scholarly journals Power boost: Nuclear pharmacists essential to the Mass General patient care team

2013 ◽  
Vol 19 (2) ◽  
pp. 4-6
Author(s):  
Amy K. Erickson
Author(s):  
N Galán Ramos ◽  
A Trujillano Ruiz ◽  
MA Morego Soler ◽  
V Cano Collado ◽  
MA Maestre Fullana ◽  
...  

Author(s):  
Mateus Da Silveira Cespedes ◽  
José Carlos Rosa Pires de Souza ◽  
Suellem Luzia Costa Borges

Objetivos: Identificar e descrever os empecilhos e as soluções para a boa relação médico-enfermeiro. Métodos: trata-se de uma revisão narrativa da literatura com 10 estudos entre 2006 e 2018 que apresentavam como descritores “Relações Médico-Enfermeiro” e “Equipe de Assistência ao Paciente”, cuja pergunta norteadora foi quais os empecilhos e soluções para uma boa relação médico-enfermeiro? Resultados: encontraram-se como empecilhos: déficits na comunicação, pontos de vista conflitantes, alta rotatividade, pressões externas, funções ambíguas, conflito de tarefa, hierarquia, conhecimento técnico e hostilidade prévia. As soluções encontradas foram: redução da carga horária, melhora da estrutura, troca de informações frequentes e sucintas, estímulo às discussões de casos clínicos e propostas terapêuticas conjuntas, valorização dos profissionais mais antigos, delimitação clara da autoridade, responsabilidade e competência de cada profissional, manutenção de relação afetuosa extra-profissional, confiança e valorização dos profissionais. Conclusão: é necessário delimitar os fatores de piora na relação e pôr em prática as soluções oferecidas para desenvolver os profissionais e proporcioná-los melhor ambiente de trabalho.Palavras Chave: Relações médico-enfermeiro, Equipe de assistência ao paciente, Administração hospitalar, Corpo clínico hospitalar, Planejamento hospitalar ABSTRACT:Objectives: To identify and describe the obstacles and solutions for a good doctor-nurse relationship. Methods: it is a narrative review of the literature with 10 studies between 2006 and 2018 that presented as descriptors "Doctor-Nurse Relations" and "Patient Care Team", whose guiding question was what are the obstacles and solutions for a good relationship nurse-doctor? Results: found as impediments: deficits in communication, conflicting points of view, high turnover, external pressures, ambiguous functions, task conflict, hierarchy, technical knowledge and previous hostility. The solutions found were: reducing the workload, improving the structure, exchanging frequent and succinct information, encouraging discussions of clinical cases and joint therapeutic proposals, valuing the oldest professionals, clearly defining the authority, responsibility and competence of each professional, maintenance of an extra-professional affectionate relationship, trust and valorization of the professionals. Conclusion: it is necessary to delimit the factors that worsen the relationship and put into practice the solutions offered to develop professionals and provide them with a better work environment.Key words: Physician-nurse relations; Patient care team; Hospital administration; Teams, health care; Hospital organization and administration


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
Y Suwannapong ◽  
D Chinwong ◽  
N Niamhun

Abstract Introduction Cancer patients with neutropenia (<1500 cell/mm3 absolute neutrophil count [ANC]) are at high risk of febrile neutropenia and serious complications which can cause the delay treatment, reduction of chemotherapy dose, leading to morbidity and mortality. We lack of information of the prevalence of neutropenia in Thailand and its' consequences. Thus, this cross-sectional study aimed to investigate the prevalence of neutropenia at a provincial hospital in northern Thailand. Methods We retrospectively reviewed electronic medical records of cancer patients with solid tumor and receiving chemotherapy from September 2018 to October 2019. Results A total of 248 cancer patients (79 men, 169 women, mean age of 58.36±12.03) were included. The top 3 cancers were colon, breast and lung cancer (50.53%, 34.33%, 6.88%). They received chemotherapy 1,803 cycles of treatment. The top 3 regimens of treatment were FOLFOX (oxaliplatin/ fluorouracil/ leucovorin), AC (doxorubicin/ cyclophosphamide) and paclitaxel (42.65%, 17.75%, 9.67%). The prevalence of neutropenia (<1500 cell/mm3) was 264 episodes: 64 episodes of ANC 1,000-1,500 cell/mm3 (3.55%); 172 episodes of ANC 500-1,000 cell/mm3 (9.54%); and 28 episodes of ANC <500 cell/mm3 (1.55%). Most of them were postponed the treatment, but 16 episodes were still received chemotherapy. The dose of chemotherapy in 78 episodes were decreased and 16 episodes were related to the treatment of febrile neutropenia. The treatment of febrile neutropenia chemotherapy patients was 8 + 3 days with an average of US$ 400 per person, per cost of treatment. Conclusions We found that the effects of neutropenia in chemotherapy patients were delayed treatment, dose reduction and a major risk factor of febrile neutropenia. This decreased the efficiency of chemotherapy in patients with cancer. The result should be informed and encouraged our patient care team to develop practical action for prevention and management of serious neutropenic events. Key messages The result should be informed and encouraged our patient care team to develop practical action for prevention and management of serious neutropenic events. If we can manage cancer patients with neutropenia, the cost of treatment for serious febrile neutropenia and other complications will be reduced.


