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Unique Continuing Breastfeeding Curriculum

Breast nurses, often referred to as breasts, are supported by women with breast cancer in many clinics. From diagnosis to care, they are important supporters of patients and their relatives.

Nursing nurses (BCNs) have in-depth knowledge of breast cancer and act as a Jungle Health Pilot, Medical Information Translator and Compassionate Consolation. They mediate between patients and their careers and the self-help groups that are important to them. For example, breasts are advised even if patients need epithets or wigs.

Only 15 years ago BCN was a rarity in Germany. In the meantime, they joined German cancer treatment. BCV operates across the country at many cancer centers and is an integral part of multidisciplinary teams.

Breast nurses are involved in many guidelines

In the UK, breast nurses have been working since 1987, when a mammogram, which included breastfeeding women, began. Any woman who is diagnosed with breast cancer should be given access to a breast nurse, as scheduled.

Breast nurses are also required in the European EUREF Guidelines for Quality Assurance in Mammography Screening. And in the S3 guideline for early detection, diagnosis, therapy and subsequent care of breast cancer, the consensus statement recommends that BCN should be included in the individual follow-up of breast cancer patients as needed.

Two employees are provided with the necessary flexibility

But even if these professionals work in many clinics, this does not say anything about the degree of care in Germany. The BCN Association in Switzerland points out that, to date, at least two BCNs must be employed in one breastfeeding center for 150 newly diagnosed patients, so that the absence does not lead to care deficiencies and provides the necessary flexibility and continuity.

Gabi Knötgen is a member of the board of the Conference on Oncology Nursing for Children and Children (KOK), a working group of the German Cancer Society (DKG). How many sisters are currently in Germany, he cannot say. No numbers. Whether this information is sufficient to cover the state has also not been examined. Knötgen estimates, however, that BCN is also active in at least every breast center. This is due to the fact that the certification of the centers was originally related to the provision of BCNs.

According to the requirements of the European Society of Mastology (EUSOMA), BCNs must be available today at certified breast centers, while OnkoZert-certified DKG breast cancer centers require oncology specialists or advanced practice nurses (masters), as well as all other oncology centers. As a result, both BCNs work in the breast as well as oncologically qualified specialists who also assist breast cancer patients.

As a problem, the expert describes that so far there is no unique training for nurses in Germany and therefore there are no unique criteria that should target different training providers. The training contents differ as much as the number of training hours. Depending on the provider, the curriculum covers 264 to 374 hours with independent work and a practical part.

BCN training includes several content in the program, including: the Academy of Education at the University Hospital of Essen, the Gesundheitsaka-demie of Berlin Charité, the University of Witten / Herdecke and the German Society for Health and Medical Sciences mbH. Registered nurses, nurses and midwives who have already cared for breast cancer patients are targeted.

"We want to stop the growth of qualifying measures," said Knötgen, who works as a KOK representative in collaboration with the professional authoring team on the development of "Curriculum Nurses (BCN) – Further Nursing Qualifications for Senology." The order comes from DKG and the German Society for Senology (DGS). The unified curriculum will standardize the roles and job descriptions of nursing nurses at breast cancer centers.

The new curriculum should be tested in 2020 with a pilot course

The curriculum has already been completed, Gabi Knötgen reports. The Special Training Center will test the pilot course this spring. If successful, the DKG needs to recognize the curriculum and further qualification as a Breast Nurse may be included in the certification guidelines as an additional professional nursing requirement. The goal of the initiative is that the BCN must be maintained in the future in addition to an oncologically trained specialist in breast centers.

Medical Tribune Report