كتيب البرنامج

ONCOLOGY NURSING 

DIPLOMA CURRICULUM 

2015 

Preparation 

Curriculum Scientific Group 

DR. WAEL ALZAYYER 

MRS. INGRID PORTER 

MRS. VALARIE MOHAMMED 

MR. HASAN ZAHREDDINE 

Supervision 

Curriculum Specialist 

DR. ZUBAIR AMIN 

DR. SAMI AL SHAMARRI 

Reviewed and Approved 

Nursing Scientific Board 

DR. AHMAD ABOSHAIQAH 

DR. ALI ALBISHI 

DR. SANA ALMAHMOUD 

DR. KHALID ALJOHANI 

DR. HASSAN ALSHAHRANI 

MS. BUSHRA Al HUNIDI 

DR. ELHAM BUKHARI 

ONCOLOGY NURSING DIPLOMA CURRICULUM 1

2 ONCOLOGY NURSING DIPLOMA CURRICULUM

COPYRIGHT AND AMENDMENTS 

© 2015 Saudi Commission for Health Specialties. All rights reserved. 

This material may not be reproduced, displayed, modified, or distributed without 

written permission of the copyright holder. No other use is permitted without 

prior written permission of the Saudi Commission for Health Specialties. For 

permission, contact the Saudi Commission for Health Specialties, Riyadh, 

Kingdom of Saudi Arabia. 

Any amendment to this document must be approved by the Specialty Scientific 

Council and the Executive Council of the Commission. Amendments shall be 

considered effective from the date the revised electronic version is published on 

the Commission’s website, unless a different implementation date has been 

agreed upon. 

Correspondence: 

Saudi Commission for Health Specialties (SCFHS) 

P.O. Box: 94656 

Postal Code: 11614 

Contact Center: 920019393 

E-mail: systemadmin@scfhs.org 

Website: www.scfhs.org.sa 

Formatted and Designed by: 

Manoj Thomas Varghese, CMT (SCFHS) 


TABLE OF CONTENTS 

Table of Contents 

ACKNOWLEDGEMENTS ______________________________________________________ 6 

INTRODUCTION _______________________________________________________________ 7 

NURSING MANPOWER AND THE NEED FOR SPECIALIZATION ___________ 8 

PROGRAM OVERVIEW ________________________________________________________ 9 

Program Objectives ----------------------------------------------------------------------------- 9 

GENERAL TRAINING REQUIREMENTS _____________________________________ 10 

ADMISSION REQUIREMENTS _______________________________________________ 11 

METHODS OF TEACHING ____________________________________________________ 12 

Module I: Health Promotion, Prevention, and Early Detection ------------------------ 13 

Module II: The Scientific Basis for Practice, Part I—Core ----------------------------- 13 

Module III: Scientific Basis for Practice, Part II—Specific Cancers ------------------ 14 

Module IV: Cancer Treatment Modalities ------------------------------------------------- 15 

Module V: Psychosocial Dimensions of Care -------------------------------------------- 16 

Module VI: Ethical Dimensions of Care --------------------------------------------------- 17 

Module VII: Epidemiology ------------------------------------------------------------------ 18 

Module VIII: Statistics ----------------------------------------------------------------------- 19 

Module IX: Introduction to Research and Evidence Based Practice ------------------ 19 

Module X: Symptoms Management -------------------------------------------------------- 20 

Module XI: Oncologic Emergencies ------------------------------------------------------- 23 

Module XII: End of Life Care --------------------------------------------------------------- 23 

Module XIII: Healthcare Informatics ------------------------------------------------------ 24 

Module XIV: Leadership and Management ----------------------------------------------- 25 

Module XV: Professional Performance ---------------------------------------------------- 26 

ASSESSMENT _________________________________________________________________ 28 

The Continuous Evaluation Process -------------------------------------------------------- 28 

Centralized examinations -------------------------------------------------------------------- 28 

Promotion Examinations .................................................................................... 29 

Final (End-of-program) Examination................................................................... 29 

Certification ------------------------------------------------------------------------------------ 30 

References -------------------------------------------------------------------------------------- 31 

APPENDICES _________________________________________________________________ 32 

APPENDIX A --------------------------------------------------------------------------------- 33 


TABLE OF CONTENTS 

APPENDIX B --------------------------------------------------------------------------------- 34 

APPENDIX C --------------------------------------------------------------------------------- 35 

APPENDIX D --------------------------------------------------------------------------------- 37 

APPENDIX E ---------------------------------------------------------------------------------- 40 

APPENDIX F ---------------------------------------------------------------------------------- 42 

APPENDIX G --------------------------------------------------------------------------------- 44 

APPENDIX H --------------------------------------------------------------------------------- 45 


ACKNOWLEDGEMENTS 

Throughout the process of designing this program, a number of individuals have generously 

given their time to provide feedback, which has enriched the program and its content. We 

would particularly like to thank the Nursing Scientific Board members for actively 

contributing feedback and making other contributions to the program. 

We would like to thank staff members at the program training centers (King Abdullah 

Medical City in Makkah, King Fahad Medical City, Riyadh, and King Fahad Specialist Hospital, 

Dammam) for reviewing, and making valuable contributions to this program. 

We are also grateful to the Saudi Commission Continuous Training Committee Members for 

their feedback and support throughout the development of this diploma program. In 

particular, our special thanks go to Dr. Zubair Amin and Dr. Sami Al Shammarri for helping 

us to modify this program. 

Finally, we would like to thank all who have contributed to the components of this 

program. Without your insight and contributions, this program might never have been 

developed. 


INTRODUCTION 

Cancer is a health care concern that affects all populations around the globe. According to 

the 2008 World Cancer Report of the World Health Organization (WHO), the growth and 

aging of the world’s population and the continual increase in underlying incidence rates in 

low- and middle-income countries will contribute to increases in the global cancer burden. 

This global burden will increase from 10.9 million in 2002 to nearly 20 million in 2030 

(WHO, 2008). 

The etiology of most cancers remains unknown, and cancer prevention measures are 

complicated by multiple economic, behavioral, social, and cultural factors. According to the 

latest cancer registry report of the King Faisal Specialist Hospital and Research Center 

(KFSH&RC), 72,557 cases of cancer (36,624 in males and 35,933 in females) were registered 

at the hospital between 1975 and 2011. The majority were adult cases (63,016 patients 

accounting for 86.9% of the total cancer cases). Breast cancer led the list of total cancer 

cases (11.7%), followed by leukemia (8.6%), NHL (7.6%), thyroid cancer (6.7%), and colon 

and rectum cancers (5.0%). Breast cancer was the most common cancer among females 

followed by thyroid, leukemia, and non-Hodgkin’s lymphoma (NHL). Leukemia was the most 

common cancer in male patients followed by NHL, brain and central nervous system cancer, 

and liver cancer (KFSH&RC, 2012). 

According to the Gulf Cooperation Council (GCC) report on cancer, the Gulf countries had 

95,183 diagnosed cancer cases between 1998 and 2007. 49.6% (47,250 cases) involved 

male patients and 50.4% (47,933 cases) involved female patients. Colorectal cancer was the 

most common form of cancer in adult (over 15) patients, followed by NHL, lung cancer, and 

liver cancer. Breast cancer was the most common form of cancer in females, followed by 

thyroid, colorectal, NHL, and ovarian cancers (Gulf Centre for Cancer Control and 

Prevention, 2011). 

In 2011, the top five cancers in males, according to the United States National Program of 

Cancer Registries, were cancers of the prostate, lung and bronchus, colon and rectum, 

urinary tract and bladder, and melanomas of the skin. The top five cancers in females were 

cancers of the breast, lung and bronchus, colon and rectum, corpus and uterine, and 

thyroid (www.cdc.gov). 

In 2011, the top five cancers in males in the United Kingdom were prostate cancer, lung 

cancer, bowel cancer, bladder cancer, and NHL. The top five cancers in females were breast 

cancer, lung cancer, bowel cancer, uterine cancer, and ovarian cancer 

(http://www.cancerresearchuk.org ). 

Goldberg has reported on the leading cancers in various regions in Asia. According to 

Goldberg (2015), the cancers that occur most often in East Asia are lung cancer, followed by 

stomach, liver, and colorectal cancers. The main cancers in both Central and South Asia are 

cervical, uterine, breast, lung, and lip/oral cancers. Breast, lung, colorectal, and stomach 

cancers are the leading cancers in West Asia. Lung, breast, liver and colorectal cancers rates 

were reported to be the highest in South East Asia (Goldberg, 2015). 


