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He encouraged people to be independent thinkers and to have mastery over their ownideas. His ideas are related to business and organizations.Wen[1] noted that Senge, in his book, talks about disciplinesin the routes of his learning organization theory:1. The ability to inspire or aspire;2. The ability to start reflecting on conversation and3. The ability to understand complexity.These ideas can be gathered in a unique way to thehealthcare system in general and to the Israeli BCNs inparticular. Senge’s criteria for a learning organization willalso be presented in relation to the Israeli BCNs.In 1996, some years after Senge wrote his book, the roleof the BCNs was established in Israel. The Hadassah EinKerem Medical Center is the first to establish this profession,and Dr. Ilana Kadmon, who was appointed to the BCN rolein 1996, still holds this position to date. At that time, lackof support had been given to women with breast cancer.This role was hardly recognized by the health care teamand its importance took some years to attain recognitionfrom the whole multidisciplinary team. Originally, BCNsmainly provided practical advice to women. Throughoutthe years, BCNs learned to implement more psychosocialinterventions. Since 1996, the BCN role has continued todevelop all over Israel through the support given by theIsrael Cancer Association.[3]Today, at least 40 BCNs are working in different centers inIsrael. These nurses created a network among themselves.When a woman is diagnosed at a specific center and decidesto undergo a part of her treatment in a different institution,BCNs from both centers communicate effectively. Anadvertisement about this network was presented at aninternational conference in Germany in 2004.[4] Majorityof the hospitals implement the BCN role within theirinstitution. Some institutions have more than one BCN, suchas in some centers where BCNs provide service throughoutthe treatment trajectory, i.e., from diagnosis to rehabilitationand metastatic stage. In other institutions, some BCNs arededicated to follow women at the surgical stage or mainlyat the oncological stage. Some centers also have BCNs withmore specific roles, such as those for genetic carriers or incoordinating care in the imaging institute.This unique working group of BCNs meets every few weeksin the Israel Cancer Association led by the head nurse.These regular meetings are particularly designed to trainthe group, discuss common concerns, enable a forum toinclude consultation with each other, develop some newideas and facilitate social gatherings. This design is similarto that of the learning organization described by Senge.
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