Competency-Based Orientation for Pediatric Hematology-Oncology Nurses: A Scoping Review for Developing Standards

Area of Science:

• Nursing Education
• Pediatric Hematology-Oncology
• Competency-Based Training

Background:

• Competency-based orientation programs support new pediatric hematology-oncology nurses.
• Global standardization of these programs is lacking, especially in low- and middle-income countries.
• A standardized, adaptable program could benefit hospitals worldwide.

Purpose of the Study:

• To explore literature on competency-based orientation programs.
• To examine practical applications of these programs.
• To develop standards for implementing pediatric hematology-oncology nursing orientation.

Main Methods:

• A scoping review of existing literature.
• Examination of competency-based orientation programs in St. Jude Global Alliance member institutions.

Main Results:

• Reviewed 14 articles and 4 institutional programs from Jordan, Lebanon, Pakistan, and Singapore.
• Found no articles specifically on pediatric hematology-oncology competency-based orientation programs.
• Identified inconsistencies in orientation timing, competency assessment, preceptorships, and stakeholder coordination.

Conclusions:

• Inconsistent orientation practices inadequately prepare nurses for independent patient care.
• Standardization of competency-based orientation programs for pediatric hematology-oncology units is recommended.
• A standardized, adaptable program can enhance nurse success and patient outcomes globally.