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Is There Space for New Graduate Nurses in Pediatric Oncology? 儿科肿瘤学有新毕业护士的用武之地吗?
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-09-17 DOI: 10.1188/24.CJON.512
Morgan Baier

For my senior high school capstone project, I focused on pediatric oncology, which included shadowing two physicians. I realized that although physicians do incredible work, the nurses I encountered were so hands on and appea.

在我的高中毕业设计中,我重点研究了儿科肿瘤学,包括跟随两名医生学习。我意识到,尽管医生们的工作令人难以置信,但我遇到的护士们却是如此的亲力亲为,如此的令人印象深刻。
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引用次数: 0
Consistent Nursing Presence Through Questionably Unprecedented Times. 在前所未有的时代,护理工作始终如一。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-09-17 DOI: 10.1188/24.CJON.436-437
Joni L Watson

Election season. Those words evoke sighs, spur eye rolls, emblazon debates, strain relationships, spark activism, and fan hope. The Clinical Journal of Oncology Nursing team works months ahead of each issue. By publication, A.

选举季。这些字眼唤起人们的叹息,刺激人们的眼球,引发辩论,拉紧关系,激发积极性,点燃希望。临床肿瘤护理杂志》团队在每期杂志出版前都会提前数月开展工作。到出版时,A.
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引用次数: 0
Cutaneous Toxicities With Amivantamab for Non-Small Cell Lung Cancer: A Practical Guide and Best Practices. 阿米万他单抗治疗非小细胞肺癌的皮肤毒性:实用指南与最佳实践》。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-09-17 DOI: 10.1188/24.CJON.1-8.AP
Shahnaz Singh-Kandah, Kaiwen Wang, Karen Xia, Andy Lain Johnson, Denise M D'Andrea, Catherine A Shu, Lindsay Bray Dougherty, Stephanie M Gallitano

Background: Amivantamab is an epidermal growth factor receptor (EGFR) and MET bispecific antibody approved for certain patients with advanced non-small cell lung cancer with EGFR variant. Cutaneous toxicities are known on-target effects of EGFR inhibition.

Objectives: This article describes the occurrence and management of cutaneous toxicities in patients whose disease progressed on platinum chemotherapy treated with amivantamab.

Methods: Post hoc analysis evaluated incidence, severity, and time to first onset of rash and paronychia. Five nurses and advanced practice providers were interviewed.

Findings: Of 380 patients, 296 (78%) experienced treatment-related rash and/or paronychia. Paronychia (43%), rash (36%), and dermatitis acneiform (35%) were most frequent, with scalp rash reported by 17%. Treatment modifications because of rash and paronychia were infrequent. Nurses and advanced practice providers collaborate with physicians to manage cutaneous toxicities by administering comedications, modifying amivantamab dose, and educating patients.

背景:阿米万他单抗是一种表皮生长因子受体(EGFR)和MET双特异性抗体,已被批准用于治疗某些EGFR变异的晚期非小细胞肺癌患者。皮肤毒性是表皮生长因子受体抑制剂已知的靶向效应:本文描述了阿米万他单抗治疗铂类化疗后病情进展患者皮肤毒性的发生和处理情况:方法:事后分析评估了皮疹和瘙痒的发生率、严重程度和首次发病的时间。结果:在 380 名患者中,有 296 人(296 例)首次出现皮疹和副皮炎:在 380 名患者中,296 人(78%)出现了与治疗相关的皮疹和/或副皮炎。皮疹(43%)、皮疹(36%)和痤疮样皮炎(35%)最为常见,头皮皮疹占 17%。因皮疹和副癣而修改治疗方案的情况并不常见。护士和高级医疗服务提供者应与医生合作,通过给患者用药、调整阿米万他单抗剂量和教育患者来控制皮肤毒性。
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引用次数: 0
Early Palliative Care Improves Patient and Caregiver Quality of Life. 早期姑息关怀可改善患者和护理者的生活质量。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-09-17 DOI: 10.1188/24.CJON.496-501
Carey T Ramirez, Ravnyssa K Verma

Patients receiving early palliative care experience improved quality of life, may live longer, and may have earlier referrals to hospice. Caregivers with loved ones receiving early palliative care experience improved communic.