NURSING MANPOWER AND THE NEED FOR SPECIALIZATION 

Official healthcare reports, which are released by governmental sectors, include only the 

number of staff nurses. According to the latest statistical yearbook published by the 

Ministry of Health, the number of nurses in the kingdom has increased to 139,701 staff 

nurses, of which only 36.2% are Saudi nationals. The problem is that these reports do not 

provide a detailed breakdown of the number of staff nurses in each medical specialty, 

making it difficult to plan for future expansion. 

The Ministry of Health is building five medical cities throughout the kingdom; most of these 

include oncology services. Other specialized centers, such as the King Faisal Specialist 

Hospital and Research Center, are also expanding their oncology services to include more 

inpatient beds and outpatient clinics. All of these expansions will require more oncology 

nurses. This goal can only be achieved through the implementation of a specialized 

oncology nursing program to increase the supply of oncology nurses in the kingdom. 


PROGRAM OVERVIEW 

The overall aim of this program is to provide an opportunity for professional and technical 

nurses to develop specialized knowledge, skills, and experience in the area of oncology 

nursing, based on international standards. The program is designed to provide the novice 

nurse with specific competencies, enabling him or her to offer safe and high quality care for 

individuals with cancer in the Kingdom of Saudi Arabia. 

Upon the completion of the program, the trainee will earn an Advanced Practice Clinical 

Nursing Diploma in Oncology. This program is offered under the supervision of the Saudi 

Commission for Health Specialties. 

Program Objectives 

Upon the completion of this program, the trainee nurse will be able to: 

 

 

 

 

 

 

 

 

 

 

Integrate knowledge of nursing and health sciences for the care of oncology patients 

during diagnosis, staging, treatment, and at the end of life; 

Use the nursing process to care for oncology patients in particular; 

Demonstrate the interpersonal and psychomotor skills needed to provide effective 

nursing care to oncology patients; 

Provide health education and counseling to oncology patients and their families; 

Use an evidence-based approach and improve nursing practice in cancer care; 

Apply infection control measures when caring for oncology patients; 

Manage the ethical issues involved in caring for oncology patients and their families in 

accordance with Saudi rules and regulations; 

Develop a research project in the area of oncology nursing; 

Demonstrate involvement in self-directed professional development activities; 

Apply the concept of quality improvement when evaluating nursing care. 


GENERAL TRAINING REQUIREMENTS 

 

 

 

 

 

The trainee shall abide by the training regulations and obligations determined by the 

Saudi Commission for Health Specialties (SCFHS). 

Training is a full-time commitment. The trainee shall be enrolled in full-time, 

continuous training for the entire duration of the program. 

Training is to be conducted in institutions accredited for nursing training by the Saudi 

Commission for Health Specialties. 

The training will be comprehensive in the specialties of oncology nursing. 

The trainee shall be actively involved in patient care, with a gradual progression of 

responsibility. 


ADMISSION REQUIREMENTS 

To be eligible to enroll in the program, the applicant must conform to the application 

requirements of the Saudi Council of Health Specialties. In addition, each candidate must: 

 

 

 

 

 

 

 

 

Be a graduate with a Bachelor of Nursing (BSN) degree or equivalent; 

Completion of one year internship; 

Have a successful interview; 

Have a valid nursing license; 

Be prepared to study on a full-time basis; 

Provide a letter from his or her employer allowing participation; 

Be physically fit; 

Possess Basic Life Support (BLS) certification. 

In order to obtain an Advanced Practice Clinical Nursing Diploma in Oncology, the candidate 

must fulfill the following requirements: 

 

 

 

 

 

The required period for the completion of this program is not less than two calendar 

years. 

The program consists of 44 weeks per calendar year, excluding examination weeks 

and annual vacations. A total of 88 weeks must be completed during the entire 

diploma study period. 

A total of 48 teaching and clinical hours must be completed each week. 

Trainees may complete their clinical rotations through daily shifts of 8 hours 

(excluding lunchtime), or 12 hours, totaling no more than 40 hours per week. 

The language of instruction for the program is English. 


METHODS OF TEACHING 

The teaching methods used include the following: 

 

 

 

 

 

 

 

Interactive lectures and discussions; 

Computer-assisted interactive instructional programs; 

Weekly reading assignments; 

Simulations and clinical skills demonstrations; 

Presentations; 

Group discussions of case studies; 

Clinical Practicum which reviews relevant theories in preparation for related clinical 

assignments (as needed), post clinical debriefings (1–2 per week), and the 

development of nursing plans of care for selected patients 

The Advanced Practice Clinical Nursing Diploma in Oncology contains fifteen modules that 

address the education and training of nurses who will provide comprehensive cancer care 

to clients. Each module covers specific competencies. The clinical competencies developed 

during this program are drawn from Mosby’s online nursing skills database. Each trainee is 

issued with a username and a password to access the database. The trainee is expected to 

take the theoretical test related to each competency online. The results of these tests will 

be monitored by the assigned clinical instructor. Based on each trainee’s online exam 

scores, the clinical instructor will schedule a practical competency test at the nursing skills 

laboratory. The attached checklist is used to monitor the competency levels of all trainees. 

This program uses the following modules for training: 

Module I: Health Promotion, Prevention, and Early Detection 

Module II: Scientific Basis for Practice Part I—Core 

Module III: Scientific Basis for Practice Part II—Specific Cancers 

Module IV: Cancer Treatment Modalities 

Module V: Psychosocial Dimensions of Care 

Module VI: Ethical Dimensions of Care 

Module VII: Epidemiology 

Module VIII: Statistics 

Module IX: Introduction to Research and Evidence Based Practice 

Module X: Symptoms Management 

Module XI: Oncologic Emergencies 

Module XII: End of Life Care 

Module XIII: Healthcare Informatics 

Module XIV: Leadership and Management 

Module XV: Professional Performance 



Module I: Health Promotion, Prevention, and Early Detection 

Learning Objectives 

At the end of this module, the trainee will be able to: 

Identify the three leading cancer diagnoses in the Kingdom of Saudi Arabia, for both 

men and women; 

Distinguish between incidence, prevalence, risk, prevention, mortality, and 

epidemiology; 

Identify the behavior modifications associated with cancer prevention; 

Recognize common screening strategies for specific cancers and related 

recommendations; 

List common tumor markers used to identify certain cancers or to monitor 

malignancy. 

Module Outline 

Cancer Epidemiology 

Cancer Prevention Strategies 

Risk Factors for Cancer 

Tobacco Smoking 

Screening 

Early Detection 

Risk-Reduction Guidelines 

Diagnostic Testing 

Clinical Competencies 

Primary Prevention of Cancer: Patient Education 

Cancer Detection Guidelines: Patient Education 

Module II: The Scientific Basis for Practice, Part I—Core 


At the end of this module, the trainee nurse will be able to: 

 

 

 

 

 

 

 

Define cancer and describe the process of carcinogenesis; 

Explain the function of various cells and mediators involved in the immune response; 

Identify physical, chemical, and viral carcinogens and the role of immune surveillance 

and genetic predisposition in the development of cancer; 

Describe the characteristics of cancer cells, including the role and clinical applications 

of tumor markers; 

Define tumor nomenclature and staging; 

Describe how the concept of cancer biology is used to provide optimal nursing care to 

cancer patients and their families. 

Appreciate how an understanding of cancer biology and carcinogenesis enhances the 

professional development of oncology nurses. 




Carcinogenesis 

Immunology 

Genetics 

Classification (tumors, staging, grading) 

Common metastatic sites 

Research Protocols and Clinical Trials 


Genetic Genogram Development 

Patient Education: Clinical Trials 

Module III: Scientific Basis for Practice, Part II—Specific Cancers 



Describe the pathophysiology associated with specific cancers; 

Discuss the risk factors associated with different types of cancer and identify high risk 

populations; 

Comprehend diagnosis and staging as they relate to treatment approach; 

Use the nursing process to develop a plan of care for patients with specific forms of 

cancer. 

