Clinical journal of oncology nursing最新文献

Pulmonary complications, particularly bronchiolitis obliterans syndrome (BOS), affect outcomes after hematopoietic cell transplantation. This article provides practical guidelines for diagnosing and managing BOS and other non.

Background: A consistent process for the creation of equitable nurse-patient assignments is absent on many inpatient nursing units.

Objectives: Leveraging the electronic health record nurse-patient assignment tool, this evidence-based practice project aimed to promote oncology nurse well-being and satisfaction.

Methods: The project team used the Iowa Model Revised. The team collected participant demographics, pre- and postintervention Well-Being Index responses, and individual evaluations of the effectiveness of the manual assignment tool compared to the electronic health record nurse-patient assignment predictive model.

Findings: Postimplementation, a significant number of oncology nurses reported a decrease in physical health impeding their ability to work. Findings suggest oncology nurses experience less depression and anxiety as their years of oncology experience increase. The electronic health record nurse-patient assignment predictive model alleviates stress for clinical nurses and supports equitable assignments and clinician well-being.

Background: Aromatherapy has been a well-documented, safe, complementary clinical intervention for various health conditions in and out of the hospital setting.

Objectives: This evidence-based quality improvement project evaluated the effect of blended essential oils (lavender, orange, and peppermint) on stress and anxiety in hospitalized patients with cancer.

Methods: Participants (N = 30) on the inpatient oncology unit received nightly blended essential oil aromatherapy as a complementary intervention. A modified version of the Depression Anxiety Stress Scales 21-Item tool was used pre- and postintervention to assess changes in participants' anxiety and stress levels.

Findings: Nightly aromatherapy produced a statistically significant decrease in anxiety (p < 0.001) and stress (p < 0.001). Supportive aromatherapy is a holistic, nurse-driven intervention that may help reduce anxiety and stress in hospitalized patients receiving oncology care.

Sickle cell disease is one of the most common genetic diseases worldwide. Clinical manifestations include pain, inflammation, organ damage, and shortened life span. Until recently, the only treatment with curative intent was.

Phantom breast syndrome, a postmastectomy phenomenon characterized by phantom sensations and body image distortion, affects breast cancer survivors' quality of life. Oncology nurses support early identification, patient edu.

The role of the advanced practice provider (APP) in radiation oncology has developed significantly during the past 25 years. The role and responsibilities continue to evolve as the Centers for Medicare and Medicaid Services r.

Background: Nurse engagement is correlated with adequate staffing, top-of-license practice, and a primary nursing model with a nurse leader. In an academic radiation oncology practice lacking primary nursing alignment and top-of-license practice, leadership implemented a clinical care model.

Objectives: This study aimed to improve nursing engagement and quality process outcomes.

Methods: In this quality improvement study, leadership implemented a clinical care model including the establishment of a nurse leader, staffing benchmarks, and a primary nursing model, and redefined responsibilities to support top-of-license practice. The study population included 17 team members (8 physicians, 5 clinic schedulers, and 4 RNs). Surveys were distributed prior to and three months postimplementation.

Findings: Postimplementation, patient rooming by RNs decreased, documentation of side effect education increased, and all RNs reported top-of-license practice often/always. Physicians reported improvement in moderate/strong ratings for RN and clinic scheduler expertise and nursing care quality. These results suggest that enhanced clinical care models can improve quality process outcomes in radiation oncology.

Central line-associated bloodstream infections (CLABSIs) are a significant concern in health care. This project aimed to decrease CLABSIs by improving adherence to a maintenance care bundle. Kamishibai cards are an evidence.

Background: Primary nonmalignant brain tumors, such as meningiomas, are the most commonly diagnosed type of primary brain tumor; however, limited research explores their neurologic and psychological effects. Existing literature on survivorship following a meningioma diagnosis and treatment is scarce.

Objectives: This article aims to raise awareness about the unique needs of individuals living with primary nonmalignant brain tumors, particularly meningiomas. In addition, this article calls for greater recognition of the ongoing challenges for these patients, and advocates for research and the development of education and support systems to assist survivors throughout their trajectory.

Methods: This review synthesizes current literature on nonmalignant brain tumors, focusing on their prevalence, clinical presentation, and associated neurocognitive effects. Particular emphasis is placed on meningiomas and the neurologic and psychological impacts of the tumors and their treatment.

Findings: Meningiomas are a major cause of long-term disability. Although typically not fatal, meningiomas often leave patients with lasting physical and psychosocial effects. These psychosocial impacts are frequently overlooked, highlighting the need for more comprehensive and sustained patient support.

Background: Sepsis, a condition requiring prompt intervention, is challenging to identify early in adult patients with cancer because of varied symptoms and disease status. To address this, a best practice advisory (BPA) using criteria for systemic inflammatory response syndrome was implemented at a large urban cancer center.

Objectives: This quality improvement project aimed to evaluate the effectiveness of the BPA in identifying sepsis among adult patients with cancer in an outpatient setting. The team sought to determine whether the BPA could reliably prompt sepsis workups, thereby improving sepsis detection and management.

Methods: The quality improvement project implemented an outpatient sepsis BPA based on systemic inflammatory response syndrome criteria. The BPA triggered alerts for sepsis when two or more criteria were met.

Findings: The initial BPA alert resulted in 253 of 275 (92%) false-positive sepsis alerts. To improve accuracy, the heart rate threshold was adjusted from greater than 90 beats per minute to greater than 100 beats per minute. This adjustment reduced false positives by nearly 50%, improving specificity for identifying at-risk patients while maintaining effective detection of true sepsis cases.