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The Impact of a Nurse-Led High-Risk Referral Protocol Implemented in a Comprehensive Breast Center. 综合乳腺中心实施护士主导的高风险转诊协议的影响。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-07-19 DOI: 10.1188/24.CJON.366-371
Ashley B Johnson, Monica L Beck, Heather J Jackson

This quality improvement project implemented a nurse-led high-risk screening referral protocol for earlier identification of women at increased risk for breast cancer. The Breast Cancer Risk Assessment Tool was used at the ma.

该质量改进项目实施了一项由护士主导的高风险筛查转诊协议,以便更早地识别乳腺癌风险增加的妇女。该项目使用了乳腺癌风险评估工具。
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引用次数: 0
Personal Protective Equipment Use and Surface Contamination With Antineoplastic Drugs: The Impact of the COVID-19 Pandemic. 个人防护设备的使用与抗肿瘤药物的表面污染:COVID-19 大流行的影响。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-07-19 DOI: 10.1188/24.CJON.380-388
AnnMarie Walton, Melissa Powell, Susan G Silva, Haesu Jin, Daniel Hatch, Ivan Spasojevic

Background: Surface contamination with antineoplastic drugs (ADs) is persistent. The use of personal protective equipment (PPE) is recommended to reduce exposure to ADs.

Objectives: This study explored the impact of the COVID-19 pandemic on nurses' PPE use and surface contamination with ADs.

Methods: Demographic characteristics, PPE use, and associated factors were assessed on two inpatient oncology units where etoposide and cyclophosphamide were administered before (N = 26) and during the COVID-19 pandemic (N = 31).

Findings: PPE use when handling contaminated excreta was significantly higher during the pandemic. Perceived risk of chemotherapy exposure was significantly associated with greater PPE use when handling AD-contaminated excreta, and conflict of interest was related to less PPE use during AD administration and handling of AD-contaminated excreta. During the pandemic, surface contamination with etoposide increased in shared areas and decreased in patient rooms.

背景:抗肿瘤药物(ADs)的表面污染是持续存在的。建议使用个人防护设备(PPE)来减少与 ADs 的接触:本研究探讨了 COVID-19 大流行对护士个人防护设备使用和 ADs 表面污染的影响:方法:在COVID-19大流行之前(26人)和期间(31人),对两个使用依托泊苷和环磷酰胺的肿瘤住院病房的人口统计学特征、PPE使用情况和相关因素进行了评估:大流行期间,处理受污染排泄物时使用个人防护设备的比例明显较高。化疗暴露风险的感知与处理AD污染的排泄物时更多地使用个人防护设备密切相关,而利益冲突则与使用AD和处理AD污染的排泄物时较少使用个人防护设备有关。在大流行期间,共用区域的依托泊苷表面污染增加,而病房的污染减少。
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引用次数: 0
Ruthlessly Subtract to Build Oncology Programs and Add Value. 无情减法,打造肿瘤项目,增加价值。
IF 1.3 4区 医学 Q3 NURSING Pub Date : 2024-07-19 DOI: 10.1188/24.CJON.340-341
Joni L Watson

Building modern healthcare programs and systems caring for populations requires expert skills in strategy, finance, people operations, workflow, evaluation, and more. Build often connotes adding services and people, but it al.

建立现代医疗保健计划和系统,为民众提供护理,需要战略、财务、人员运营、工作流程、评估等方面的专业技能。建设通常意味着增加服务和人员,但它也包括其他方面。
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引用次数: 0
Improving Vaccination Documentation Rates Among Patients With Breast Cancer Through Patient Outreach. 通过患者宣传提高乳腺癌患者的疫苗接种记录率。
IF 1.1 4区 医学 Q3 Nursing Pub Date : 2024-05-17 DOI: 10.1188/24.CJON.297-304
Stephanie Russell, Marilyn J Miller

Background: Patients with cancer are at high risk for infection-related morbidity and mortality; vaccinations reduce this burden. In 2021, vaccination documentation rates were low at an academic medical center breast clinic.

Objectives: The purpose of this pilot quality improvement project was to evaluate an education intervention to increase vaccination documentation among patients with breast cancer.

Methods: During a 16-week period, the 4 Pillars™ Practice Transformation Program was implemented. The oncology nurse navigator assessed and documented vaccination history, discussed recommendations with the provider, and recommended concurrent vaccinations. Within a two-week period, the oncology nurse navigator completed and documented vaccination follow-up via telephone.

