Exploring the need of oncology nurses
to use current awareness services (CAS)
available via the WWW:
a South African persp...
Introduction
 Society marked by changes in
 Access to information
 WWW & current awareness services (CAS)
 ICT skills ...
WWW and current awareness
services (CAS)
 Oncology nursing resources
 Professional associations
 Professional journals
...
Scope of this paper
 Purpose of the research project
 Setting
 Limited empirical survey to offer South African
perspect...
Purpose of study
 Enabling oncology nurses & health care
professionals to exploit WWW CAS available for
free
 Developing...
Literature survey
 Information behaviour of
 Oncology nurses
 Oncologists
 Nurses (in general as well as different typ...
Literature survey (cont.)
 Pressures and demands faced by oncology
nurses:
“Throughout Europe cancer nurses are striving ...
Literature survey (cont.)
 Evidence-based practices
 Life-long learning
 Increased use of ICT
 Increased need for pati...
& Team
Hospital
Oncology clinic
Head
oncologist
Hospital
Oncology wards (2)
Management
Patients
Pretoria
South Africa
Moth...
Participants (convenience sample)
 Medical Oncology
Clinic
 Head oncologist (1)
 Oncology nurses (5
sisters)
 Oncology...
Research methods
 Questionnaire
 Individual interviews & limited group
interviews (need to deal with realities)
 Indivi...
& Team
Hospital
Oncology clinic
Head
oncologist
Hospital
Oncology wards (2)
Management
Patients
Pretoria
South Africa
Moth...
Functions & daily tasks
 Medical Oncology Clinic
 Administration of treatment
(e.g. chemotherapy)
 Monitoring/observati...
Perceived impact of functions &
daily tasks
 Medical Oncology Clinic
 Tiredness
 Much time on feet
 Numerous interrupt...
Perceived value of information
 Medical Oncology Clinic
 Management
 Oncologists very up-to-
date
 Some staff members
...
i Patient
well-being
Mostly adequate:
•Oncologists
•Sister-in-charge
•Hospital management
•Colleagues
•Reference works
•Pa...
International trends &
scientific research
Other institutions
Management
Staff
Patients
Head oncologist
& oncologists
Good...
Barriers to use of information &
WWW CAS
 Medical Oncology Clinic
 Staff
 Time
 Access (ICT & privacy)
 Daily tasks
...
Developing a culture of keeping up
in a dynamic field
 Acknowledging the nature and demands of
their jobs
 Need to find ...
Point of departure for staff:
understanding yourself…
i
My job &
work place
Oncology
profession
Me – who I am
My personal ...
Point of departure for management: understanding
information behaviour in the larger context:
i Opportunities for
informat...
Conclusion
 Exploratory study
 Interventions (planning in progress)
 Workshop
 Self-paced study package
 Portal
 Lin...
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  1. 1. Exploring the need of oncology nurses to use current awareness services (CAS) available via the WWW: a South African perspective Prof Ina Fourie & Mrs. Retha Claasen-Veldsman Department of Information Science University of Pretoria South Africa
  2. 2. Introduction  Society marked by changes in  Access to information  WWW & current awareness services (CAS)  ICT skills required  Information literacy skills required  Changes affect both patients and health care professionals such as doctors, nurses  Oncology nurses  Seeming urgency for information vs practical realities  Perceived value of information
  3. 3. WWW and current awareness services (CAS)  Oncology nursing resources  Professional associations  Professional journals  Tables of contents  Tables of contents services  RSS feeds  Electronic newsletters  Book alerting services  Discussion groups  Websites with noteworthy content  Monitoring software  Portals  Other related resources
  4. 4. Scope of this paper  Purpose of the research project  Setting  Limited empirical survey to offer South African perspective  Medical Oncology Clinic  Hospital Oncology Wards (2)  Participants  Literature survey  Empirical survey  Findings  Suggestions
  5. 5. Purpose of study  Enabling oncology nurses & health care professionals to exploit WWW CAS available for free  Developing a theoretical model of the information behaviour of oncology nurses & health care professionals  Developing mechanisms to support the information needs & information behaviour of cancer patients  Interventions  Link between role players and changing environment
  6. 6. Literature survey  Information behaviour of  Oncology nurses  Oncologists  Nurses (in general as well as different types)  Cancer patients  Models of information behaviour  Other findings from information behaviour (cont.)
  7. 7. Literature survey (cont.)  Pressures and demands faced by oncology nurses: “Throughout Europe cancer nurses are striving to meet the challenges of providing quality nursing care amid changing environments that are characterized by advances in drugs and technologies, ageing populations, increasing rates of cancer, increased survival rates, rising costs and increasing economic constraints” (Baker & Fitch as cited by Browne, Robinson & Richardson, 2002:134)  How do oncology nurses stay up to date? (cont.)