Outline of Modules 

Nursing Care for Patients with Breast Cancer 

Nursing Care for Patients with Lung Cancer 

Nursing Care for Patients with Cancers of the Gastrointestinal Tract 

Nursing Care for Patients with Cancers of the Reproductive System 

Nursing Care for Patients with Cancers of the Urinary System 

Nursing Care for Patients with Skin Cancer 

Nursing Care for Patients with Head and Neck Cancers 

Nursing Care for Patients with Cancers of the Neurologic System 

Nursing Care for Patients with Hematologic Malignancies 

Nursing Care for Patients with Bone and Soft Tissue Cancers 

Nursing Care for Patients with HIV-Related Cancers 


Assessment: Respiration 

Assessment: Thorax and Lung 

Chest Tube: Closed Drainage Systems 

Chest Tube Removal 

Tracheostomy Care 

Tracheostomy Tube Change 

Wound Drain Removal 

Wound Drainage Evacuation 

Incision and Drainage 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assessment: Wound 

Pressure Ulcer: Risk Assessment and Prevention 

Assessment: Abdomen, Genitalia, and Rectum 

Nasogastric Tube: Insertion, Irrigation, and Removal 

Peripheral Parenteral Nutrition with Lipid (Fat) Emulsion 

Central Parenteral Nutrition 

Ostomy Pouching: Colostomy or Ileostomy 

Ostomy Pouching: Urostomy 

Colostomy Irrigation 

Feeding Tubes: PEG, Gastrostomy, and Jejunostomy Care 

Urinary Catheter: Indwelling Catheter Care 

Urinary Catheter: Straight and Indwelling Catheter Insertion (Female) 

Suprapubic Urinary Catheter Insertion and Replacement: Advanced Practice 

Urinary Catheter: Closed Continuous Irrigation 

Intravesical Chemotherapy 

Assessment: Head and Neck 

Assessment: Musculoskeletal and Neurologic 

Blood Products Administration 

Hematopoietic Cell Transplantation: Acute Graft-Versus-Host Disease 

Bone Marrow Biopsy and Aspiration 

Bone Marrow and Aspiration: Advanced Practice 

Transfusion Reaction 

Moderate Sedation During a Diagnostic Procedure 




Identify the rationale for the use of vascular access devices (VAD); 

Differentiate among the various types of VADs; 

Outline potential complications associated with vascular access devices, including a 

plan for nursing management and patient education; 

Identify goals and/or a rationale for the use of various cancer treatment modalities; 

Explain the role of the nurse in various cancer treatment modalities, including 

education; 

Outline various types of surgical cancer procedures; 

Illustrate safety measures used in surgery; 

Describe the indications for radiation therapy; 

Label safety measures used in radiation therapy; 

Define the indications for chemotherapy, biotherapy, and molecular targeted therapy; 

Explain the mechanisms of action of chemotherapy, biotherapy, and molecular 

targeted therapy; 

Identify diseases commonly treated with Hematopoietic Stem Cell Transplantation 

(HSCT); 

Deduce the theory behind HSCT; 

Compare and contrast allografting and autografting. 




Vascular Access Devices 

Nursing Implications of Surgical Treatment 

Nursing Implications of Radiation Therapy 

Nursing Implications of Chemotherapy 

Nursing Implications of Biotherapy and Molecular Targeted Therapy 

Nursing Implications of Hematopoietic Stem Cell Transplantation 


Chemotherapy Administration: General Principles 

Safe Handling of Hazardous Medications 

Chemotherapy and Biotherapy Administration: Pretreatment Assessment, Initial and 

Subsequent Cycles 

Chemotherapy and Biotherapy: Pre-Administration Verification 

Targeted Therapies: General Principles 

Patient Education: Oral Chemotherapy and Biotherapy Administration 


Application of Oral Chemotherapy, Biotherapy, and Hormonal Agents: Patient 

Education 

Containment of Hazardous Medication Spills 

Chemotherapy Administration: Intrathecal 

Chemotherapy Administration During Surgery 

Chemotherapy Administration: Intraperitoneal 

Chemotherapy Administration: Vesicant and Irritant Agents 

Central Venous Catheter: Infection Prevention 

Implantable Port Access, De-access, and Care 

Central Venous Catheter Management 

Assessment: Radiation 

Radiation Pneumonitis: Nursing Management 

Radiation Therapy: Patient and Family Education 




 

 

 

 

Recognize expected patterns of psychosocial change in response to illness; 

Discuss the potential implications of emotional distress; 

Explore past coping responses to stressful events and support successful responses; 

Analyze ways to provide interventions to maximize comfort during emotional distress. 


Cultural and Spiritual Implications of Care 

Coping: Survivorship 

Psychosocial Disturbances/Alterations 

Anxiety, Loss and Grief, Depression 



 

 

 

 

 

 

Coping: Altered Body Image 

Loss of Personal Control 

Patient and Family Support 

Learning Styles and Barriers to Learning 

Social Relationships 

Coping Mechanisms and Skill 


Survivorship 

Distress Management for Newly Diagnosed Cancer Patients and Their Families 

Patient Education: Long-Term Effects of Chemotherapy 

Cultural Considerations 

Module VI: Ethical Dimensions of Care 



 

 

 

 

 

 

 

 

Interpret the nature and role of ethical theories in guiding sound ethical decisionmaking 

in workplace settings; 

Discuss the ethical and legal context of professional nursing practice; 

Advocate key ethical issues that affect nursing and related health care contexts; 

Examine processes for achieving desired moral outcomes in the nursing and 

healthcare domains; 

Analyze the conflicting duties and rights inherent in moral dilemmas; 

Discuss the impact of current issues related to health care delivery; 

Use ethical reasoning to synthesize standards of practice, ethical principles, and 

legal/regulatory requirements in the resolution of ethical dilemmas; 

Predict which ethical issues are likely to become relevant to oncology patients. 


Introduction to Moral and Legal Concepts 

Credentialing and Licensing 

Autonomy and Paternalism 

Life and Death 

Public Health 

Ethical Issues Related to Oncology 


To deliver quality care by identifying basic ethical principles related to oncology 

treatments in the Kingdom of Saudi Arabia; 

To apply competent clinical skills by distinguishing between moral and legal concepts 

in relation to cancer diagnosis and treatment; 

To adapt culturally sensitive care by identifying ethical and cultural life and death 

considerations in the Kingdom of Saudi Arabia; 

To demonstrate knowledge by identifying common ethical dilemmas related to cancer 

patients. 



Module VII: Epidemiology 



Demonstrate an understanding of the mechanisms and dynamics of disease 

transmission in populations, as well as the risk factors that determine their 

distribution; 

Develop an understanding of measures related to morbidity and mortality, incidence 

and prevalence; 

Assess the validity and reliability of diagnostic and screening tests; 

Explain the different mechanisms used to describe disease prognosis in quantitative 

terms for groups of patients; 

Examine the efficacy of preventive and therapeutic measures via randomized trials; 

Build an understanding of the design and conduct of epidemiological studies (cohort, 

cross-sectional, retrospective, and prospective); 

Differentiate between association and causation; 

Recognize the potential biases, confounders, and interacting factors in an 

epidemiological study; 

Explain the role of genetic and environmental factors in causing disease; 

Apply epidemiologic methods to evaluate screening programs; 

Identify sources of information on disease occurrence; 

Develop a critique of medical and health research studies. 


Definition of Epidemiology and Health 

Dynamics of Disease Transmission 

Endemic Infectious Diseases 

Measuring the Occurrence of Disease 

Assessing the Reliability and Validity of Diagnostic and Screening Tests 

Assessing the Efficacy of Preventive and Therapeutic Measures through Randomized 

Trials 

Cohort Studies 

Case Control and Cross-Sectional Studies 

Estimating Risk-determining Association 

Estimating the Potential for Prevention 

From Association to Causation: Deriving Inferences from Epidemiologic Studies 

Bias, Confounding, and Interaction 

The Role of Genetic and Environmental Factors in Causing Disease 

Ethical and Professional Issues in Epidemiology 


To adapt research skills by identifying basic principles in epidemiology; 

To apply evidenced practice by identifying the dynamics of disease transmission and 

the occurrence of diseases; 

To demonstrate knowledge by determining the associations of diseases and 

estimating their potential for disease prevention; 



 

To demonstrate knowledge by explaining the role of genetic and other environmental 

factors that contribute to the causation and occurrence of diseases. 

