Defining the Role and Responsibilities of the Oral Anticancer Medication Nurse Navigator.

OBJECTIVES: The goal of this article is to define the role and responsibilities of the oral anticancer medication nurse navigator. METHODS: This article combines findings from a review of scientific literature including research studies, quality improvement projects, case studies, standards, and guidelines combined with the experience and professional insights of the authors in the role creation and function of the oral anticancer medication nurse navigator. RESULTS: The role of the oral anticancer medication nurse navigator includes coordination of patient care, pre-treatment assessment of barriers to adherence, patient and caregiver education, planned follow-up and coaching, and symptom management. Professionally, the role includes the development of interdisciplinary workflows, coordination of care with internal and external stakeholders, clinical staff education, the application of technology, and advocacy. CONCLUSION: The oral anticancer medication nurse navigator uses the nursing process to coordinate care of the individual taking these medications. The role optimizes patient outcomes and benefits the healthcare organization through reduced healthcare costs and the ability to meet accreditation needs. IMPLICATIONS FOR NURSING PRACTICE: The role of the oral anticancer medication nurse navigator provides value to patients taking oral anticancer medications and to the healthcare team.

ONS Guidelines™ to Support Patient Adherence to Oral Anticancer Medications.

PURPOSE: This evidence-based guideline intends to support patients, clinicians, and others regarding interventions and processes to support patient adherence to oral anticancer medications (OAMs). METHODOLOGIC APPROACH: A panel of healthcare professionals and patient representatives developed a clinical practice guideline to support patients taking OAMs. GRADE (Grading of Recommendations Assessment, Development, and Evaluation) methodology and criteria for trustworthy guidelines were followed. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool. A quantitative or narrative synthesis of the evidence was completed. Certainty of the evidence was assessed using GRADE. FINDINGS: The panel agreed on recommendations and suggested an adherence risk assessment, education addressing adherence, ongoing assessment, proactive follow-up, coaching, and motivational interviewing in addition to usual care. The panel suggested the implementation of a structured OAM program. IMPLICATIONS FOR NURSING: As cancer treatment shifts from clinic to home settings, interventions and programs to support patients on OAMs are needed.

Situações de jogo como fonte de "stress" em modalidades esportivas coletivas / The game as source of stress in team sports

O stress competitivo é um assunto muito explorado nas pesquisas da área da psicologia esportiva. Nessas pesquisas, o jogo é um dos fatores que produzem a grande maioria das situações de stress. Este artigo teve como principal objetivo identificar quais as principais situações de stress em jogo, de acordo com a opinião de atletas juvenis praticantes de modalidades esportivas coletivas, analisando e comparando essas situações em função de gênero e modalidade esportiva. Participaram 417 atletas na faixa de 14 a 19 anos praticantes de basquetebol, handebol e voleibol. Foi utilizado o Formulário para Identificação de Situações de Stress em Jogo e os resultados mostraram que as situações mais frequentes apontadas como causadoras de stress pelos atletas foram: errar em momentos decisivos, perder jogo praticamente ganho, repetir os mesmos erros, arbitragem prejudicial e cometer erros que causem a derrota da equipe. Verificou-se uma alta correlação entre a classificação das situações em função do gênero (rs = 0,89; p < 0,01), o mesmo acontecendo entre as modalidades estudadas (c2 =35,52; p < 0,01). As situações relacionadas com as competências individuais e coletivas foram as mais citadas pelos atletas. As situações relacionadas a pessoas importantes (técnicos, arbitragem e companheiros de equipe) também foram identificadas como importantes pelos atletas.