To assess and improve the safety of hospital-based adult chemotherapy administration.
Prospective, systems-focused clinical risk assessment.
An adult inpatient and outpatient oncology unit in a large ...urban hospital in the United Kingdom.
8-person nurse-led multidisciplinary team, which included managerial staff and patient safety researchers.
Failure mode and effects analysis (FMEA), a prospective, systems-focused risk assessment methodology, was undertaken in biweekly team meetings and included mapping the chemotherapy administration process, identifying and numerically prioritizing potential errors (failure modes) for each process step, and generating remedial strategies to counteract them.
The analysis aimed to identify chemotherapy administration failure modes and to generate remedial strategies to address them. User feedback on the FMEA process also was collected.
Several specific chemotherapy failure modes were identified, the majority of which had not previously been recognized, and several novel strategies to counteract them were generated. Many of the strategies were specific, environment-focused actions, which are simple, quick, and inexpensive to implement; however, more substantive, longer-term initiatives also were generated. User feedback generally was very positive, and the process of undertaking the analysis improved multidisciplinary teamwork and communication.
Although time and resource intensive, FMEA is a useful safety improvement tool.
Nurses should be aware of and informed about FMEA as a tool they can use in partnership with management and other disciplines to proactively and collectively improve the safety of high-risk oncology procedures such as chemotherapy administration.
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DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
The first new edition published since 2006, the latest version of the Clinical Manual for the Oncology Advanced Practice Nurse has been updated and revised to reflect the tremendous changes occurring ...in oncology practice. This new third edition features 163 chapters,including 12 new to this edition, and over 1,400 pages filled with the type of comprehensive (and concise) information you have come to expect from leading experts in the field of oncology nursing. As with previous editions, the Clinical Manual for the Oncology Advanced Practice Nurse offers you a quick reference guide to the clinical challenges that often arise in the patient with cancer. Each section provides you with key information on symptoms and side effects both chronic and acute as well as current treatment strategies. Updated sections feature head and neck, integument, respiratory, cardiovascular, gastrointestinal, genitourinary, musculoskeletal, lymph, hematologic, and more. In addition, revised tables and figures highlight relevant content, and extensive appendices shed light on concepts discussed throughout the book. You ll also discover that the easy-to-follow outline format places the information that you need at your fingertips for quick reference in your busy practice setting.
Esta pesquisa teve como objetivo compreender a percepção dos cônjuges de mulheres mastectomizadas em relação à convivência pós-cirúrgica. Estudo qualitativo, realizado em 2006, no domicílio de cinco ...homens que viviam maritalmente com mulheres mastectomizadas, em Fortaleza-CE. Utilizamos a entrevista semi-estruturada. Os resultados foram agrupados em três categorias de análise. Identificamos um nível de desinformação quanto à doença, tranquilidade atribuída à fé em Deus, e a forte convicção de que câncer e morte são sinônimos. Cabe aos profissionais de enfermagem/saúde favorecer o conhecimento sobre câncer de mama, e abrir um painel de integração marido/esposa, priorizando uma convivência saudável.
The objective of this study was to understand how the partners of mastectomized women perceived life after the surgery. The study is both descriptive and exploratory, and was conducted in 2006 with five men who lived with mastectomized women in Fortaleza, Brazil. Semi-structured interviews were performed and the results were grouped into three analytic categories. We identified a level of misinformation about the illness, tranquility attributed to a faith in God, and a strong conviction that cancer and death are synonyms. Nursing/health professionals are responsible for providing knowledge about breast cancer and for fostering for integration between the woman and her partner, prioritizing a healthy life together.