Module VIII: Statistics 



 

 

 

 

 

 

Demonstrate familiarity with statistical terminology and the purpose of statistics; 

Identify ways of organizing data; 

Define and compute measures of central tendency and variability; 

Demonstrate an understanding of the analysis of statistical data within the context of 

the research process; 

Provide the necessary statistical background for analyzing data and drawing 

inferences from that analysis; 

Demonstrate an understanding of the logic of hypothesis testing. 


Descriptive Statistics, Frequencies, Shapes, Measures of Central Tendency 

Univariate Descriptive Statistics, Measures of Variability, Range Standard Deviation 

Scores within a Distribution, Standardized Distribution of Z Scores 

Bivariate Descriptive Statistics 

Inferential Statistics, Probability, Sampling Distribution, Hypothesis Testing 

Power Analysis, Type1 and Type II Errors, Level of Significance/Critical Regions, 

Confidence Interval, One- and Two-Tailed Tests, and Parametric Tests 

Bivariate Inferential Statistics, T Tests for Independent Groups, Paired T Tests 

(Dependent Groups) 

ANOVA, Between Groups Versus Within Groups, Non Parametric Tests, Chi Square, 

Test for Independence, Bi-variate Inferential Statistics, Pearson R as Inferential 


To demonstrate familiarity with the terminology listed in the module outline; 

To propose ways of organizing data; 

To define and compute measures of central tendency and variability; 

To discuss the logic of hypothesis testing; 

To analyze data and draw inferences from the analysis; 

To integrate the role of statistical data into the research process. 

Module IX: Introduction to Research and Evidence Based Practice 



 

 

 

Define the basic concepts of research methodology; 

Compare and contrast different research designs; 

Describe the scientific process and its use in nursing research; 



 

 

 

 

 

 

 

 

 

Design a research proposal for a project; 

Define the steps of the research process and/or the conduct of a circumscribed 

nursing research project in a proposal; 

Analyze research problems and conduct a theoretical literature review process 

relevant to nursing practice; 

Compare and contrast research designs; 

Discuss appropriate statistical techniques in the analysis of data; 

Critique current nursing practice studies; 

Discuss the use of research findings; 

Define the historical perspective of evidence based practice (EBP); 

Apply evidence based nursing practice principles, identified through nursing research. 


Overview of Nursing Research 

Research Methodology and Process 

Research Designs 

Data Collection and Analyses 

Evidence Based Research and Applications 


To demonstrate familiarity with research terminology; 

To master research design; 

To conduct a literature search using both electronic and non electronic resources; 

To gather and interpret relevant data and to make judgments; 

To identify evidence-based principles and their practical applications 

To develop a critical approach to appraisal; 

To review and critique journal articles 

To formulate a research proposal on an interesting oncology project; 

To apply the process of design and implement a research project; 

To prepare a manuscript for publication. 

Module X: Symptoms Management 



 

 

 

 

 

 

Use physical findings/treatments to identify impaired mobility that might lead to 

increased fall risks; 

Discuss non-pharmacologic approaches to maintaining skin integrity; 

Identify common diseases or treatment-related factors that could precipitate 

impaired skin integrity; 

Name the most common risk factors associated with cancer and/or treatment-related 

symptoms. 

List chemotherapy drugs with known side effects and toxicities that can affect body 

systems; 

Understand the difference between grades 1–4 of neutropenia; 



 

 

 

 

 

 

 

 

 

 

Describe the risk factors of a patient with neutropenia; 

Deliver a teaching plan involving common safety practices for thrombocytopenic 

patients; 

Discuss non-pharmacological methods of enhancing appetite; 

Explain the differences between xerostomia and mucositis; 

Identify two non-pharmacologic interventions that decrease nausea and vomiting; 

Define the difference between anticipatory, acute, and delayed nausea and vomiting; 

Identify the causes of taste alterations in patients receiving cancer treatment; 

Provide goals and/or rationales for using complementary, alternative, and integrative 

therapies; 

Identify the major complementary, alternative, and integrative therapy categories; 

Draw conclusions about the role of the nurse in complementary, alternative, and 

integrative therapies, including education. 


A. Etiology and Patterns of Symptoms (Acute, Chronic, and Late) 

B. Toxicity and Rating Scales 

C. Altering Levels of Comfort 

a. Pain 

b. Fatigue 

c. Pruritus 

d. Sleep Disorders 

D. Alterations in Protective Mechanisms 

a. Alterations in Skin Integrity 

b. Myelosuppression 

E. Alterations in Gastrointestinal Function 

a. Bowel Incontinence 

b. Constipation 

c. Diarrhea 

d. Bowel Obstruction 

F. Alterations in Genitourinary Function 

a. Urinary Incontinence 

b. Electrolyte Imbalances 

c. Renal dysfunction 

d. Sexual dysfunction 

G. Alterations in Cardiopulmonary Function 

a. Anatomical and Surgical Alterations 

b. Pulmonary Toxicity 

c. Dyspnea 

d. Pleural Effusions 

e. Anemia 

f. Lymphedema 

g. Edema 

h. Pericardial Effusion 

i. Cardiovascular Toxicity 

j. Thrombotic Events 

H. Nutritional Alterations 

a. Dysphagia 



b. Anorexia 

c. Mucositis 

d. Xerostomia 

e. Nausea and Vomiting 

f. Taste Alterations 

g. Cachexia 

h. Ascites 

I. Alterations in Neurological Function 

a. Neuropathies 

b. Alterations in Mental Status 

J. Anatomical and Surgical Alterations 

K. Pharmacologic Interventions 

L. Non-Pharmacologic Interventions 

M. Complementary, Alternative and Integrative Modalities 


a) Pain Assessment and Intervention 

b) Fatigue: Nursing Management 

c) Thrombocytopenia: Nursing Management 

d) Thrombotic Thrombocytopenic Purpura: Nursing Management 

e) Neutropenia: Preventing Infection 

f) Thrombocytopenia: Nursing Management 

g) Febrile Neutropenia: Nursing Management 

h) Anemia: Nursing Management 

i) Diarrhea: Nursing Management 

j) Constipation: Nursing Management 

k) Bowel Obstruction: Nursing Management 

l) Sexual Alterations: Nursing Management 

m) Sexual Side Effects of Chemotherapy: Nursing Management 

n) Pulmonary Toxicity: Nursing Management 

o) Malignant Pleural Effusion: Nursing Management 

p) Dyspnea: Nursing Management 

q) Venous Thromboembolism: Management 

r) Cardiac Toxicity: Nursing Management 

s) Anorexia and Cachexia: Nursing Management 

t) Dysphagia: Nursing Management 

u) Xerostomia: Nursing Management 

v) Lymphedema: Nursing Management 

w) Mucositis: Nursing Management 

x) Nausea and Vomiting: Nursing Management 

y) Hypersensitivity Reactions: Nursing Management 

z) Dermatologic Effect of Chemotherapy Biotherapy: Nursing Management 

aa) Neurotoxicity from Chemotherapy: Nursing Management 

bb) Neurocognitive Dysfunction: Nursing Management 

cc) Chemotherapy-Induced Peripheral Neuropathy: Nursing Management 

dd) Seizure Precautions 

ee) Alopecia: Nursing Management 

ff) Ocular Toxicity: Nursing Management 

gg) Hyperuricemia: Nursing Management 



hh) Hepatotoxicity: Nursing Management 

ii) Complementary and Alternative Medicine Therapies 

Module XI: Oncologic Emergencies 



 

 

 

 

 

Evaluate metabolic and structural oncologic emergencies; 

Assess patients at risk for various oncologic emergencies; 

Deliver interventions for underlying and predisposing conditions and oncological 

emergencies; 

Provide interventions to decrease the severity of associated symptoms; 

Identify non-pharmacologic interventions to maximize comfort and safety. 


