RESUMO
PURPOSE: To update the American Society of Clinical Oncology (ASCO)-Oncology Nursing Society (ONS) standards for antineoplastic therapy administration safety in adult and pediatric oncology and highlight current standards for antineoplastic therapy for adult and pediatric populations with various routes of administration and location. METHODS: ASCO and ONS convened a multidisciplinary Expert Panel with representation of multiple organizations to conduct literature reviews and add to the standards as needed. The evidence base was combined with the opinion of the ASCO-ONS Expert Panel to develop antineoplastic safety standards and guidance. Public comments were solicited and considered in preparation of the final manuscript. RESULTS: The standards presented here include clarification and expansion of existing standards to include home administration and other changes in processes of ordering, preparing, and administering antineoplastic therapy; the advent of immune effector cellular therapy; the importance of social determinants of health; fertility preservation; and pregnancy avoidance. In addition, the standards have added a fourth verification. STANDARDS: Standards are provided for which health care organizations and those involved in all aspects of patient care can safely deliver antineoplastic therapy, increase the quality of care, and reduce medical errors.
Assuntos
Antineoplásicos , Neoplasias , Enfermagem Oncológica , Segurança do Paciente , Humanos , Antineoplásicos/efeitos adversos , Antineoplásicos/administração & dosagem , Adulto , Criança , Enfermagem Oncológica/normas , Neoplasias/tratamento farmacológico , Segurança do Paciente/normas , Feminino , Estados Unidos , Masculino , Sociedades de Enfermagem/normasRESUMO
The American Society for Pain Management Nursing (ASPMN) has reviewed and updated its position statement on the use of authorized agent controlled analgesia (AACA) for patients who are unable to independently utilize a self-dosing analgesic infusion pump, commonly known as patient-controlled analgesia (PCA). ASPMN continues to support the use of AACA to provide timely and effective pain management while promoting equitable care for vulnerable patient populations who are unable to use PCA. ASPMN does not support the use of "PCA by Proxy" in which unauthorized individuals activate PCA for a patient. This position statement includes an updated review of the evidence related to AACA. Clinical practice recommendations for authorized agents, nurses, prescribers, and organizations are provided with an emphasis on the importance of appropriate authorized agent selection, education, diligent patient assessment and medication management.
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Analgesia Controlada pelo Paciente , Sociedades de Enfermagem , Humanos , Analgesia Controlada pelo Paciente/métodos , Analgesia Controlada pelo Paciente/normas , Analgesia Controlada pelo Paciente/enfermagem , Sociedades de Enfermagem/normas , Manejo da Dor/métodos , Manejo da Dor/normas , Analgésicos Opioides/uso terapêutico , Analgésicos Opioides/administração & dosagem , Estados UnidosRESUMO
ICN's president discusses COVID's impact and the biggest challenges for nursing going forward.
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COVID-19/epidemiologia , Saúde Global , Papel do Profissional de Enfermagem , Sociedades de Enfermagem/normas , COVID-19/enfermagem , Humanos , Cooperação Internacional , Conselho Internacional de Enfermagem , Política PúblicaRESUMO
The coronavirus-2019 (COVID-19) pandemic has resulted in turbulent times challenging nurse leaders to adopt, adapt, and develop new leadership competencies to navigate current and future challenges. In never-imagined approaches, nurse leaders have responded to a different type of crisis management. In this new era, nursing leadership will need competencies to reshape the future of nursing and nurses' role in caring for patients, families, and promotion of healthy communities along with a focus on reducing health disparities. The pandemic has drawn critical focus on the health and well-being needs of nurses. The American Organization for Nursing Leadership and the Association for Leadership Science in Nursing have offered insights of nursing leadership competencies critical for practice and education in shaping the future.
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Liderança , Enfermagem/normas , Sociedades de Enfermagem/normas , COVID-19/enfermagem , Competência Clínica/normas , Humanos , Pandemias , SARS-CoV-2RESUMO
BACKGROUND: Health care specialty organizations are an important resource for their membership; however, it is not clear how specialty societies should approach combating stress and burnout on an organizational scale. OBJECTIVE: To understand the prevalence of burnout syndrome in American Thoracic Society members, identify specialty-specific risk factors, and generate strategies for health care societies to combat burnout. METHODS: Cross-sectional, mixed-methods survey in a sample of 2018 American Thoracic Society International Conference attendees to assess levels of burnout syndrome, work satisfaction, and stress. RESULTS: Of the 130 respondents, 69% reported high stress, 38% met burnout criteria, and 20% confirmed chaotic work environments. Significant associations included sex and stress level; clinical time and at-home electronic health record work; and US practice and at-home electronic health record work. There were no significant associations between burnout syndrome and the selected demographics. Participants indicated patient care as the most meaningful aspect of work, whereas the highest contributors to burnout were workload and electronic health record documentation. Importantly, most respondents were unaware of available resources for burnout. CONCLUSIONS: Health care specialty societies have access to each level of the health system, creating an opportunity to monitor trends, disseminate resources, and influence the direction of efforts to reduce workplace stress and enhance clinician well-being.