Findings: Vaccination follow-up and documentation for influenza, shingles, and pneumococcal vaccines increased substantially. Findings indicate that an education and outreach program can increase vaccination documentation rates among patients with breast cancer.

背景:癌症患者是感染相关发病率和死亡率的高危人群;接种疫苗可减轻这一负担。2021 年,学术医疗中心乳腺诊所的疫苗接种记录率很低:本质量改进试点项目旨在评估一项教育干预措施,以提高乳腺癌患者的疫苗接种记录率:在为期 16 周的时间内,实施了 4 Pillars™ 实践转型计划。肿瘤科护士导航员评估并记录疫苗接种史,与医疗服务提供者讨论建议,并推荐同时接种疫苗。在两周内,肿瘤科护士导航员通过电话完成并记录了疫苗接种的后续情况:研究结果:流感、带状疱疹和肺炎球菌疫苗的随访和记录大幅增加。研究结果表明,教育和推广计划可以提高乳腺癌患者的疫苗接种记录率。
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引用次数: 0
Building Resilience in New Graduate RNs: Lessons Learned. 培养新毕业护士的应变能力:经验教训。
IF 1.1 4区 医学 Q3 Nursing Pub Date : 2024-05-17 DOI: 10.1188/24.CJON.273-280
Christopher Okamoto, Jennifer Shamai, Sara Caiazza, Liz Cooke, Jeannine M Brant

Background: Transitioning into oncology practice can be challenging for new graduate RNs. High patient acuity, a steep learning curve, psychosocial challenges, and frequent patient deaths can be overwhelming.

Objectives: The purpose of this program was to provide resilience training for new graduate oncology nurses as part of an existing nurse residency program. Building resilience among oncology nurses was a primary goal during the COVID-19 pandemic and continues to be an important goal.

Methods: Resilience training in this program consisted of didactic lectures, personalized goal setting, one-on-one mentoring, and a follow-up support group. Various measurement scales were used at baseline, 6 months, and 12 months to assess resilience, professional quality of life, and new graduate experience measures, including communication and organizational skills.

Findings: Resilience significantly declined from baseline to six months; professional quality of life and new graduate experience measures also worsened. Some improvements in organizational skills and communication emerged at 12 months. Results indicate an ongoing need to consider extending nurse residency programs, resilience training, and support beyond the traditional one-year period.

背景:对于刚毕业的护士来说,过渡到肿瘤科工作是一项挑战。病人病情危重、学习曲线陡峭、社会心理挑战以及病人频繁死亡等问题都会让人难以承受:该项目旨在为新毕业的肿瘤科护士提供抗压能力培训,作为现有护士实习项目的一部分。在 COVID-19 大流行期间,培养肿瘤科护士的应变能力是一项主要目标,现在仍是一项重要目标:该项目中的复原力培训包括授课、个性化目标设定、一对一指导和后续支持小组。在基线期、6个月和12个月时使用了各种测量量表来评估抗逆力、职业生活质量和新毕业生的经验,包括沟通和组织技能:从基线到 6 个月期间,复原力明显下降;职业生活质量和应届毕业生体验也有所下降。在 12 个月时,组织能力和沟通能力有所改善。结果表明,有必要考虑将护士住院实习计划、恢复能力培训和支持延长到传统的一年期之后。
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引用次数: 0
Promoting End-of-Life Care and Healthcare Worker Well-Being: Implementing the 3 Wishes Project in an Oncology Intensive Care Unit. 促进临终关怀和医护人员的福祉:在肿瘤学重症监护病房实施 3 个愿望项目。
IF 1.1 4区 医学 Q3 Nursing Pub Date : 2024-05-17 DOI: 10.1188/24.CJON.257-262
Meagan L Gallagher, Jeanette P Brown, Douglass B Clapp, Scott S Christensen

This scholarly project implemented the 3 Wishes Project (3WP), which aims to fulfill the final wishes of dying critically ill patients, in a 16-bed tertiary intensive care unit (ICU). The project assessed outcomes through sur.

该学术项目在一家拥有 16 张病床的三级重症监护病房 (ICU) 中实施了 3 个愿望项目 (3WP),旨在实现临终重症患者的最后愿望。该项目通过问卷调查对结果进行评估。
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引用次数: 0
The Role of the Advanced Practice Provider in Bone Health Management for the Prostate Cancer Population. 高级医师在前列腺癌患者骨健康管理中的作用。
IF 1.1 4区 医学 Q3 Nursing Pub Date : 2024-05-17 DOI: 10.1188/24.CJON.247-251
Kristin K Ownby, Lydia T Madsen

Androgen deprivation therapy (ADT) is standard, first-line therapy for many aspects of prostate cancer treatment. Although ADT can be an effective treatment to inhibit androgen-fueled cell growth in prostate cancer, suppressi.

