scholarly journals Oncology Nursing Care

2021 ◽  
pp. 57-62
Author(s):  
Jennifer Frith ◽  
Nelson J. Chao

AbstractThis chapter explores the recommendations in developing oncology nursing care for a comprehensive medical center. Nursing orientation, continuing education, and competencies are required for the oncology nurse to remain successful in care delivery. Nurse–patient ratios should be benchmarked with other competitive centers, acuity taken into consideration, and various workflows depending on the clinical settings. Nurses play an instrumental role in delivering oncology care, from preventative screening, throughout the continuum, and into end-of-life care.

2013 ◽  
Vol 21 (3) ◽  
pp. 773-779 ◽  
Author(s):  
Marcelle Miranda da Silva ◽  
Marleá Chagas Moreira ◽  
Joséte Luzia Leite ◽  
Alacoque Lorenzini Erdmann

OBJECTIVE: to understand the meaning baccalaureate nurses and nursing technicians attribute to night work in the context of clinical palliative oncology nursing care services, as well as how nursing works to attend to clients and caregivers' needs in this period. METHOD: in this exploratory and qualitative study, grounded theory was used. Seven nurses and four nursing technicians were interviewed, who composed two sample groups. Nine categories were produced and, in their comparative content analysis, a knowledge emphasis was evidenced with implications for nighttime nursing work. In this study, these aspects were discussed in two of the categories, which are: to describe care practice in order to understand nursing care management and to point out the difficulties in care practice and nursing care management. RESULTS: The results evidence the complexity in the nighttime care context, considering the clients' clinical conditions and clients and caregivers' psychological demands, mainly because of the threat of death. CONCLUSION: The team attempts to respond to these needs through communication, but reveals a lack of assistential services and an overload. Interdisciplinarity is a palliative care premise, favoring holistic care delivery, and cannot be neglected at, which requires attention and investment to develop better practices.


2010 ◽  
Vol 6 (1) ◽  
pp. 2-6 ◽  
Author(s):  
Brenda Nevidjon ◽  
Paula Rieger ◽  
Cynthia Miller Murphy ◽  
Margaret Quinn Rosenzweig ◽  
Michele R. McCorkle ◽  
...  

A new strategy for oncology care delivery that includes increasing the numbers and expanding the roles of nonphysician practitioners is critically important to meet the current and potential cancer care needs of the US population.


2007 ◽  
Vol 15 (spe) ◽  
pp. 780-785 ◽  
Author(s):  
Maria de Fátima Batalha de Menezes ◽  
Teresa Caldas Camargo ◽  
Maria Teresa dos Santos Guedes ◽  
Laisa F.F Lós de Alcântara

This is a reflection on poverty, human development and their interfaces with Oncology Nursing Care. Objectives: identify the prevailing types of cancer per region; point the challenges posed to nursing care; discuss the possibilities for Oncology Nursing actions in this context. In light of the demographic, epidemiologic and socio-cultural distribution of cancer in Brazil, a systematic articulation of the Oncology care, in situations of poverty and of low human development, represents a challenge for Nursing, as the necessary actions for prevention, early detection, treatment, and rehabilitation, range from low to high complexity. This conception opens the possibility of meeting this population's diverse demands made to the specialized services in Oncology, which are not restricted only to the antineoplastic treatment access, but include needs inherent to socio-economic-cultural factors.


1998 ◽  
Vol 4 (2) ◽  
pp. 5-14
Author(s):  
Thomas Smith

Publisher Marie Manthey interviews Thomas Smith, RN, vice president, nursing at Mount Sinai Medical Center in New York City, which recently redesigned its nursing care delivery system.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Nurul Huda