Disseminated Intravascular Coagulation (DIC) 

Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH) 

Septic Shock 

Tumor Lysis Syndrome 

Hypersensitivity and/or Anaphylaxis 

Hypercalcemia 

Cardiac Tamponade 

Spinal Cord Compression 

Superior Vena Cava Syndrome 

Increased Intracranial Pressure 


Disseminated Intravascular Coagulation (DIC): Nursing Management 

Syndrome of Inappropriate Antidiuretic Hormone (SIADH): Nursing Management 

(Oncology) 

Tumor Lysis Syndrome: Nursing Management 

Hypercalcemia of Malignancy: Nursing Management 

Hypersensitivity Reactions: Nursing Management 

Cardiac Tamponade: Nursing Management 

Superior Vena Cava Syndrome: Nursing Management 

Spinal Cord Compression: Nursing Management 

Module XII: End of Life Care 



 

Describe the philosophy and principles of hospice and palliative care that can be 

integrated across a range of different settings to enhance the quality of care at the 

end of life; 



 

 

 

 

 

 

Explain the role of the nurse involved with pain and symptom assessment and 

management; 

Justify the nurse’s specific roles in ethical decision-making; 

Judge cultural dimensions and the influence of culture on palliative care for patients 

across the life span; 

List three factors that influence communication in the palliative care setting; 

Describe the nurse’s role in helping patients cope with loss, grief, and bereavement; 

Value the role of the palliative care nurse in easing patient deaths. 


Hospice and Palliative Care 

Pain Management 

Symptom Management 

Communication 

Cultural and Ethical Issues in End of Life Care 

The Last Hours of Dying 

Loss, Grief, and Bereavement 



Advance Directive Discussion 

Death Rattle: Nursing Management 

End of Life Discussions 

Pain Relief 

Oxygen Therapy and Oxygen Delivery 

Module XIII: Healthcare Informatics 



Understand the importance of nursing informatics as an emerging field in the nursing 

profession, identifying key factors and legislative organizations that help to shape 

nursing informatics; 

Appraise evolving models and theories of informatics that define the function and 

competencies of nursing informatics; 

Justify the implications of nursing informatics for nursing practice, administration, 

education, and research; 

Validate skills in the acquisition and retrieval of nursing information using the 

institution’s health information system, the worldwide web, and varied electronic 

resources; 

Defend approaches that safeguard data and information integrity while maintaining 

privacy and confidentiality. 


Introduction of Nursing Informatics and Overview 

Nursing Informatics Goals—the Standards and Scope of Practice. 



 

 

 

 

 

 

 

 

 

Nursing Informatics Competencies (i.e. Computer Literacy Skills, Informatics Literacy 

Skills, etc.) 

Models and Theories of Informatics 

Internet, Search Engines, and Electronic Databases and Resources. 

Selection of Health Care Information Systems 

System Implementation, Maintenance, and Development 

Data Integrity, Security and Confidentiality 

Intranet, Extranet, and Network Integration 

Information Technology in Patient Education 

Integrating Computers and Information Technology in Nursing Education and Practice 


To discuss the role of nursing informatics in practice, administration, education and 

research; 

To define the diffusion of innovation theory; 

To demonstrate competence in retrieving nursing information using the HIS; 

To advocate for safeguarding data and information integrity. 

Module XIV: Leadership and Management 



Analyze the components of organizational structure and culture; 

Apply theories of effective leadership and management within selected health care 

arenas; 

Employ nursing process skills, critical thinking, ethical decision-making, 

communication, and therapeutic nursing interventions in managing the culturally 

competent, cost effective care of groups of clients across the wellness/illness 

continuum; 

Collaborate with multidisciplinary health care team members to prioritize and 

coordinate high quality and cost effective healthcare; 

Demonstrate leadership and the management of a care-giving team comprised of 

individuals with varied cultural backgrounds and levels of clinical knowledge and 

competency; 

Use investigation and research skills to enhance the knowledge base, facilitate 

change, and improve the quality of care; 

Demonstrate professional accountability for effective leadership in a nursing practice; 

Contribute to organizational strategic planning and its implementation at different 

levels within healthcare organizations. 


Organizational Structure and Culture 

Application of Leadership and Management Theories 

Organizational and Personal Mission, Vision and Goals 

Critical Thinking, Problem Solving, and Effective Decision Making 

Quality and Risk Management 



 

 

 

 

 

 

Budgeting, Cost, Care Delivery Models, and Staffing 

Communication, Motivation, and Team Building 

Change and Conflict Management 

Role Transition and Delegation 

Strategic Planning and Strategic Management 

Career Planning 


Systems Thinking 

Time Management 

Information Management 

Human Resources Management (i.e. Staffing and Scheduling, Resource Allocations, 

etc.) 

Financial Management (Cost Analyses, Budget Forecasting, etc.) 

Quality and Risk Management (Quality Plans, Risk Management Models, etc.) 

Change Management and Conflict Resolution 

Strategic Planning 

Strategic Management 

Career Planning 

Module XV: Professional Performance 



 

 

 

 

 

 

 

 

 

 

Assume responsibility for personal professional development; 

Initiate independent learning activities; 

Provide care in an inter professional environment; 

Advocate for the health and safety of patients; 

Identify two differences between effective and ineffective communication; 

Discuss the meaning of active listening; 

Identify three skills necessary for active listening; 

Describe the ways in which patients and coworkers can benefit when nurses 

communicate effectively; 

Discuss the difference between “I” and “You” statements; 

Identify the skills required for therapeutic communication. 




Sources of Data for Evidence-Based Practice 

Education Process (Teaching and Learning Principles) 

Legal Issues 

Ethical Issues 

Patient Advocacy 

Quality Assurance 

Professional Development 

Multidisciplinary Collaboration 

Effective Communication 


Communication with Depressed Patients 

Therapeutic Communication 

Communicating with Anxious Patients 

SBAR Communication 


ASSESSMENT 

Overall, the evaluation and assessment of trainees is carried out in accordance with the Saudi 

Commission training and examination rules and regulations. Assessment is divided into two 

parts: 

 

 

Continuous evaluation process 

Centralized examinations 

The Continuous Evaluation Process 

The main aim of the continuous evaluation process is to evaluate every aspect of the trainee’s 

performance during his or her time at the training center. This process enables those involved 

in the training process (i.e. preceptors) to provide objective feedback. It also involves 

evaluating interactive training activities such as case studies and seminars. The following 

components are part of the continuous evaluation process: 

 

 

 

 

 

Feedback from the assigned preceptor: this feedback should be obtained and 

documented every month and as needed (Appendix C); 

Feedback from the assigned clinical instructor: this feedback should be obtained and 

documented every month and as needed (Appendix D); 

Feedback from the assigned head nurse/nurse manager: this feedback should be 

obtained every month and as needed (Appendix E); 

Seminar evaluation: trainees will attend one group seminar each year. Seminar topics 

should be selected by the trainee and approved by the assigned clinical instructor and 

the program director (Appendix F); 

Case study evaluation: the case study of a patient cared for in a clinical setting. The case 

presentation will include: the patient’s past medical/surgical history, cancer 

diagnosis/treatment history, current medical/surgical diagnosis, and nursing diagnosis 

with appropriate assessment findings, and current medical/nursing plans of care with an 

assessment of optimal outcomes. Presentations should last approximately 15 minutes, 

with the trainee facilitating the post-presentation discussion. The discussion should 

include a comparison of plans of care with the current National Comprehensive Cancer 

Network (NCCN) Clinical Practice guidelines, Oncology Nursing Society (ONS) standards 

of care, and any other evidence-based practice standards. A case study evaluation form 

must be completed and signed by the clinical instructor and the trainee (Appendix G). 

Centralized examinations 

This assessment component includes the following examinations conducted centrally by the 

Saudi Commission for Health Specialties: 

Promotion Examinations 

Final Examinations 



Promotion Examinations 

These examinations are held at the end of first year of the program. The successful 

completion of these examinations will enable the trainee to graduate to the second year of 

the training program. The promotion examinations will consist of the following: 

1. Promotion Written Examination 

The main objective of this exam is to assess the trainees’ theoretical knowledge and critical 

thinking skills in relation to topics and clinical experience covered during the first training 

year. The examination format (including the number of questions, eligibility, and the scores 

required to pass) will be based on the Saudi Commission Examination Rules and Regulations, 

available from the Saudi Commission Website: www.scfhs.org.sa . 

2. Promotion Clinical Examination 

An objective structured clinical examination (OSCE) will be held to assess the trainees’ clinical 

skills, including data gathering, patient management, communication, and counseling. This 

examination will include a specific number of stations designed to achieve the training 

objectives. The examination format (including the number of questions, eligibility, and the 

scores required to pass) will be based on the Saudi Commission Examination Rules and 

Regulations, available from the Saudi Commission Website, www.scfhs.org.sa . 