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Esgotamento Profissional/prevenção & controle , Enfermagem de Cuidados Críticos/normas , Guias como Assunto , Promoção da Saúde/métodos , Recursos Humanos de Enfermagem Hospitalar/psicologia , Sociedades de Enfermagem/normas , Estresse Psicológico/prevenção & controle , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados UnidosRESUMO
During May we celebrate School Nursing Day. We are often asked-What does a school nurse do? This article is a response to a recently asked request and describes the role of the school nurse in the 21st century, working in one school. The description is not meant to be all inclusive-but rather give examples of the complex role and need for a school nurse.
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Administração de Caso/normas , Guias de Prática Clínica como Assunto , Papel Profissional , Serviços de Enfermagem Escolar/normas , Serviços de Enfermagem Escolar/tendências , Sociedades de Enfermagem/normas , Sociedades de Enfermagem/tendências , Adulto , Feminino , Previsões , Humanos , Masculino , Pessoa de Meia-Idade , Estados UnidosRESUMO
Smokers who use combustible tobacco products, such as cigarettes, cigars, and pipes, have been turning to electronic cigarettes (e-cigarettes) or electronic nicotine delivery systems (ENDS) as an alternative to combustible tobacco products and as a smoking cessation tool. Use of e-cigarettes has been referred to as vaping, with numerous terms for these devices, such as vaporizers, vape pens, hookah pens, e-cigs, or e-pipes.
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Sistemas Eletrônicos de Liberação de Nicotina/estatística & dados numéricos , Sistemas Eletrônicos de Liberação de Nicotina/normas , Guias como Assunto , Abandono do Hábito de Fumar/psicologia , Fumar/psicologia , Sociedades de Enfermagem/normas , Vaping/psicologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos , Adulto JovemAssuntos
Fadiga/psicologia , Política de Saúde , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem Hospitalar/psicologia , Segurança do Paciente/normas , Guias de Prática Clínica como Assunto , Transtornos do Sono-Vigília/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Gestão da Segurança/métodos , Sociedades de Enfermagem/normas , Estados UnidosAssuntos
Enfermagem Obstétrica/normas , Guias de Prática Clínica como Assunto , Complicações na Gravidez/etiologia , Resultado da Gravidez , Cuidado Pré-Natal/normas , Transtornos Relacionados ao Uso de Substâncias/diagnóstico , Adulto , Feminino , Política de Saúde/legislação & jurisprudência , Humanos , Recém-Nascido , Papel do Profissional de Enfermagem , Formulação de Políticas , Período Pós-Parto , Gravidez , Complicações na Gravidez/enfermagem , Complicações na Gravidez/fisiopatologia , Sociedades de Enfermagem/normas , Transtornos Relacionados ao Uso de Substâncias/complicações , Transtornos Relacionados ao Uso de Substâncias/terapia , Estados Unidos , Saúde da Mulher , Adulto JovemRESUMO
AIM: To investigate whether the CanMEDS-based International Federation of Nurse Anesthetists' Standards could adequately define the scope of practice and reliably be used to train and evaluate Swiss nurse anesthetists (NAs). BACKGROUND: Although nurse anesthetists represent a majority of the global workforce in anesthesia, policies that define the scope of practice are frequently non-existent. In low- and middle-income countries, the lack of anesthesia providers with adequate training is a major challenge. INTRODUCTION: Despite stringent training requirements, the scope of practice of Swiss nurse anesthetists is actually not defined. Therefore, we surveyed and assessed whether nurse anesthetists felt that the professional competencies outlined in this framework were aligned with their clinical practice. METHODS: A cross-sectional survey investigated Swiss nurse anesthetists' relevance ratings of 76 competencies of the International Federation of Nurse Anesthetists according to their professional practice. Cronbach's alpha coefficients were used to determine the internal consistency of the competencies, as well as factor analyses to assess construct validity of these competencies integrated into the CanMEDS roles model. RESULTS: Participants rated the Standards overall as very relevant with high reliability. Factor analyses provided evidence of construct validity of these. DISCUSSION: The International Federation of Nurse Anesthetists' Standards of Practice provide a highly relevant framework and a valuable set of competencies for the scope of practice of Swiss nurse anesthetists, which enabled translation from global guides to local national standards. CONCLUSION AND IMPLICATION FOR NURSING AND HEALTH POLICY: Adopted by low- and middle-income countries or countries where national standards are non-existent, this survey could introduce national and local policies at minimally acceptable standards of care for nurse anesthetists worldwide. The above standards have the potential to align education, outcomes and assessment of nurse anesthetists with the needs of national healthcare systems.
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Enfermeiros Anestesistas/educação , Enfermeiros Anestesistas/normas , Padrões de Prática em Enfermagem/normas , Competência Profissional/normas , Estudos Transversais , Currículo/normas , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Garantia da Qualidade dos Cuidados de Saúde , Sociedades de Enfermagem/normas , SuíçaRESUMO
In October 2010, the Institute of Medicine and the Robert Wood Johnson Foundation released The Future of Nursing report. One way that "Recommendation 7: Prepare and enable nurses to lead change and advance health" has been operationalized has been placing nurses on boards, and nursing organizations have urged their constituents to serve in this capacity. This article outlines steps for obtaining an invitation to join a board. [J Contin Educ Nurs. 2018;49(12):559-562.].