Sarah Liptrott, Mairéad NíChonghaile, Liz O'Connell, Erik Aerts
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Frequencies and descriptive statistics were calculated for demographic variables and chi-square tests to examine relationships between practice elements, nursing role and country.</p><p><strong>Results: </strong>Data is reported from 233 nurses across 19 countries, working as Staff Nurses (52.4%), senior nurses (12.9%) and Advanced Practice Nurses (APNs) (34.8%). Most frequently reported activities included medication administration - oral/ intravenous (90.0%), monoclonal antibodies (83.8%), chemotherapy (80.6%), and blood components (81.4%). APNs were more commonly involved in nurse-led clinics and prescribing activities (p < .001, p = .001, respectively); however, other nursing groups also reported performing extended practice activities. Patient and carer education was a significant part of all nurses' roles; however, senior nurses and APNs were more often involved with the multidisciplinary team (p < .001) and managerial responsibilities (p < .001). 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引用次数: 0
摘要
背景和目的:血液学护理实践的范围是动态的,必须对治疗、患者需求和服务要求的进步作出反应。然而,人们对欧洲血液学护士的不同角色知之甚少。本研究的目的是确定血液科护士的专业实践。方法:采用横断面在线调查设计对血液科护士的执业要素进行调查。计算人口统计学变量的频率和描述性统计数据,并进行卡方检验,以检验实践要素、护理角色和国家之间的关系。结果:报告的数据来自19个国家的233名护士,分别是普通护士(52.4%)、高级护士(12.9%)和高级执业护士(34.8%)。最常报告的活动包括给药-口服/静脉注射(90.0%),单克隆抗体(83.8%),化疗(80.6%)和血液成分(81.4%)。apn更常参与护士主导的诊所和处方活动(p < 0.001, p = 0.001);然而,其他护理组也报告进行了扩展的实践活动。患者和护理者教育是所有护士角色的重要组成部分;然而,高级护士和apn更多地参与多学科团队(p < 0.001)和管理责任(p < 0.001)。护士对研究的参与有限(36.3%),并且经常被报告为工作时间以外的活动。结论:本研究描述了血液病护理活动在不同的背景下和在不同的护理角色。它提供了护理活动的进一步证据,并可能有助于血液学护士的核心技能框架。
The Evolving Role of Haematology Nursing Practice: A Cross-Sectional Survey.
Background and objectives: The scope of haematology nursing practice is dynamic and must respond to advances in treatment, patients' needs and service requirements. Little is known, however, about the different roles of haematology nurses across the European setting. The purpose of this study was to identify the professional practices of haematology nurses.
Method: A cross-sectional online survey design was used to investigate practice elements undertaken by haematology nurses. Frequencies and descriptive statistics were calculated for demographic variables and chi-square tests to examine relationships between practice elements, nursing role and country.
Results: Data is reported from 233 nurses across 19 countries, working as Staff Nurses (52.4%), senior nurses (12.9%) and Advanced Practice Nurses (APNs) (34.8%). Most frequently reported activities included medication administration - oral/ intravenous (90.0%), monoclonal antibodies (83.8%), chemotherapy (80.6%), and blood components (81.4%). APNs were more commonly involved in nurse-led clinics and prescribing activities (p < .001, p = .001, respectively); however, other nursing groups also reported performing extended practice activities. Patient and carer education was a significant part of all nurses' roles; however, senior nurses and APNs were more often involved with the multidisciplinary team (p < .001) and managerial responsibilities (p < .001). Nurses' involvement in research was limited (36.3%) and frequently reported as an out-of-work hours activity.
Conclusions: This study describes haematology nursing care activities performed in various contexts and within different nursing roles. It provides further evidence of nursing activity and may contribute to a core skills framework for haematology nurses.
期刊介绍:
Reciprocal interdependence between infectious and hematologic diseases (malignant and non-malignant) is well known. This relationship is particularly evident in Mediterranean countries. Parasitosis as Malaria, Leishmaniosis, B Hookworms, Teniasis, very common in the southeast Mediterranean area, infect about a billion people and manifest prevalently with anemia so that they are usually diagnosed mostly by experienced hematologist on blood or bone marrow smear. On the other hand, infections are also a significant problem in patients affected by hematological malignancies. The blood is the primary vector of HIV infection, which otherwise manifest with symptoms related to a reduction in T lymphocytes. In turn, infections can favor the insurgency of hematological malignancies. The causative relationship between Epstein-Barr virus infection, Helicobacter pylori, hepatitis C virus, HIV and lymphoproliferative diseases is well known.