Final (End-of-program) Examination 

The end-of-program examinations are comprehensive. The trainee will be awarded his or her 

diploma certificate once he/she has successfully completed these examinations. 

1. Final Written Examination 

This exam assesses the trainees’ theoretical knowledge and critical thinking skills in relation to 

all of the topics and clinical experience covered during the program. The examination format 

(including the number of questions, eligibility, and the scores required to pass) will be based 

on the Saudi Commission Examination Rules and Regulations, available from the Saudi 

Commission Website, www.scfhs.org.sa . 

2. Final Clinical Examination 

An objective structured clinical examination (OSCE) will be held to assess the trainees’ clinical 

skills, including data gathering, patient management, communication, and counseling. This 

examination will include a specific number of stations designed to achieve the training 

objectives. The examination format (including the number of questions, eligibility, and scores 

required to pass) will be based on the Saudi Commission Examination Rules and Regulations, 

available from the Saudi Commission website, www.scfhs.org.sa . 



Certification 

A certificate of completion will be issued when the trainee has successfully completed all 

training program requirements, including examinations and competencies. Trainees who 

complete these requirements successfully will receive the Advanced Practice Clinical Nursing 

Diploma in Oncology. 



References 

Required Textbooks 

1. Godwin, L., Johnson, M., Potter, P. A., Perry, A. G., Sorrentino, S. A., Vector 

Communications and Mosby, Inc. (2002). Mosby’s nursing skills: Intermediate. St. Louis, 

Mo: Mosby. 

2. Gordis, L. (2014). Epidemiology. New York: W.B. Saunders Co. 

3. Gravetter, F. and Wallnau, L. (2010). Essentials of statistics for the behavioral sciences. 

Belmont, CA: Thomson Wadsworth. 

4. Guido, G.W. (2010). Legal and ethical issues in nursing. NJ: Pearson. 

5. Kaplan, M. (2010). Understanding and managing oncologic emergencies: A resource for 

nurses (2 nd ed.). Pittsburgh, PA: Oncology Nursing Society. 

6. Polit, D. (2010). Statistics and Data Analysis for Nursing Research. New York: Prentice 

Hall. 

7. Polovich, M., Whitford, J. and Olsen, M. (Eds.) (2009). Chemotherapy and biotherapy 

8. guidelines and recommendations for practice (3 rd ed.). Pittsburgh, PA: Oncology Nursing 

Society. 

9. Saba, V. and McCormick, K. (2011). Essentials of nursing informatics. New York: McGraw 

Hill Companies Inc. 

10. Wilkes, G. and Barton-Burk, M. (2014). Oncology nursing drug handbook. Sudbury, MA: 

Jones and Bartlett, LLC. 

11. Yarbro, C., Frogge, M. and Goodman, M. (2010). Cancer nursing: Principle and practice 

(7 th ed.). Sudbury, MA: Jones and Bartlett, Boston, LLC. 

12. Yoder-Wise, P. (2014). Leading and managing in nursing. St. Louis: Mosby Inc. 

Suggested Textbooks 

1. Fischer, D., Knobf, M., Durivage, H., and Beauliec, N. (2004). The cancer chemotherapy 

handbook. St. Louis: Mosby Inc. 

2. Lilley, L. L. and Synder, J. S. (2004). Study guide for pharmacology and nursing process. 

St. Louis: Mosby Inc. 

3. Lehre, R. (2004). Pharmacology for nursing care. Philadelphia: Saunders. 

4. McCance, K. and Huether, S. (2002). Pathophysiology, the biologic basis for disease in 

adults and children. Philadelphia: Mosby. 

5. Nowak, T. J. and Handford, A. (2004). Pathophysiology, concepts and applications for 

health care professionals. McGraw Hill. 


APPENDICES 


APPENDICES 

APPENDIX A 

Didactic and Clinical Rotations (1st Year) 

First Year 

Courses Duration Didactic Clinical 

Module I: Health 

Promotion, Prevention 

and Early Detection 

8 Weeks 

64 Hours 256 Hours 

(1 day per 

week) 

(4 days per week) 

Inpatient and Outpatient Oncology/Hematology 

Module II: Scientific 

Basis for Practice, Part I 

—Core 

8 Weeks 


(1 day per 

week) 



Module III: Scientific 

Basis for Practice, Part II 

—Specific Cancers 

10 Weeks 


(1 day per 

week) 




(1 day per 

week) 


Module IV: Cancer 

Treatment Modalities 

12 Weeks 

6 weeks rotation in Chemotherapy and Biotherapy Inpatient 

and Outpatient areas 

4 weeks in Surgical Oncology 

2 weeks in Radiation Therapy 

Modules V and VI: Ethical 

and Psychosocial 

Dimensions of Care 

6 Weeks 


(1 day per 

week) 



Total 44 Weeks 352 Hours 1408 Hours 


APPENDICES 

APPENDIX B 

Didactic and Clinical Rotations (2 nd Year) 

Second Year 

Courses Duration Didactic Clinical 

Module VII: Epidemiology 2 Weeks 80 Hours None 

Module VIII: Statistics 2 Weeks 80 Hours None 

Module IX: Introduction to Research 

and Evidence Based Practice 

4 Weeks 

Module X: Symptoms Management 8 Weeks 


(2 days per week) (3 days per week) 

Consolidate rotation in the research area of interest 

and in areas that provide resources for nursing 

research (e.g. nursing researchers, biostatisticians, 

or librarians) 


(1 day per week) (4 days per week) 


Module XI: Oncologic Emergencies 10 Weeks 




Module XII: End of Life Care 8 Weeks 



Rotation in palliative care area 

Module XIII: Healthcare Informatics 4 Weeks 

Module XIV: Leadership and 

Management 

4 Weeks 



Rotations with nursing informatics staff, and/or 

working with healthcare informatics systems 



Rotations with Nurse Managers 

Module XV: Professional 

Performance 

2 Week 



Rotation in the oncology specialty area of interest 

Total 44 Weeks 560 Hours 1200 Hours 


APPENDICES 

APPENDIX C 

Advanced Practice Clinical Nursing Diploma in Oncology 

Trainee Performance Assessment 

(To be completed monthly by the Preceptor on completion of the clinical hours required in 

the specialty area) 

Trainee Name:………………………………….ID Number:………………… 

Evaluation For The Period From:……………………….To:………………….. 

Performance Indicators: Weak: 1 Fair: 2 Good: 3 Very Good: 4 Excellent: 5 

Skill Assessment Criteria 1 2 3 4 5 

Demonstrates the ability to effectively 

assess, diagnose, plan, implement, and 

evaluate patient care 

Plans patient-specific care and uses care 

maps or clinical pathways (if appropriate) 

for a clinical setting 

Implements nursing interventions and 

makes individualized therapeutic 

decisions related to the patient’s 

condition and planned outcomes 

Demonstrates safe medication 

administration practices at all times 

Participates in formal and informal 

teaching/training 

Maintains professional behavior at all 

times 

Maintains complete documentation in 

accordance with hospital policies 


APPENDICES 


Works collaboratively with a 

multidisciplinary team (preceptor, 

manager, physicians, etc.) in order to 

achieve training goals 

Requests assistance, support, and 

supervision appropriately as needed 

Shares goals/objectives with preceptor for 

each clinical day 

Shows initiative in identifying and 

articulating training needs 

Completes all care responsibilities 

associated with designated patients each 

clinical day 

Demonstrates effective time 

management, organization in planning, 

and appropriate performance of nursing 

responsibilities 

Displays punctuality, and provides 

appropriate notification of absence, in 

accordance with hospital policy 

Displays professional behavior and 

appearance (uniform and ID) 

Demonstrates accountability and 

responsibility for his or her own practice 

Accepts constructive feedback 

Adheres to the code of ethics 

Maintains patient confidentiality at all 

times 

Demonstrates respect for cultural 

differences 

Total /20 

Comments: Preceptor: 

____________________________________________________________________________ 

__________________________________________________________________________ 


APPENDICES 

Preceptor Name: ______________________________________________________ 

Signature: ________________________________ Date: _____________________ 

Trainee Name: __________________________________________________________ 

Signature:______________________________ Date: -_________________________ 

APPENDIX D 



(To be completed monthly by the Clinical Instructor on completion of the clinical hours 

required in the specialty area) 



