciences, College of Medicine/University College Hospital, University of Ibadan, Ibadan, Nigeria., Awolude OA; Department of Obstetrics and Gynecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria., Kotila OA; Department of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.; Centre for Drug Discovery Development and Production (CDDDP), Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria., Aniagwu T; Department of Health Promotion and Education, Faculty of Public Health, African Regional Health Education Center, College of Medicine, University of Ibadan, Ibadan, Nigeria.; School of Occupational Health Nursing, University College Hospital, Ibadan, Nigeria., Brown BJ; Department of Pediatrics, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria., Dzekem BS; Section of Hematology/Oncology, Center for Global Health, University of Chicago Comprehensive Cancer Center, Chicago, IL., Duncan S; Section of Hematology/Oncology, Center for Global Health, University of Chicago Comprehensive Cancer Center, Chicago, IL., Tito-Ilori M; Center for Population and Reproductive Health, College of Medicine, University of Ibadan, Ibadan, Nigeria., Ajani O; Center for Population and Reproductive Health, College of Medicine, University of Ibadan, Ibadan, Nigeria., Lee SM; Department of Public Health Sciences, University of Chicago, Chicago, IL., Babalola CP; Department of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.; Centre for Drug Discovery Development and Production (CDDDP), Faculty of Pharmacy, University of Ibadan, Ibadan, Nigeria.; Institute for Advanced Medical Research and Training, College of Medicine, University of Ibadan, Ibadan, Nigeria., Ojengbede O; Department of Obstetrics and Gynecology, Faculty of Clinical Sciences, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Nigeria.; Center for Population and Reproductive Health, College of Medicine, University of Ibadan, Ibadan, Nigeria., Huo D; Department of Public Health Sciences, University of Chicago, Chicago, IL., Hammad N; Department of Oncology, Queen's University, Kingston, Ontario, Canada., Olopade OI; Section of Hematology/Oncology, Center for Global Health, University of Chicago Comprehensive Cancer Center, Chicago, IL.
Jazyk:	angličtina
Zdroj:	JCO global oncology [JCO Glob Oncol] 2022 May; Vol. 8, pp. e2200017.
DOI:	10.1200/GO.22.00017
Abstrakt:	Purpose: This study investigated the status of training and preparedness for oncology practice and research and degree of interprofessional collaboration among health care professionals in the six geopolitical regions of Nigeria. Methods: A convergent parallel mixed methods design was used. Three hundred seventeen respondents completed a three-part, online questionnaire. Self-rated competencies in oncology research (26 items), oncology practice (16 items), and interprofessional collaboration (nine items) were assessed with a one- to five-point Likert scale. Six key informant and 24 in-depth interviews were conducted. Descriptive statistics, analysis of variance, and pairwise t -test were used to analyze the quantitative data, whereas thematic analysis was used for the qualitative data. Results: Respondents were mostly female (65.6%) with a mean age of 40.5 ± 8.3 years. Respondents include 178 nurses (56.2%), 93 medical doctors (29.3%), and 46 pharmacists (14.5%). Self-assessed competencies in oncology practice differed significantly across the three groups of health care professionals ( F = 4.789, P = .009). However, there was no significant difference across professions for competency in oncology research ( F = 1.256, P = .286) and interprofessional collaboration ( F = 1.120, P = .327). The majority of respondents (267, 82.4%) felt that educational opportunities in oncology-associated research in the country are inadequate and that this has implications for practice. Key training gaps reported include poor preparedness in data analysis and bioinformatics (138, 43.5%), writing clinical trials (119, 37.5%), and writing grant/research proposals (105, 33.1%). Challenges contributing to gaps in cancer research include few trained oncology specialists, low funding for research, and inadequate interprofessional collaboration. Conclusion: This study highlights gaps in oncology training and practice and an urgent need for interventions to enhance interprofessional training to improve quality of cancer care in Nigeria. These would accelerate progress toward strengthening the health care system and reducing global disparities in cancer outcomes. Competing Interests: Atara NtekimConsulting or Advisory Role: Roche Pharma AGResearch Funding: Roche/Genentech Olufunmilayo I. OlopadeEmployment: CancerIQ (I)Leadership: CancerIQStock and Other Ownership Interests: CancerIQ, Tempus, 54gene, HealthWell SolutionsResearch Funding: Novartis (Inst), Roche/Genentech (Inst), Cepheid (Inst), Color Genomics (Inst), Ayala Pharmaceuticals (Inst)Other Relationship: Tempus, Color Genomics, Roche/GenentechUncompensated Relationships: Healthy Life for All FoundationOpen Payments Link: https://openpaymentsdata.cms.gov/physician/olopadeNo other potential conflicts of interest were reported.
Databáze:	MEDLINE
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