scholarly journals Training of advanced practice nurses in oncology for the best care: a systematic review

2021 ◽  
Vol 55 ◽  
Author(s):  
Franciane Schneider ◽  
Silvana Silveira Kempfer ◽  
Vânia Marli Schubert Backes
Keyword(s):  
Systematic Review ◽  
Cancer Patients ◽  
Clinical Training ◽  
Experimental Studies ◽  
Advanced Practice Nurses ◽  
Risk Of Bias ◽  
Reference List ◽  
Advanced Practice ◽  
Practice Nurses

ABSTRACT Objective: To search for evidence on the training of advanced practice nurses, through clinical practice and nursing care with cancer patients. Method: Systematic review, searching the databases: MEDLINE-PubMed, LILACS, Web of Science, Scopus, CINAHL and Cochrane CENTRAL. A manual search of the reference list and Google Scholar was also carried out. To assess the methodological quality of the studies, the following tools were used: Cochrane Collaboration Risk of Bias Tool (RoB 1) for randomized controlled trials and Risk of Bias in Non-randomized Studies of Interventions (ROBINS-I) for quasi-experimental studies. Results: A total of 12 experimental studies were identified. The main intervention identified in the studies was educational guidance. The studies showed improvement in pain control or other symptoms related to disease and/or treatment, satisfaction and improvement in the quality of life of cancer patients. Conclusion: It is observed that there are studies that demonstrate the value of advanced practice nursing in oncology, through differentiated clinical training and advanced professional performance. Registration number of the systematic review: CRD42018098906.

scholarly journals A systematic review of the effectiveness of advanced practice nurses in long-term care

2021 ◽  
Author(s):  
Alba DiCenso
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Prospective Studies ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses

To report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists and nurse practitioners, in meeting the healthcare needs of older adults living in long-term care residential settings. Although studies have examined the effectiveness of advanced practice nurses in this setting, a systematic review of this evidence has not been conducted. Quantitative systematic review. Twelve electronic databases were searched (1966-2010); leaders in the field were contacted; and personal files, reference lists, pertinent journals, and websites were searched for prospective studies with a comparison group. Studies that met inclusion criteria were reviewed for quality, using a modified version of the Cochrane Effective Practice and Organisation of Care Review Group risk of bias assessment criteria. Four prospective studies conducted in the USA and reported in 15 papers were included. Long-term care settings with advanced practice nurses had lower rates of depression, urinary incontinence, pressure ulcers, restraint use, and aggressive behaviours; more residents who experienced improvements in meeting personal goals; and family members who expressed more satisfaction with medical services. Advanced practice nurses are associated with improvements in several measures of health status and behaviours of older adults in long-term care settings and in family satisfaction. Further exploration is needed to determine the effect of advanced practice nurses on health services use; resident satisfaction with care and quality of life; and the skills, quality of care, and job satisfaction of healthcare staff.

scholarly journals A systematic review of the effectiveness of advanced practice nurses in long-term care

2021 ◽  
Author(s):  
Alba DiCenso
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Prospective Studies ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses

To report quantitative evidence of the effectiveness of advanced practice nursing roles, clinical nurse specialists and nurse practitioners, in meeting the healthcare needs of older adults living in long-term care residential settings. Although studies have examined the effectiveness of advanced practice nurses in this setting, a systematic review of this evidence has not been conducted. Quantitative systematic review. Twelve electronic databases were searched (1966-2010); leaders in the field were contacted; and personal files, reference lists, pertinent journals, and websites were searched for prospective studies with a comparison group. Studies that met inclusion criteria were reviewed for quality, using a modified version of the Cochrane Effective Practice and Organisation of Care Review Group risk of bias assessment criteria. Four prospective studies conducted in the USA and reported in 15 papers were included. Long-term care settings with advanced practice nurses had lower rates of depression, urinary incontinence, pressure ulcers, restraint use, and aggressive behaviours; more residents who experienced improvements in meeting personal goals; and family members who expressed more satisfaction with medical services. Advanced practice nurses are associated with improvements in several measures of health status and behaviours of older adults in long-term care settings and in family satisfaction. Further exploration is needed to determine the effect of advanced practice nurses on health services use; resident satisfaction with care and quality of life; and the skills, quality of care, and job satisfaction of healthcare staff.

scholarly journals Quality of primary care by advanced practice nurses: a systematic review

2015 ◽  
Vol 27 (5) ◽  
pp. 396-404 ◽  
Author(s):  
Melanie Swan ◽  
Sacha Ferguson ◽  
Alice Chang ◽  
Elaine Larson ◽  
Arlene Smaldone
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses ◽  
Quality Of Primary Care

Patient Satisfaction With the Quality of Counseling Provided by Advanced Practice Nurses Specialized in Multiple Sclerosis

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Melanie Weilenmann ◽  
Daniela Händler-Schuster ◽  
Heidi Petry ◽  
Diana Zanolari ◽  
Gabriela Schmid-Mohler ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Patient Satisfaction ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Practice Nurses

scholarly journals Treatment Quality through Advanced Practice Nurses (APN) and Clinical Nurses (CN) in Ambulatory Primary Health Care – a retrospective study / Behandlungsqualität durch Advanced Practice Nurses (APN) und Clinical Nurses (CN) in der ambulanten Gesundheitsversorgung – eine retrospektive Studie

2020 ◽  
Vol 7 (1) ◽  
pp. 84-89
Author(s):  
Christian Ambrosch ◽  
Isabelle Mathier ◽  
Irina Bajusic ◽  
Thomas Bucher ◽  
Chantal Wüst
Keyword(s):  
Health Care ◽  
Advanced Practice Nurses ◽  
Retrospektive Studie ◽  
Treatment Quality ◽  
Advanced Practice ◽  
Upper Respiratory Tract ◽  
Practice Nurses ◽  
Clinical Nurses ◽  
Quality Of Treatment