Performance Indicators: Weak: 1 Fair: 2 Good: 3 Very good: 4 Excellent: 5 


Collects relevant patient information to 

develop a comprehensive care plan 

Conducts a thorough physical assessment 

and documents findings in the patient’s 

medical record, in accordance with 

organizational policies 

Identifies, based on assessment findings, 

appropriate patient outcomes 


APPENDICES 


Develops a comprehensive plan of care to 

ensure continuity of care, in collaboration 

with patients and their families 

Provides appropriate interventions based 

on the patient’s plan of care 

Adheres to the safety standards and 

protocols outlined in hospital policies and 

procedures 

Communicates with patients and families 

using therapeutic communication skills 

Evaluates each patient’s progress based on 

planned outcomes, and revises the plan of 

care accordingly 

Is self-directed, takes the initiative, and 

shows responsibility for his or her own 

practice 

Develops a plan of care for specific patient 

populations, as needed 

Accepts constructive criticism and uses 

suggestions for improvement 

Demonstrates punctuality and reports 

absence or sickness through the right 

channels, in accordance with hospital 

policies 

Participates in staff and trainee education 

programs 

Turns in completed written assignments 

on time 

Cooperates with and supports other 

members of the health care team 


Maintains patient confidentiality and 

privacy at all times 

Communicates effectively with 

multidisciplinary team members 


APPENDICES 


Synthesizes appropriate research findings 

and incorporates them in practice. 

Uses evidence-based practice to develop 

the patient’s plan of care 

Total / 20 

Comments: Clinical Instructor: 

____________________________________________________________________________ 

__________________________________________________________________________ 

Clinical Instructor Name: ______________________________________________________ 

Signature:__________________________________ Date: ___________________________ 

Trainee Name: _____________________________________________________________ 

Signature:__________________________________ Date: ___________________________ 


APPENDICES 

APPENDIX E 



(To be completed monthly by the Nurse Manager on completion of the clinical hours required 

in the specialty area) 



Performance Indicators: Weak: 1 Fair: 2 Good: 3 Very good: 4 Excellent: 5 


Actively participates in departmental 

activities (meetings, courses, etc.) 

Assists with the development, updating, 

and implementation of clinical 

guidelines 

Proactively intervenes in challenging 

situations within a clinical setting 

Attends and actively participates in 

hospital committees as needed 

Adheres to relevant standards of care 

and follows hospital policies at all times 

Coordinates with other hospital 

departments to provide optimal 

continuity of care 

Serves as a patient advocate in exploring 

other plans of care in collaboration with 


Accepts constructive criticism and uses 

suggestions for improvement 


APPENDICES 


Demonstrates punctuality and reports 

absence or sickness through the right 

channels, in accordance with hospital 

policies 

Participates in staff and trainee 

education 

Turns in completed written assignments 

on time 

Cooperates with and supports other 

members of the health care team 


Maintains patient confidentiality and 

privacy at all times 

Communicates effectively with 


Uses evidence based practice to develop 

the patient’s plan of care 

Total / 16 

Comments: Nurse Manager: 

____________________________________________________________________________ 

__________________________________________________________________________ 

Nurse Manager Name: __________________________ 

Signature:____________________________________ Date: ________________________ 

Trainee Name: ________________________________ 

Signature: ____________________________________ Date: _______________________ 


APPENDICES 

APPENDIX F 


Seminar Evaluation Form 

Trainee Name: …………………………………. 

Evaluator: …………………………… 

Signature: ………………………………… 

Signature: ………………………………… 

Item Grade Percentage 

1. Organization 

· Outlined background accurately /5 

· Handouts included helpful information /5 

· Defined essential concepts early in the discussion /5 

· Described scientific advances /5 

· Followed a logical flow /5 

· Delivered an appropriate abstract /5 

· Started and ended the presentation on time /5 

· Provided a clear take-home message and directions for the 

future 

2. Content 

· Described methods clearly /5 

· Evaluated results critically /5 

· Outlined the significance of each topic /5 

· Adopted a meticulous approach and drew conclusions /5 

· Used appropriate terminology /5 

· Responded to questions calmly and clearly /5 

/5 


APPENDICES 


3. Presentation 

· Slides readable and understandable /5 

· Information and data presented well /5 

· Appropriate amount of information on each slide /5 

· Used well-modulated audiovisual tools /5 

· Had an appropriate level of engagement throughout the 

presentation 

· Content produced by others was clearly identified and cited /5 

/5 

Total (100) 


APPENDICES 

APPENDIX G 


Case Study Evaluation Form 

Trainee Name: ………………………………… 

Evaluator Name: ………………………………… 

Signature: ………………………………… 

Signature: ………………………………… 


Conducts a comprehensive assessment of patients /10 

Formulates a differential diagnosis when applicable /10 

Demonstrates awareness of assessment findings 

(subjective and objective data) 

Develops and implements a treatment plan based on 

patient assessment findings 

Demonstrates an awareness of the patients’ physical, 

psychosocial, and cultural needs 

Outlines important patient care issues and describes the 

critical situations that may arise in the case study 

Demonstrates an ability to integrate science, critical 

thinking, and evidence-based practice in developing the 

patient care plan 

Demonstrates an awareness of professional liability 

issues 

Identifies practice limitations and suggests appropriate 

referrals as applicable 

Consistently and effectively relates theory to practice 

whenever appropriate 

Total (100) 

/10 

/10 

/10 

/10 

/10 

/10 

/10 

/10 


APPENDICES 

APPENDIX H 

Competency Checklist 

Post-Basic Oncology Nursing Diploma 

Position Title: Trainee Unit: __________________________________________ 

Name: 

___________________________________________________________ 

Cluster Area: Oncology 

Modules I and II 

Method of Instruction Key: Method of Evaluation Key: 

P = Protocol/Procedure 

Review 

E = Education Session 

O = Observation (in 

clinical setting) 

RD = Return 

Demonstration 

S = Self Learning Package T = Written Test 

Self-Assessment by Trainee Validation of Competency 

C = Clinical Practice V = Verbal Review 

D = Demonstration 

Needs Review/ 

Practice 

Never Competent Date Initials 

Done 

Method of 

Instruction (Use 

Instruction Key 

on Left) 

Module I: Health Promotion, Prevention and Early Detection 

Primary Prevention of Cancer: Patient Education 


Module II: Scientific Basis for Practice Part I - Core 

Genetic Genogram Development 

Patient Education: Clinical Trials 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 




Review 




RD = Return 

Demonstration 




Needs Review/ 

Practice 


Done 

Module III: Scientific Basis for Practice Part II – Specific Cancers 

Assessment: Respirations 

Assessment: Thorax and Lung 

Chest Tube: Closed Drainage Systems 

Chest tube removal 

Tracheostomy Care 

Tracheostomy Tube Change 

Wound Drain Removal 

Wound Drainage Evacuation 

Assessment: Wound 

Pressure Ulcer: Risk Assessment and Prevention 

Assessment: Abdomen, Genitalia, and Rectum 

Nasogastric Tube: Insertion, Irrigation, and Removal 

Peripheral Parenteral Nutrition with Lipid (Fat) 

Emulsion 

Central Parenteral Nutrition 

Ostomy Pouching: Colostomy or Ileostomy 

Ostomy Pouching:Urostomy 


Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module III 




Review 




RD = Return 

Demonstration 




Needs Review/ 

Practice 


Done 

Module III: Scientific Basis for Practice Part II – Specific Cancers 

Colostomy Irrigation 

Feeding Tubes: PEG, Gastrostomy, and Jejunostomy 

Care 

Urinary Catheter: Indwelling Catheter Care 

Urinary Catheter: Straight and Indwelling Catheter 

Insertion (Female) 

Urinary Catheter: Closed Continuous Irrigation 

Assessment: Head and Neck 

Assessment: Musculoskeletal and Neurologic 

Blood Products Administration 

Hematopoietic Cell Transplantation: Acute Graft- 

Versus-Host Disease 

Bone Marrow Biopsy and Aspiration 

Transfusion Reaction 

Moderate Sedation During a Diagnostic Procedure 


Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module III (Continued) 




Review 




RD = Return 

Demonstration 





Chemotherapy Administration: General Principles. 

Safe Handling of Hazardous Medications. 

Chemotherapy and Biotherapy Administration: 

Pretreatment Assessment, Initial and Subsequent 

Cycles. 

