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1.
Clin J Oncol Nurs ; 25(3): 247-250, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-34019016

RESUMO

Oncology nurse practitioners (ONPs) are essential providers of oncology care who work in a variety of practice settings. ONPs add to productivity in practice, but the way in which productivity is measured may not capture their full contributions and value. A greater understanding of productivity measures can empower ONPs to communicate and demonstrate their full value in practice.

2.
Clin J Oncol Nurs ; 25(1): 41-47, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33480885

RESUMO

BACKGROUND: The COVID-19 pandemic generated challenges to the delivery of safe, efficient, and high-quality cancer care. In ambulatory oncology, where most cancer care is delivered, these challenges required the rapid development of infrastructure. OBJECTIVES: This article describes challenges to the design and implementation of ambulatory oncology infrastructures that support clinical oncology care during a pandemic. METHODS: This article reviews clinical experiences in interprofessional, multicenter, academic, and community settings during the COVID-19 pandemic. Cohesive and efficient services, collaborative processes, and workflows; patient triage and symptom management; technology and equipment; and communication strategies are discussed. National ambulatory care guidelines and practice recommendations are included as applicable and available. FINDINGS: Continued treatment delivery and support for patients with cancer, as well as infrastructure to minimize viral exposure to patients and oncology healthcare workers, are essential when caring for this high-risk population.


Assuntos
Assistência Ambulatorial/normas , COVID-19/enfermagem , Oncologia/normas , Neoplasias/enfermagem , Enfermagem Oncológica/normas , Guias de Prática Clínica como Assunto , Telemedicina/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , COVID-19/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , SARS-CoV-2 , Estados Unidos/epidemiologia
3.
Clin J Oncol Nurs ; 25(1): 33-40, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33480886

RESUMO

BACKGROUND: Understanding basic epidemiology and public health concepts is essential to the provision of safe care during a pandemic. These basic concepts and terms include containment, mitigation, predictive modeling, latent period, incubation period, reproduction number, case fatality rate, and test sensitivity and specificity. OBJECTIVES: Public health concepts and terms are defined, described in the context of the COVID-19 pandemic, and specific implications for oncology nursing practice are discussed. METHODS: A review of public health literature and reputable websites with a focus on COVID-19 data. This article defines epidemiologic and public health concepts and uses examples from the pandemic to illustrate oncology nursing implications. FINDINGS: The COVID-19 pandemic is changing oncology nursing care delivery. Oncology nurses need to understand these concepts to anticipate and advocate for optimal oncology care.


Assuntos
COVID-19/epidemiologia , COVID-19/enfermagem , Oncologia/educação , Enfermeiras Clínicas/educação , Enfermagem Oncológica/educação , Pandemias/prevenção & controle , Saúde Pública/educação , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mortalidade , SARS-CoV-2 , Estados Unidos/epidemiologia
4.
J Holist Nurs ; 39(2): 108-115, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32639847

RESUMO

Purpose: To examine the following variables related to essential oil use: familiarity, enjoyment, influence on relaxation, intention for future use, and acceptance among women undergoing breast-imaging procedures. Design: A descriptive, exploratory study. Method: An investigator-designed questionnaire was used to gather demographic information and study variables (N = 51). Data on age and scheduled procedure were collected. Data collected on essential oils included choice, anxiety, acceptance, familiarity, relaxation response, enjoyment with use, and intention to use in the future. Acceptance of essential oils was derived from the prompt included on the questionnaire "please tell us the reason you accepted the Essential Oil today." Findings: Enjoyment with essential oils was high 97.9% (n = 48), 76% (n = 38) were familiar with their use, a majority 94% (n = 48) of participants experienced some degree of relaxation following their use, and 94% (n = 46) would continue their use in the future. Acceptance of essential oils was based largely on familiarity with their use. Conclusions: A majority of participants in this study enjoyed essential oils, were familiar with their use, experienced relaxation following use, and intended to use them in the future when undergoing breast-imaging procedures.


Assuntos
Mama/efeitos dos fármacos , Mama/diagnóstico por imagem , Óleos Voláteis/uso terapêutico , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Óleos Voláteis/farmacologia , Projetos Piloto , Inquéritos e Questionários
5.
Nurs Forum ; 56(2): 249-254, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33231874

RESUMO

PURPOSE: To examine the effect of education on nursing personnel's knowledge and attitudes regarding the use of hand massage, breathing techniques, and essential oils with hospice and palliative care patients. BACKGROUND: Unrelieved, end of life pain is common among hospitalized patients on hospice and palliative care units. Integrative care techniques such as hand massage, breathing techniques, and essential oils can be available to use with these individuals. Nursing personnel are often unaware of other techniques that are not a traditional pharmacology approach to pain. METHODS: A quasi-experiment was conducted to evaluate the effect of an educational intervention on nursing personnel's knowledge and attitudes regarding the use of three integrative care techniques (hand massage, breathing techniques, and essential oils) with hospice and palliative care patients in an acute care setting. Data on knowledge and attitudes were collected pre- and postintervention. RESULTS: Following the intervention, improvements in nursing personnel's attitudes and knowledge toward the use of the three techniques were found. CONCLUSION: Results of this study suggest that education of nursing personnel may positively influence knowledge and attitudes toward providing hand massage, breathing techniques, and essential oil for end of life patients.

6.
Clin J Oncol Nurs ; 24(3): 240-243, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32441673

RESUMO

Adrenal insufficiency (AI) is a potential immune-related adverse event (irAE) of immunotherapy (e.g., checkpoint inhibitor). If not identified and treated promptly, AI can be life-threatening. Unlike other irAEs, AI may be irreversible, requiring long-term glucocorticoid and mineralocorticoid replacement. Provider and patient education are essential in the management of immune checkpoint inhibitor-induced AI.