Esta investigación tuvo como objetivo comprender la percepción de los cónyuges de mujeres mastectomizadas respecto de la convivencia posquirúrgica. El estudio fue de carácter cualitativo, realizado en 2006, en los hogares de cinco hombres que convivían maritalmente con mujeres mastectomizadas en Fortaleza, Ceará, Brasil. Se utilizó el sistema de entrevista semiestructurada, los resultados fueron agrupados en tres categorías de análisis. Identificamos un nivel de falta de información respecto de la enfermedad, cierto grado de tranquilidad atribuible a la fe en Dios y la fuerte seguridad de que cáncer y muerte son sinónimos. Corresponde entonces a los profesionales de enfermería y otros profesionales de la salud favorecer los conocimientos respecto del cáncer de mama y abril un panel de integración esposo/ esposa, apuntando como prioridad a una convivencia saludable.
Asignificant increase in nursing research is being conducted as the nursing profession shifts from "ritual" clinical decisions to practice based on research evidence. Evidence-based practice is now ...an accepted, essential foundation for high-quality patient care. Initially, best practice was based on a few randomized, controlled trials that reflected similar clinical problems. However, with the plethora of nursing research to date, evidence-based nursing practice currently is grounded in summaries of research or research reviews, resulting in robust findings used in the development of clinical guidelines. Several terms exist for reviews, such as literature, integrative, systematic, meta-analysis, and metasynthesis. Similarities can be noted among the types of reviews; however, the objectives and goals of each method differ and the terms should not be used synonymously. This article will define each of the literature and research reviews and discuss methodologic procedures for conducting each method.
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DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
495.
The last taboo? Katz, Anne
Oncology nursing forum
41, Številka:
5
Journal Article
Recenzirano
Nursing has addressed many taboo topics-death and dying, fertility, and most recently sexuality (but more work still needs to be done!). However, there remains one topic that is barely mentioned ...despite overwhelming evidence that it plays an important role in both the development of cancer as well as cancer recurrence: obesity.
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DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
Anxiety may begin at the moment a person is diagnosed with cancer and may fluctuate throughout the cancer trajectory as physical illness improves or declines. The purpose of this article is to ...present current evidence for nurses to implement interventions to reduce anxiety in patients who have cancer. The PubMed and CINAHL® databases were searched to identify relevant citations addressing interventions that treat or prevent anxiety symptoms in patients with cancer. Based on available evidence, the interventions addressed herein are categorized according to the Putting Evidence Into Practice (PEP®) rating schema. Interventions include pharmacologic and nonpharmacologic approaches to care, and meet criteria for three PEP categories: likely to be effective, effectiveness not established (the largest category of results), or effectiveness unlikely.
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DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
Neutropenic patients often become febrile and require frequent temperature monitoring. Monitoring core body temperature is considered the gold standard for accuracy. Taking oral temperature is the ...recommended noninvasive practice when core body temperature cannot be obtained; however, neutropenic patients often, for various reasons, are unable to tolerate an oral probe.
The purpose of this article is to determine the equivalence of temperatures taken via temporal artery, axillary, and oral methods, and to determine the best alternative to the oral method in the adult hematology/oncology population.
A repeated measures equivalence design was used. A convenience sample of 40 data sets (N = 33 inpatients) was tested on a hematology/oncology inpatient unit in a National Cancer Institute-designated comprehensive cancer center in the southeastern United States. A Latin squares design was employed with three possible sequences of measurement. Demographic data were analyzed using descriptive statistics, and equivalence was tested using the two one-sided tests method. Acceptance criterion for difference between methods was set at 0.2°F from the oral method.
The temporal method is a potential noninvasive alternative to the oral method for the adult hematology/oncology population.
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DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
Workplace fatigue is common among occupations that have prolonged work hours, rotating shifts, night-time work hours, inadequate time for rest during work, and insufficient time for recovery between ...shifts. Available evidence suggests that workplace fatigue poses a substantial threat to patient safety and contributes to worker injury and decreased vigilance. However, little is known about workplace fatigue among nursing personnel working in institutions dedicated solely to the care of patients with cancer. This study describes the scope and severity of workplace fatigue among nursing personnel working in the inpatient and ambulatory care divisions of a comprehensive cancer center.
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DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
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