2020 ◽  
Vol 75 (11) ◽  
pp. 3581
Author(s):  
Kellen Knowles ◽  
Alaa Diab ◽  
Helen Xun ◽  
Sharon Pang ◽  
Sunyoung Jang ◽  
...  

2019 ◽  
Vol 82 (20) ◽  
Author(s):  
Rodrigo Pereira Costa Taveira ◽  
Fátima Helena do Espírito Santo ◽  
Carla Lube de Pinho Chibante ◽  
Thayane Dias dos Santos ◽  
Willian de Andrade Pereira de Brito

Objetiva-se identificar a produção científica acerca da atuação do enfermeiro na parada cardiorrespiratória (PCR). Tratase de uma revisão integrativa, na qual foi realizado o levantamento sobre artigos publicados nos bancos de dados da:MEDLINE, LILACS, IBECS E BDENF, entre os anos de 2010-2015. A busca de estudos primários foi realizada nos mesesde agosto e setembro de 2015. Foram utilizados para a busca os seguintes descritores: ressuscitação cardiopulmonar,enfermagem, equipe de assistência ao paciente e unidades de terapia intensiva. Foram identificados nove artigos queforam submetidos à análise de conteúdo. Emergiram três categorias: Ensino teórico-prático voltado para os profissionaisda equipe de enfermagem; Conhecimento dos profissionais da área de saúde (equipe multiprofissional e de enfermagem)sobre PCR e ressuscitação cardiopulmonar; Desempenho da equipe multiprofissional e/ou equipe de enfermagemdurante e após a PCR. Concluí-se que foi evidenciado que para um bom desempenho durante a RCP, a equipe deveter boas condições de trabalho, como por exemplo, acessibilidade a tecnologias, como ambiente virtual para ensino,ferramentas para mensurar o nível de conhecimento dos profissionais, e estrutura física do ambiente de trabalho paramelhorar o processo laboral.Palavras-chave: Ressuscitação Cardiopulmonar; Enfermagem; Equipe de Assistência ao Paciente; Unidades deTerapia Intensiva. ABSTRACTThe aim is to identify the scientific literature about the nurse’s performance in cardiopulmonary arrest (PCR).This is an integrative review, which was conducted a survey of articles published in the databases: MEDLINE,LILACS, IBECS E BDENF, between the years 2010-2015. The search for primary studies was held in the monthsof august and september 2015. Were used to search the following keywords: Cardiopulmonary Resuscitation,Nursing, Patient Care Team, Intensive Care Units. Nine articles were identified that were subjected to contentanalysis. Emerged three categories: Theoretical-practical targeted towards professionals in the nursing staff;Knowledge of health professionals (multi-professional team and nursing care) about PCR and Cardiopulmonaryresuscitation; Multidisciplinary team performance and/or nursing staff during and after PCR. It was evidenced thatfor a good performance during CPR, the team must have good working conditions, like for example, accessibilityto technologies, as virtual environment for training, tools for measuring the level of knowledge of professionals,and physical structure of the workplace.Keywords: Cardiopulmonary Resuscitation; Nursing; Patient Care Team; Intensive Care Units.


1996 ◽  
Vol 26 (4) ◽  
pp. 21-27 ◽  
Author(s):  
Michele McHugh ◽  
Phyllis West ◽  
Christine Assatly ◽  
Laura Duprat ◽  
Linda Howard ◽  
...  

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