  8. 8. Literature survey (cont.)  Evidence-based practices  Life-long learning  Increased use of ICT  Increased need for patient education and support  Changes in health care environment  Growing demand for improved health care services  New roles
  9. 9. & Team Hospital Oncology clinic Head oncologist Hospital Oncology wards (2) Management Patients Pretoria South Africa Mother CompanyStaff
  10. 10. Participants (convenience sample)  Medical Oncology Clinic  Head oncologist (1)  Oncology nurses (5 sisters)  Oncology social worker (1)  Hospital Oncology Wards  Ward 1: treatment: chemoterapy, stem cell transplants, etc.  Ward 2: terminally ill patients & children: palliative care, pediatric care  Unit manager (sister) (1)  Oncology nurses (sisters, staff nurses, assistant nurses) (16)  Care workers (2)
  11. 11. Research methods  Questionnaire  Individual interviews & limited group interviews (need to deal with realities)  Individual semi-structured interviews with management  Head oncologist (1 hour)  Unit manager of hospital wards (1 hour)
  12. 12. & Team Hospital Oncology clinic Head oncologist Hospital Oncology wards (2) Management Patients Pretoria South Africa Mother CompanyStaff
  13. 13. Functions & daily tasks  Medical Oncology Clinic  Administration of treatment (e.g. chemotherapy)  Monitoring/observation of patients  Feedback to oncologists  Administrative tasks  Sharing information with patients  Self-treatment, implications of processes  Queries  Counselling of patients, family and staff  Hospital Oncology Wards  Intensive administration of treatment (e.g. chemotherapy, medication)  Intensive monitoring & observation of patients  Feedback to oncologists  Care of hospitalised patients  Offering of emotional support to patients/family/friends  Patient education  Interaction with oncologists (and other doctors)  Administrative tasks  Staff training  Supporting of hospital staff (i.e. role of care workers)
  14. 14. Perceived impact of functions & daily tasks  Medical Oncology Clinic  Tiredness  Much time on feet  Numerous interruptions  No privacy to search for information  Emotional impact  Routine nature of tasks  Hospital Wards  Tiredness (very long shifts)  Much time on feet  Numerous interruptions  No privacy to search for information  Emotional impact (strong)  Numerous interruptions  No privacy to search for information  Difficult to balance work with personal life, continuous education  Insufficient staff and time to do what is really important  Routine nature of tasks
  15. 15. Perceived value of information  Medical Oncology Clinic  Management  Oncologists very up-to- date  Some staff members showing interests  Opportunities for staff  Adequate  Staff  Rely on oncologists  Conference and seminar opportunities  Information nice to have, but not essential  Hospital Oncology Wards  Management  Rely on oncologists  Few opportunities  ICT skills should be part of continuing education  Staff  Rely on oncologists  Rely on hospital ward management  Rely on patients (limited)  Information nice to have, but not essential  More ambitious -- higher need for information  Close to retiring age -- less need for information (cont.)
  16. 16. i Patient well-being Mostly adequate: •Oncologists •Sister-in-charge •Hospital management •Colleagues •Reference works •Patients •Workshops, seminars, conferences Nice to have… •Medical/drug related information •Job opportunities •Training opportunities •Personal use Mostly unaware/ unfamiliar: •WWW CAS •ICT skills •Information literacy Perceived value of information (cont.)
  17. 17. International trends & scientific research Other institutions Management Staff Patients Head oncologist & oncologists Good awareness Limited awareness
  18. 18. Barriers to use of information & WWW CAS  Medical Oncology Clinic  Staff  Time  Access (ICT & privacy)  Daily tasks  Skills  Management  Nature of tasks & task perception  Value of information  Personal motivation  Hospital Oncology Wards  Staff  Time  Demands of the job (physical & emotional)  Funding  Access (ICT & privacy)  Daily tasks  Skills  Opportunities  Management  Time, demands of job, skills, daily tasks, access, funding  Staff shortages
  19. 19. Developing a culture of keeping up in a dynamic field  Acknowledging the nature and demands of their jobs  Need to find ways to face the realities of professional life  Need to find ways to explore what CAS may offer  Management’s mindset  Staff’s mindset  Exploring and stimulating interest in CAS  Expanding our knowledge and understanding  Information behaviour in the oncology health care environments  Information behaviour of patients  Expanding knowledge of opportunities for intervention
  20. 20. Point of departure for staff: understanding yourself… i My job & work place Oncology profession Me – who I am My personal life Society
  21. 21. Point of departure for management: understanding information behaviour in the larger context: i Opportunities for information acquisition and use Oncology information infrastructure Own awareness of information Dissemination to other role players Demands of society
  22. 22. Conclusion  Exploratory study  Interventions (planning in progress)  Workshop  Self-paced study package  Portal  Linking needs of staff, management and patients  Communities of practice  Collaboration  Flow theory
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