AbstractIntroductionThe shortage of general practitioners in Switzerland requires new ways to ensure primary outpatient health care. The group practice Medbase Winterthur Neuwiesen has been testing the use of Advanced Practice Nurses (APN) and Clinical Nurses (CN) for the treatment of clearly defined cases with minor illnesses for the past two years. In the context of quality assurance, this study examines the quality of treatment and outcome in 60 patients with symptoms of an acute upper respiratory tract infection, half of whom were assigned to a physician and half to an APN/CNMethodsAnalysis of the treatment and the outcome of 60 patient files, half of which were randomly assigned to a physician and half to an APN/CN.ResultsAPN/CN treated significantly more often according to standardized guidelines than physicians; the outcome in patients treated by APN/CN was slightly better, the difference is not significant, though.DiscussionThe use of APN and CN in outpatient primary care is possible without compromising the quality of treatment in cases with minor illnesses and clearly defined guidelines for treatment.

The ideal amount of physical activity to improve quality of life and symptoms in lung cancer patients: A systematic review.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e23158-e23158
Author(s):  
Gilberto Castro ◽  
Alberto Codima ◽  
Willian das Neves ◽  
Ana Paula Souza Borges
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Lung Cancer ◽  
Systematic Review ◽  
Cancer Patients ◽  
Risk Of Bias ◽  
Improve Quality ◽  
Eligibility Criteria ◽  
Lung Cancer Patients

e23158 Background: The symptoms which burden lung cancer patients contribute to a vicious cycle of physical inactivity as the disease progresses. Some studies have shown that exercise is feasible and safe for this population, and it improves their symptoms and quality of life. However, the current recommendations are non-specific, and little is known about the optimal amount and type of exercise in this scenario. Here we aimed to identify a specific recommendation of physical activity that could work more efficiently, benefiting lung cancer patients, in terms of diminishing their symptom burden and improving quality of life. Methods: A systematic review was undertaken through structured searches on PubMed, Medline, Embase, Scopus, Web of Science and SciELO. The search protocol was registered on the Prospero platform. Rayyan QCRI was used for data extraction and determining eligible studies after a blind screening of titles and abstracts by the three authors. The Physiotherapy Evidence Database (PEDro) scale was used for quality assessment of each eligible trial in regards of risk of bias. Trials which had clear eligibility criteria and a summary score equal or superior than 6 were considered to have low risk of bias, and accepted for full text review. Results: From September/1998 to January/2019, a total amount of 1998 studies were returned from the aforementioned databases, and 17 studies were established to be eligible for quality assessment. All the 17 quality-assessed studies were randomized clinical trials. However, two of them did not clearly report the eligibility criteria and were immediately excluded. Five other studies were considered to have high risk of bias. Therefore, we considered only 10 trials to be fully reviewed, including 843 patients. Only 3 trials found significant improvement in the quality of life after their interventions, and included 243 patients. Two studies associated aerobic exercise and resistance training from 10 to 20 weeks post surgery, while the other studied intervention was Tai Chi for 10 days after each chemotherapy cycle. Conclusions: Evidence from this review suggests that exercise may improve quality of life of lung cancer patients. However, we could not identify an ideal amount nor type of physical activity given the limited available data and the heterogeneity of methods. Further studies are warranted.

scholarly journals A systematic review of the effectiveness of advanced practice nurses in long‐term care

2013 ◽  
Vol 69 (10) ◽  
pp. 2148-2161 ◽  
Author(s):  
Faith Donald ◽  
Ruth Martin‐Misener ◽  
Nancy Carter ◽  
Erin E. Donald ◽  
Sharon Kaasalainen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Advanced Practice Nurses ◽  
Advanced Practice ◽  
Term Care ◽  
Practice Nurses

scholarly journals Quality of life in cancer patients treated with mistletoe: a systematic review and meta-analysis

2019 ◽  
Author(s):  
Martin Loef ◽  
Harald Walach
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Cancer Patients ◽  
Positive Impact ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Sensitivity Analyses ◽  
Data Sets ◽  
Mistletoe Extracts

AbstractBackgroundMistletoe extracts are used as an adjunct therapy for cancer patients, but there is dissent as to whether this therapy has a positive impact on quality of life (QoL).MethodsWe conducted a systematic review searching in several databases (Medline, Embase, CENTRAL, CINAHL, PsycInfo, Science Citation Index, clinicaltrials.gov, opengrey.org) by combining terms that cover the fields of “neoplasm”, “quality of life” and “mistletoe”. We included prospective controlled trials that compared mistletoe extracts with a control in cancer patients and reported QoL or related dimensions. The quality of the studies was assessed with the Cochrane Risk of Bias tool version 2.We conducted a quantitative meta-analysis.ResultsWe included 26 publications with 30 data sets. The studies were heterogeneous. The pooled standardized mean difference (random effects model) for global QoL after treatment with mistletoe extracts vs. control was d = 0.61 (95% CI 0.41-0.81; p<0,00001). The effect was stronger for younger patients, with longer treatment, in studies with lower risk of bias, in randomized and blinded studies. Sensitivity analyses support the validity of the finding. 50% of the QoL subdomains (e.g. pain, nausea) show a significant improvement after mistletoe treatment. Most studies have a high risk of bias or at least raise some concern.ConclusionMistletoe extracts produce a significant, medium-sized effect on QoL in cancer. Risk of bias in the analyzed studies is likely due to the specific type of treatment, which is difficult to blind; yet this risk is unlikely to affect the outcome.PROSPERO registration numberCRD42019137704

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