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\begin{document}

\title{``Comment on: An ethical imperative: safety and specialization as
nursing priorities of WHO Global Initiative for Childhood Cancer''}



\author[1]{Linda Abramovitz}%
\author[2]{Glenn Afungchwi}%
\author[3]{Rehana Punjwani}%
\author[4]{Courtney Sullivan}%
\affil[1]{UCSF}%
\affil[2]{Mbingo Baptist Hospital}%
\affil[3]{The Indus Hospital Korangi Crossing}%
\affil[4]{St. Jude Children's Research Hospital}%


\vspace{-1em}



  
  \date{June 07, 2024}


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As we celebrate 2020 as the Year of the Nurse and the Midwife and
recognize the Global Initiative for Childhood Cancer, members of the
International Society of Pediatric Oncology (SIOP) Baseline Nursing
Standards Taskforce would like to highlight advocacy efforts promoting
the baseline nursing standards.\textsuperscript{1, 2} Your published
article, \emph{An ethical imperative: safety and specialization as
nursing priorities of WHO Global Initiative for Childhood
Cancer}(Pergert and colleagues) reveals the importance of ongoing
efforts to support implementation of the Baseline Nursing
Standards.\textsuperscript{3} Given that the majority of hospitals are
not meeting the standards in low- and middle-income countries (LMIC), as
well as some high-income countries (HIC),\textsuperscript{4, 5} advocacy
initiatives are required to raise awareness of the need to meet these
standards. During the COVID-19 pandemic, health facilities face new
challenges in meeting the standards. To achieve the WHO global
initiative's goal to save one million children's lives by 2030, it is
important to continue efforts to address baseline nursing standards.

Pediatric oncology as a subspecialty requires a nursing workforce with
specialized education and clinical skills to achieve optimal patient
outcomes. Knowledge itself is not enough if nurses lack the resources
and support to practice or implement appropriate nursing care in their
work settings. The six Baseline Nursing Standards focus on key elements
essential to delivering quality and safe care (Table 1). Collectively,
they serve as a framework and foundation for positive pediatric oncology
nursing practice environments internationally.

Advocacy efforts to disseminate the baseline standards are well
established. To date, fourteen organizations have endorsed the
Standards. Members of the SIOP PODC Nursing Working Group hosted a
``Leadership and Advocacy Workshop: Disseminating the Baseline Nursing
Standards'' prior to the SIOP Conference in October 2017. Twenty-two
pediatric hematology/oncology nurse leaders and four stakeholder-group
representatives (parent, physicians, advocates) from 14 countries met
and established goals and strategic priorities for advocacy of the
standards. As a result, the Baseline Nursing Standards Advocacy Toolkit
was developed and can be found on the SIOP Nursing Website
https://siop-online.org/baseline-nursing-standards-advocacy-toolkit. The
toolkit contains practical advocacy resources, including a PowerPoint
presentation, an endorsement letter template, publications, podcasts, a
social media campaign and examples of elevator speeches for each
standard. Furthermore, the Standards have been featured in international
presentations, such as a keynote presentation (S. Day) in SIOP Lyon, an
award session and nursing abstract presentations at SIOP congresses and
continental meetings.

To reach the WHO target of doubling the global childhood cancer survival
rate to 60\%, achievement of baseline nursing standards for pediatric
oncology must be prioritized and appropriately resourced by hospital
administrators, governments and other stakeholders. Amid a global
pandemic where nursing resources are stretched, creative ways to support
and advocate for implementation of the standards is needed. In
recognition of the recent publication by the Nurse Specialists of the
Global Initiative for Childhood Cancer noting the baseline standards,
now is the time to act and improve childhood and adolescent cancer
outcomes through raising the standard of pediatric oncology nursing
practice around the world.

Linda Abramovitz, Rehana Punjwani, Glenn M. Afungchwi and Courtney
Sullivan and the SIOP PODC Baseline Standards Nursing Task Force.

A special thank you to Rachel Hollis for her commitment and ongoing
advocacy efforts focused on the baseline nursing standards.

References

\begin{enumerate}
\tightlist
\item
  Day S, Hollis R, Challinor J, Bevilacqua G, Bosomprah E, SIOP PODC
  Nursing Working Group. Baseline standards for paediatric oncology
  nursing care in low to middle income countries: position statement of
  the SIOP PODC Nursing Working Group. Lancet Oncol. 2014; 15(7):681-682
  PMID: 24872097.
\item
  Day S, Challinor J, Hollis R, Abramovitz L, Hanaratri Y, Punjwani R.
  Paediatric Oncology nursing care in low-and middle-income countries: a
  need for baseline standards. Cancer Control. 2015;2015:111-116
\item
  Pergert P, Sullivan CE, Adde M, et al. An ethical imperative: Safety
  and specialization as nursing priorities of WHO Global Initiative for
  Childhood Cancer. Pediatr Blood Cancer. 2019;e28143. https://doi.org/
  10.1002/pbc.28143
\item
  Morrissey L, Lurvey M, Sullivan C, et al. Disparities in the delivery
  of pediatric oncology nursing care by country income classification:
  international survey results. Pediatr Blood Cancer. 2019;66(6):e27663.
\item
  Sullivan CE, Morrissey L, Day SW, Chen Y, Shirey M, Landier W.
  Predictors of Hospitals' Nonachievement of Baseline Nursing Standards
  for Pediatric Oncology.~Cancer Nurs.~2019 Mar 29;
\end{enumerate}

\par\null

\textbf{Hosted file}

\verb`Table 1 for PBC Letter to the Editor.docx`  available at \url{https://authorea.com/users/344255/articles/470875--comment-on-an-ethical-imperative-safety-and-specialization-as-nursing-priorities-of-who-global-initiative-for-childhood-cancer}

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