接受早期姑息关怀的病人的生活质量得到改善,寿命可能更长,并可能更早被转介到临终关怀机构。照顾者与接受早期姑息关怀的亲人的沟通也得到了改善。
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引用次数: 0
Engaging Nurse Residents Through Poetry. 通过诗歌吸引住院护士。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-09-17 DOI: 10.1188/24.CJON.502-505
Samantha Minasian, Janelle Kronenfeld, Tina M Mason

Oncology nurse residents write legacy letters to future cohorts in the 11th month as a reflection on their transition year, focusing on lessons learned and advice gleaned. This article explores poetry as an alternative to leg.

肿瘤科护士住院医师会在第 11 个月写遗书给未来的住院医师,作为对其过渡年的反思,重点是吸取的教训和收集的建议。本文探讨了诗歌作为遗书的替代方式。
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引用次数: 0
Implementing a Standardized Educational Tool for Patients With Brain Tumors Undergoing Concurrent Temozolomide and Radiation Therapy. 为同时接受替莫唑胺和放射治疗的脑肿瘤患者实施标准化教育工具。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-09-17 DOI: 10.1188/24.CJON.477-482
Jennifer C Stewart

Background: Patients diagnosed with glioblastoma multiforme (GBM) often undergo concurrent temozolomide and radiation therapy. Antineoplastic medication nonadherence continues to be an issue for patients with cancer.

Objectives: This quality improvement project aimed to institute an evidence-based standardized educational tool for patients with GBM undergoing concurrent temozolomide and radiation therapy.

Methods: To assess medication adherence, patients completed the Brief Adherence Rating Scale at the end of the last radiation therapy visit. Patients and providers completed satisfaction surveys.

Findings: Data analysis from the administered Brief Adherence Rating Scale demonstrated a mean of 99.3% (N = 13) medication adherence among participants. Median medication adherence was demonstrated to be 100%, with scores ranging from 93% to 100%.

背景:被诊断为多形性胶质母细胞瘤(GBM)的患者通常会同时接受替莫唑胺和放射治疗。抗肿瘤药物的不依从性仍然是癌症患者面临的一个问题:本质量改进项目旨在为同时接受替莫唑胺和放射治疗的 GBM 患者提供循证标准化教育工具:为了评估用药依从性,患者在最后一次放疗结束时填写了简明依从性评分量表。患者和医疗服务提供者完成满意度调查:对简明依从性评分量表的数据分析显示,参与者的平均服药依从性为 99.3%(N=13)。用药依从性的中位数为 100%,评分范围为 93% 至 100%。
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引用次数: 0
Standardizing Chemotherapy Education to Improve Patient Satisfaction at an Ambulatory Oncology Center. 规范化疗教育,提高非住院肿瘤中心的患者满意度。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-09-17 DOI: 10.1188/24.CJON.457-462
Lindsay Muratore, Carla S Aquino, Teresa Reimer

This quality improvement project implemented a standardized chemotherapy class for newly diagnosed patients receiving oncology care at an urban ambulatory oncology center. Results showed high scores on patient satisfaction qu.

该质量改进项目针对在一家城市非住院肿瘤中心接受肿瘤治疗的新确诊患者实施了标准化化疗课程。结果显示,患者满意度调查得分很高。
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引用次数: 0
Counting the Costs: Examining Financial and Psychological Challenges in Cancer Care and Strategies for Mitigation. 计算成本:研究癌症护理中的财务和心理挑战以及缓解策略。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-07-19 DOI: 10.1188/24.CJON.428-431
Isoken Ikponmwosa, Maggie A Smith

This article explores the relationships among cancer care, financial challenges, and mental health, emphasizing the growing significance of addressing these interconnected issues. Increased frequency of cancer diagnoses and i.