雄激素剥夺疗法(ADT)是治疗前列腺癌许多方面的标准一线疗法。虽然 ADT 可以有效抑制前列腺癌患者体内由雄激素驱动的细胞生长,但抑制雄激素对前列腺癌细胞生长的影响并不明显。
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引用次数: 0
Cancer in Sexual and Gender Minorities: Role of Oncology RNs in Health Equity. 性少数群体和性别少数群体中的癌症患者:肿瘤科护士在健康平等中的作用。
IF 1.1 4区 医学 Q3 Nursing Pub Date : 2024-05-17 DOI: 10.1188/24.CJON.329-334
Kurt David, Mary Elizabeth Davis

Despite comprising almost 8% of the population of the United States, sexual and gender minority (SGM) patients with cancer experience health inequities with poorer outcomes than non-SGM patients. Although sex-based guidelines.

尽管性与性别少数群体(SGM)癌症患者占美国总人口的近 8%,但与非性与性别少数群体患者相比,他们的健康状况更不公平,治疗效果也更差。尽管基于性别的指南
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引用次数: 0
ONS Past President Johnson's Legacy Leaves Impact on Global Cancer Community. ONS 前任主席约翰逊的遗产对全球癌症界产生了影响。
IF 1.1 4区 医学 Q3 Nursing Pub Date : 2024-05-17 DOI: 10.1188/24.CJON.238-239

Oncology Nursing Society (ONS) Past President Judi L. Johnson, PhD, RN, FAAN, dedicated her career to guiding cancer education, patient- centered care, and oncology nursing excellence. On Saturday, April 20, 2024, Johnson pas.

肿瘤护理学会(ONS)前任主席朱迪-约翰逊(Judi L. Johnson)博士、注册护士、FAAN,将她的职业生涯奉献给了指导癌症教育、以患者为中心的护理和卓越的肿瘤护理。2024 年 4 月 20 日星期六,约翰逊逝世。
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引用次数: 0
The Effects of WeChat-Based Teach-Back Health Education on Patients With Advanced Cancer Pain. 基于微信的健康教育对晚期癌痛患者的影响
IF 1.1 4区 医学 Q3 Nursing Pub Date : 2024-05-17 DOI: 10.1188/24.CJON.287-296
Jia Wang, Yao Liu, Jian Zong, Lixing Sun, Chao Wang, Ming Fang

Background: Providing effective health education is essential for patients with cancer-related pain. One solution is leveraging instant messaging tools for teach-back health education.

Objectives: This study investigated the effects of WeChat-based teach-back health education on patients with advanced cancer who underwent patient-controlled intrathecal analgesia implantation and used hydromorphone.

Methods: This retrospective study evaluated 150 hospitalized patients with advanced cancer pain. Patients were classified into a conventional health education group (N = 50) and a teach-back group (N = 100) based on whether they received WeChat-based teach-back health education. Pain was rated using a numeric rating scale, and sleep quality was measured using the Pittsburgh Sleep Quality Index at one, two, and three months postdischarge.

Findings: Patients who received remote teach-back health education better managed their pain. Data also demonstrated improvements in patients' sleep quality and caregiver satisfaction, and reductions in the occurrence of adverse reactions.

背景:为癌症相关疼痛患者提供有效的健康教育至关重要。一种解决方案是利用即时通讯工具进行回访式健康教育:本研究调查了基于微信的回访式健康教育对接受患者自控鞘内镇痛植入术并使用氢吗啡酮的晚期癌症患者的影响:这项回顾性研究对150名住院的晚期癌痛患者进行了评估。根据患者是否接受了基于微信的回访式健康教育,将其分为传统健康教育组(50 人)和回访式健康教育组(100 人)。在出院后的1、2和3个月,使用数字评分量表对疼痛进行评分,并使用匹兹堡睡眠质量指数对睡眠质量进行测量:研究结果:接受远程回访式健康教育的患者能更好地控制疼痛。数据还显示,患者的睡眠质量和护理人员的满意度都有所提高,不良反应的发生率也有所下降。
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Clinical journal of oncology nursing
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