Assuntos
Insuficiência Adrenal/induzido quimicamente , Insuficiência Adrenal/tratamento farmacológico , Glucocorticoides/uso terapêutico , Inibidores de Checkpoint Imunológico/efeitos adversos , Mineralocorticoides/uso terapêutico , Neoplasias/tratamento farmacológico , Nivolumabe/efeitos adversos , Adulto , Idoso , Idoso de 80 Anos ou mais , Currículo , Educação Continuada em Enfermagem , Feminino , Humanos , Inibidores de Checkpoint Imunológico/uso terapêutico , Imunoterapia/efeitos adversos , Masculino , Pessoa de Meia-Idade , Nivolumabe/farmacologia , Recursos Humanos de Enfermagem no Hospital/educação , Enfermagem Oncológica/educação
7.
Clin J Oncol Nurs ; 23(1): 76-81, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-30682008

RESUMO

BACKGROUND: Satisfaction with care is a reported outcome of patient navigation. Assessment methods vary, as do navigation programs, including the use of oncology nurse navigators (ONNs). OBJECTIVES: The purpose of this study is to evaluate the effect of contact with an ONN on patient satisfaction. METHODS: A retrospective review of oncology Press Ganey outpatient satisfaction surveys was conducted. Groups with and without ONN contact were compared on responses to survey items relevant to ONN roles. For those 15 items, mean scores, top box scores, and all-facility percentile rank were compared between those who did and did not report contact with an ONN. FINDINGS: For all items, mean scores and percentile rank comparisons were higher for the group with ONN contact. In the group with ONN contact, top box scores were significantly higher for items pertaining to nurses' concern for patients' questions and worries and staff sensitivity to difficulties and inconvenience caused by the condition or treatment.


Assuntos
Papel do Profissional de Enfermagem , Enfermagem Oncológica/organização & administração , Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Navegação de Pacientes/organização & administração , Satisfação do Paciente/estatística & dados numéricos , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Inquéritos e Questionários
9.
J Nurs Adm ; 47(6): 308-312, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28509719

RESUMO

OBJECTIVE: The purpose of this study was to examine the importance of factors related to nurse retention. BACKGROUND: Retaining nurses within the healthcare system is a challenge for hospital administrators. Understanding factors important to nurse retention is essential. METHODS: Responses of nurses (n = 279) to the Baptist Health Nurse Retention Questionnaire (BHNRQ) at a 391-bed Magnet® redesignated community hospital were analyzed to explore differences in importance scores of bedside nurses. RESULTS: The results demonstrate that each of the 12 items on the BHNRQ was moderately to highly important. A multivariate analysis of variance based on generation, degree, unit, and experience revealed no significant differences on subscale scores (nursing practice, management, and staffing). Themes derived from the comment section on the BHNRQ were consistent with quantitative findings. CONCLUSION: Clinical and managerial competence, engagement with their employees, and presence on the unit are keys to retaining a satisfied nursing workforce.


Assuntos
Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/provisão & distribuição , Reorganização de Recursos Humanos/estatística & dados numéricos , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Protestantismo , Inquéritos e Questionários , Estados Unidos
10.
J Nurs Adm ; 47(5): 289-293, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28422935

RESUMO

OBJECTIVE: The purposes of this study were to develop and test the Baptist Health Nurse Retention Questionnaire (BHNRQ) and examine the importance of nurse retention factors. BACKGROUND: Multiple factors, including increasing patient acuity levels, have led to concerns regarding nurse retention. An understanding of current factors related to retention is limited. METHODS: To establish the psychometric properties of the BHNRQ, data were collected from 279 bedside nurses at a 391-bed, Magnet® redesignated community hospital. A principal component analysis was conducted to determine the subscale structure of the BHNRQ. Additional analyses were conducted related to content validity and test-retest reliability. RESULTS: The results of the principal components analysis revealed 3 subscales: nursing practice, management, and staffing. Analyses demonstrate that the BHNRQ is a reliable and valid instrument for measuring nurse retention factors. CONCLUSION: The BHNRQ was found to be a clinically useful instrument for measuring important factors related to nurse retention.


Assuntos
Atitude do Pessoal de Saúde , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Reorganização de Recursos Humanos/estatística & dados numéricos , Psicometria , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Inquéritos e Questionários , Estados Unidos
11.
Clin J Oncol Nurs ; 19(1): 89-93, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25689654

RESUMO

BACKGROUND: Colorectal cancer (CRC) is the third most commonly diagnosed cancer and the second leading cause of cancer death in the United States. More than 2,000 Kentuckians are diagnosed with CRC annually, and more than 800 die from the disease. Little research has been conducted in Kentucky to better understand why individuals are not screened for CRC and what strategies might encourage them to do so. OBJECTIVES: The purpose of this study was to evaluate the efficacy of educational materials mailed to participants supporting the need for CRC screening on the decision to complete screening post-hospital discharge. An additional focus was to identify the characteristics of individuals screened and not screened. METHODS: A quasi-experimental study was conducted on 167 adult patients discharged from a 383-bed Magnet-designated hospital. An investigator-designed, semistructured telephone interview was conducted to collect data on research-based factors identified to influence CRC screening rates. FINDINGS: Although not statistically significant, slightly more patients who remembered receiving educational materials in the mail completed screening. Future educational efforts should focus on the importance of screening and financial resource availability.


Assuntos
Neoplasias Colorretais/prevenção & controle , Comportamentos Relacionados com a Saúde , Programas de Rastreamento , Aceitação pelo Paciente de Cuidados de Saúde , Idoso , Informação de Saúde ao Consumidor , Feminino , Hospitais Comunitários , Humanos , Entrevistas como Assunto , Kentucky , Masculino , Pessoa de Meia-Idade
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