本文探讨了癌症护理、财务挑战和心理健康之间的关系,强调了解决这些相互关联问题的日益重要的意义。癌症诊断和治疗的频率越来越高。
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引用次数: 0
Investigation and Correlation Analysis of Self-Care Ability and Fatigue Among Primary Caregivers of Postoperative Patients With Liver Cancer in China. 中国肝癌术后患者主要护理人员自理能力与疲劳的调查及相关性分析
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-07-19 DOI: 10.1188/24.CJON.406-414
Yuqiong Zhou, Qiuxiang Wang, Chu Jingjing, Lewen Shao

Background: In the postoperative period, patients mainly rely on caregivers, who experience their own physical and mental fatigue. Caregiver fatigue may affect patient outcomes.

Objectives: This study explored the fatigue status and influencing factors of primary caregivers of patients after liver cancer surgery.

Methods: A baseline information questionnaire, the Fatigue Scale-14, and the Barthel Index were used to investigate the self-care ability and fatigue status of 191 primary caregivers of patients with hepatic carcinoma who had had surgery.

Findings: The postoperative hospitalization time and self-care level of patients, whether the primary caregiver had health insurance, subjective feelings of fatigue, the perception that health was affected, and the patients' desired level of postoperative care were correlated with the occurrence of primary caregiver fatigue.

背景:术后患者主要依赖护理人员,而护理人员自身也会感到身心疲惫。护理人员的疲劳可能会影响患者的预后:本研究探讨了肝癌术后患者主要照顾者的疲劳状况及其影响因素:方法:采用基线信息问卷、疲劳量表-14 和 Barthel 指数调查了 191 名肝癌术后患者主要照顾者的自我照顾能力和疲劳状况:结果:患者的术后住院时间和自理水平、主要照顾者是否有医疗保险、疲劳的主观感受、对健康受到影响的认知以及患者希望的术后护理水平与主要照顾者疲劳的发生相关。
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引用次数: 0
The Impact of Independent Chemotherapy Prescribing by Advanced Practice Providers on Patient Safety and Clinician Satisfaction. 高级执业医师独立开具化疗处方对患者安全和临床医师满意度的影响。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-07-19 DOI: 10.1188/24.CJON.397-405
Nicole LeStrange, AnnMarie Walton, Joni L Watson, Nancy T Sklarin, Julie A Thompson, Mary Lou Affronti

Background: Literature on advanced practice providers (APPs) prescribing chemotherapy independently, without physician cosignature, is limited.

Objectives: This project assessed safety and provider satisfaction for an existing independent APP chemotherapy prescribing privilege at a National Cancer Institute-designated comprehensive cancer center.

Methods: Rate of Reporting to Improve Safety and Quality events associated with APPs with independent chemotherapy prescribing privileges was compared to that of physicians during a three-year period. Satisfaction of APPs with independent chemotherapy prescribing privileges was evaluated.

Findings: The odds of a reported event were higher for physicians than for APPs. APP survey responses were positive for readiness, confidence, and satisfaction with independent chemotherapy prescribing privilege.

背景:有关进阶医疗服务提供者(APP)在没有医生联署的情况下独立开具化疗处方的文献十分有限:本项目评估了美国国家癌症研究所指定的综合癌症中心现有的独立 APP 化疗处方权的安全性和提供者满意度:方法:在三年时间内,将拥有独立化疗处方权的 APP 与医生的相关事件报告率进行比较,以提高安全性和质量。对拥有独立化疗处方权的 APP 的满意度进行了评估:结果:医生发生报告事件的几率高于 APP。APP对独立化疗处方权的准备程度、信心和满意度的调查反馈均为正面。
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引用次数: 0
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Clinical journal of oncology nursing
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