ABSTRACTDuring this Coronavirus disease-19 (Covid -19) Pandemic, the challenges for appropriate and safe delivery nursing care is becoming main concerns since cancer patients are at high risk to be infected. Oncology nurse must reassure that the patients still get the optimal treatment while in other part they have to keep their patients safe. However, the change of provision of care in order to protect cancer patients must pay more attention. The aim of this paper was to review the literature on both the impact of Covid 19 to the provision of cancer care and nursing workforce. The implications of these findings for cancer patients will also be discussed. The electronic Science direct, Googlescholar and Pubmed databases were used to identify relevant articles. A combination of keywords: cancer, care, Corona virus 19, Covid-19 and Pandemic were used to identify relevant articles. Ten articles were included in the review. The broad issues were the impact of Covid 19 on nursing delivery care and the impact to the workforce. In terms of cancer care delivery, the Oncology teams are adopting new ways to minimise the risk of Covid 19 to the patients and their staff while at the similar times they have to reassure that the patients get the optimum care. Triage patients, adjusting treatment and limitation of visitor’s access to the patients is kind of changes that could do. A serious shortage and the availability of personal protective equipment are the major concern in nursing workforce changes during this pandemic. Planning or resuming cancer treatment and screening to mitigate the risk is the most important way to get the best outcomes. Hence, nurse has been pushed to adapt quickly and give their optimum nursing care to  patients as well as protect themselves from cross infectionABSTRAKSelama masa pandemi Coronavirus 19, tantangan terhadap pemberian asuhan keperawatan pada pasien kanker menjadi perhatian utama. Hal ini dikarenakan, pasien kanker adalah pasien dengan resiko tinggi tertular infeksi. Perawat oncology harus memastikan bahwa pasien yang mereka rawat tetap mendapatkan perawatan yang optimal walaupun disisi  lain mereka harus menjaga keamanan pasien. Oleh karena itu perubahan cara layanan dalam rangka melindungi pasien harus menjadi fokus tersendiri. Tujuan dari artikel ini adalah melakukan literature review tentang impact Covid 19 terhadap layanan pasien kanker dan lingkungan kerja di unit kerja keperawatan. Aplikasi dari temuan juga didiskusikan di artikel ini. Electronic data base seperti Science Direct, Googlescholar dan Pubmed digunakan untuk mencari artikel yang berhubungan. Kombinasi dari kata kuci : cancer, care, Corona virus 19, Covid-19 and Pandemic digunakan untuk telusur artikel. 10 artikel terseleksi. Isu utama yang didapatkan adalah efek dari Covid 19 terhadap cara pemberian asuhan keperawatan dan perubahan yang terjadi dalam lingkungan tenaga kerja. Dalam hal pemberian asuhan keperawatan diketahui bahwa team oncology mengadopsi cara baru untuk mencegah penyebaran Covid-19 kepada pasien dan staff dengan melakukan triage, menunda atau menyesuaikan treatment dan membatasi akses pengunjung ke pasien. Kekurangan tenaga kerja dan ketersediaan alat pelindung diri menjadi issue utama dalam ketenagakerjaan di area keperawatan selama masa pandemi. Merencanakan atau meresume kembali asuhan yang diberikan dan melakukan screening untuk mitigasi resiko infeksi merupakan salah satu cara yang paling naik untuk pelayanan yang terbaik. Oleh karena itu perawat harus bisa beradatasi secara cepat terhadap perubahan dan memberikan pelayanan keperawatan yang optimum dengan tidak melupakan perlindungan diri terhadap diri mereka sendiri dari infeksi silang.


Author(s):  
Christine E Wamsley ◽  
John Hoopman ◽  
Jeffrey M Kenkel

Abstract Recent advancements in laser technology have led to its expanded utilization in smaller clinical settings and medical spas, particularly for facial rejuvenation and the treatment of other aesthetic concerns. Despite the increasing popularity of this technology, discussion of laser safety programs has remained limited, mostly to operating rooms at larger clinical institutions. Although smaller facilities do not operate at the same capacity as a large hospital or medical center, the requirements for utilizing a laser are no less stringent. Employers must comply with local and federal regulations, the Occupational Safety and Health Administration (OSHA) General Duty Clause, American National Standards Institute (ANSI) standards, and professional recommended practices applicable to their business. Although the laser safety officer (LSO) is often a full-time position within larger facilities, smaller clinical settings and medical spas may be limited in staff number. It is important, therefore, that clinical practices establish laser policies and procedures with consideration of their individual needs and capabilities. In this paper, we will define a laser safety program, highlight basic requirements needed to establish this program, and outline the specific responsibilities of the LSO. To ensure that safe laser practices are being conducted at the healthcare facility, it is imperative that small business owners are aware of these regulations and standards in place for the operation of laser systems.


2015 ◽  
Vol 123 (1) ◽  
pp. 198-205 ◽  
Author(s):  
Nancy McLaughlin ◽  
Peng Jin ◽  
Neil A. Martin

OBJECT Review of morbidities and mortality has been the primary method used to assess surgical quality by physicians, hospitals, and oversight agencies. The incidence of reoperation has been proposed as a candidate quality indicator for surgical care. The authors report a comprehensive assessment of reoperations within a neurosurgical department and discuss how such data can be integrated into quality improvement initiatives to optimize value of care delivery. METHODS All neurosurgical procedures performed in the main operating room or the outpatient surgery center at the Ronald Reagan UCLA Medical Center and UCLA Santa Monica Medical Center from July 2008 to December 2012 were considered for this study. Interventional radiology and stereotactic radiosurgery procedures were excluded. Early reoperations within 7 days of the index surgery were reviewed and their preventability status was evaluated. RESULTS The incidence of early unplanned reoperation was 2.6% (occurring after 183 of 6912 procedures). More than half of the patients who underwent early unplanned reoperation initially had surgery for shunt-related conditions (34.4%) or intracranial tumor (23.5%). Shunt failure was the most common indication for early unplanned reoperation (34.4%), followed by postoperative bleeding (20.8%) and postoperative elevated intracranial pressure (9.8%). The average time interval (± SD) between the index surgery and reoperation was 3.0 ± 1.9 days. The average length of stay following reoperation was 12.1 ± 14.4 days. CONCLUSIONS This study enabled an in-depth assessment of reoperations within an academic neurosurgical practice and identification of strategic opportunities for department-wide quality improvement initiatives. The authors provide a nuanced discussion regarding the use of absolute reoperations as a quality indicator for neurosurgical patient populations.


2012 ◽  
Vol 20 (4) ◽  
pp. 651-658 ◽  
Author(s):  
Paulo Carlos Garcia ◽  
Fernanda Maria Togeiro Fugulin

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.


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