Chemotherapy and Biotherapy: Preadministration 

Verification. 

Targeted Therapies: General Principles. 

Patient Education: Oral Chemotherapy and Biotherapy 

Administration. 


Adherence to Oral Chemotherapy, Biotherapy, and 

Hormonal Agents: Patient Education. 

Containment of Hazardous Medication Spills. 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module IV 




Review 




RD = Return 

Demonstration 





Chemotherapy Administration: Intrathecal. 

Chemotherapy Administration During Surgery. 

Chemotherapy Administration: Intraperitoneal. 

Chemotherapy Administration: Vesicant and Irritant 

Agents. 

Central Venous Catheter: Infection Prevention 

Implantable Port Access, Deaccess, and Care 

Assessment: Radiation 

Radiation Pneumonitis: Nursing Management 

Radiation Therapy: Patient and Family Education 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module IV (Continued) 




Review 




RD = Return 

Demonstration 





Survivorship 

Distress Management for Newly Diagnosed Cancer 

Patients and Their Families 

Patient Education: Long-Term Effects of Chemotherapy 

Cultural Considerations 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module V 




Review 




RD = Return 

Demonstration 




MODULE VI: Ethical Dimensions of Care 

Demonstrates knowledge by identifying basic ethical 

principles related to oncology treatments in the 

Kingdom of Saudi Arabia. 

Demonstrates knowledge by distinguishing between 

moral and legal concepts in relation to cancer 

diagnosis and treatment. 

Demonstrates knowledge by identifying ethical and 

cultural life and death considerations applied in the 

kingdom of Saudi Arabia. 

Demonstrates knowledge by identifying common 

ethical dilemmas related to cancer patients. 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Modules VI 




Review 




RD = Return 

Demonstration 




MODULE VII: Epidemiology 

Demonstrates knowledge by identifying basic 

principles in epidemiology 

Demonstrates knowledge by identifying dynamics of 

disease transmission and occurrence of diseases. 

Demonstrates knowledge by determining associations 

of diseases and estimating potential for disease 

prevention. 

Demonstrates knowledge by identifying roles of 

genetic and other environmental factors, which 

contribute to causations and occurrences of diseases. 

Discuss the design and conduct of each study design 

listed below. 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module VII 




Review 




RD = Return 

Demonstration 




MODULE VIII: Statistics 

Demonstrate familiarity with terminology as listed in 

module outline. 

Demonstrate organization of data. 

Define and compute measures of central tendency 

and variability. 

Discuss the logic of hypothesis testing. 

Demonstrate analysis of data and draw inferences 

from the analysis. 

Demonstrates understanding the role of statistical 

data within the research process. 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module VIII 




Review 




RD = Return 

Demonstration 




MODULE IX: Introduction to Research and Evidence 

Based Practice 

Demonstrate familiarity with research terminology 

Demonstrate knowledge of research design 

Conduct a literature search using all resources 

(electronic or non electronic resources). 

Gather and interpret relevant data to make judgments 

Identify evidence based principles and their 

applications in practice 

Application of a critical appraisal approach 

Review and critique journal articles 

Formulate a research proposal for an interested topic 

within oncology 

Apply the process of design and implementation of a 

research project 

Compose a manuscript for publication 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module IX 




Review 




RD = Return 

Demonstration 




MODULE X: Symptoms Management 

Pain Assessment and Intervention 

Fatigue: Nursing Management 

Thrombocytopenia: Nursing Management 

Thrombotic Thrombocytopenic Purpura: Nursing 

Management 

Neutropenia: Prevention of Infection 

Thrombocytopenia: Nursing Management 

Febrile Neutropenia: Nursing Management 

Anemia: Nursing Management 

Diarrhea: Nursing Management 

Constipation: Nursing Management 

Bowel Obstruction: Nursing Management 

Sexual Alterations: Nursing Management 

Sexual Side Effects of Chemotherapy: Nursing 

Management 

Pulmonary Toxicity: Nursing Management 

Malignant Pleural Effusion: Nursing Management 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module X 


APPENDICES 

Module X (Continued) 



Review 




RD = Return 

Demonstration 





Dyspnea: Nursing Management 

Venous Thromboembolism: Management 

Cardiac Toxicity: Nursing Management 

Anorexia and Cachexia: Nursing Management 

Dysphagia: Nursing Management 

Xerostomia: Nursing Management 

Lymphedema: Nursing Management 

Mucositis: Nursing Management 

Nausea and Vomiting: Nursing Management 


Dermatologic Effect of Chemotherapy Biotherapy: 

Nursing Management 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 




Review 




RD = Return 

Demonstration 





Neurotoxicity from Chemotherapy: Nursing 

Management 

Neurocognitive Dysfunction: Nursing Management 

Chemotherapy-Induced Peripheral Neuropathy: 

Nursing Management 

Seizure Precautions 

Alopecia: Nursing Management 

Ocular Toxicity: Nursing Management 

Hyperuricemia: Nursing Management 

Hepatotoxicity: Nursing Management 

Complementary and Alternative Medicine Therapies 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module X (Continued) 




Review 




RD = Return 

Demonstration 




MODULE XI: Oncologic Emergencies 

Disseminated Intravascular Coagulation (DIC): Nursing 

Management 

Syndrome of Inappropriate Antidiuretic Hormone 

(SIADH): Nursing Management (Oncology) 

Tumor Lysis Syndrome: Nursing Management 

Hypercalcemia of Malignancy: Nursing Management 


Cardiac Tamponade: Nursing Management 

Superior Vena Cava Syndrome: Nursing Management 

Spinal Cord Compression: Nursing Management 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module XI 




Review 




RD = Return 

Demonstration 




MODULE XII: End of Life Care 


Advance Directive Discussion 

Death Rattle: Nursing Management 

End of Life Discussions 

Pain Relief 

Oxygen Therapy and Oxygen Delivery 

Postmortem care 

Symptom Management at End of Life 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module XII 




Review 




RD = Return 

Demonstration 




MODULE XIII: Healthcare Informatics 

Discuss the role of nursing informatics in practice, 

administration, education and research. 

Discuss the diffusion of innovation theory. 

Demonstrates competence in retrieving nursing 

information using the HIS. 

Discuss the need for safeguarding data and 

information integrity. 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module XIII 




Review 




RD = Return 

Demonstration 




MODULE XIV: Leadership and Management 

Systems thinking 

Time management 

Information management 

Human resources management (i.e. staffing and 

scheduling, resource allocations, etc.) 

Financial management (cost analyses, budget 

forecasting, etc.) 

Quality and risk management (quality plans, risk 

management models, etc.). 

Change management and conflict resolution 

Strategic planning 

Strategic management 

Career planning 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Module XIV 




Review 



APPENDICES 

Module XV 

Initials Signature Signature Initials 

Signature 


RD = Return 

Demonstration 




MODULE XV: Professional Performance 

Communication with Depressed Patient 

Therapeutic Communication 

Communication with Anxious Patients 

SBAR Communication 


Needs Review/ 

Practice 


Done 

Initials 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 




Review 




RD = Return 

Demonstration 




HOSPITAL ADMINISTRATIVE MANUAL– aware of 

content and/or provides care according to the 

following protocols/procedures: 

Informed Consent for Treatment 

Verbal/Telephone Orders 

Do Not Resuscitate 

Medication Administration: Adverse Drug Reaction 

(ADR) Reporting System 

Health information system (HIS) 

Emergency Codes 

Fire safety 

International patient safety goals 

Back safety 

Infection control manual 


Needs Review/ 

Practice 


Done 

Method of 



on Left) 

Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

APPENDICES 

Hospital Administrative Manual 


APPENDICES 

Nursing Practice Manual 



Review 




RD = Return 

Demonstration 





Needs Review/ 

Practice 

Method of 



on Left) 


Evaluation 

Method 

(Use 

Evaluation 

Key on Left) 

NURSING PRACTICE MANUAL – aware of content and/or 

provides care according to the following 

protocols/procedures: 

Blood Components: Administration 

Done 

Nursing Documentation 

Falls: Risk Identification and Prevention Management 

Pressure ulcer 

Medication Administration system 

Point of care testing 

Report/handoff 

Initials Signature Initials 

Signature Initials 

Signature 


APPENDICES

كتيب البرنامج

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?