Factors Affecting the Evolution of Oncology Nursing Care

Abstract

Oncology nursing has evolved in response to population growth and changing demographics, changing regulatory requirements, decreasing lengths of inpatient hospital stays, and ongoing advances in cancer treatment, information, and biotechnology. Changes in societal perceptions of cancer and increased access to information have enabled patients to seek out knowledgeable and skilled oncology nurses. Nurses also play an ever-increasing role in rehabilitation as patients live longer with the effects of cancer and treatment. Significant outcomes achieved through nursing research include increased access to care and patient education; improved patient satisfaction, cost-effectiveness of health care, and treatment adherence; fewer hospital admissions; decreased lengths of stay; lower readmission rates; fewer emergency room visits; and lower healthcare costs. Oncology nurse researchers also have studied the economic burden of cancer treatment, limited employment options, and survivorship issues. The progress in professional oncology nursing parallels the progress in surgical, radiologic, biologic, medical, and genetic approaches to cancer treatment. The role and practice of the oncology nurse will continue to evolve in the coming decades as population demographics and healthcare systems change and new scientific and technologic discoveries are integrated into cancer care.

Classificação De Intervenção De Enfermagem E Carga De Trabalho Em Centro De Infusão De Quimioterapia

“…A supervisão despendeu 27,2 minutos, superior aos 12,5 minutos encontrados em estudo brasileiro realizado em unidade de emergência (9) . Durante a infusão de drogas quimioterápicas muitos protocolos de medicamentos, principalmente os investigacionais, exigem da enfermagem maior observação e controle das possíveis reações dos pacientes (22) . A verificação do carrinho de emergência apresentou em média 23 minutos de execução.…”

“…Em um estudo de unidade de ortopedia o tempo para essa intervenção foi de 40 minutos (10) . Quanto a avaliação de resultados de exames laboratoriais dos pacientes oncológicos, constitui-se em prevenir ou amenizar complicações decorrentes dos efeitos adversos das drogas quimioterápicas (22) . Dentre elas a neutropenia, indicativo do risco de infecção.…”

“…O controle da dor é um aspecto importante na gestão dos sintomas relacionados ao câncer. O enfermeiro oncológico presta assistência aos pacientes inicialmente, na avaliação da dor e fornece informações para o uso adequado das medicações para o seu controle (22) . O tempo despendido nessa intervenção no ambulatório foi de 8,3 minutos, similar aos 10 minutos em unidade de emergência (9) .…”

Les intervenants pivots solutionneront-ils le problème? Les soins infirmiers en oncologie en transition

“…D'une part, on reconnaît qu'il est nécessaire d'appuyer les infirmières en oncologie afin qu'elles s'organisent pour faciliter ces fonctions, comme le fait l'initiative des infirmières pivots en oncologie (IPO) du Québec, mais, d'autre part, un nouveau corpus de connaissances vient suggérer que les systèmes peuvent devenir plus efficients et efficaces et que les patients peuvent améliorer leur situation concernant la compréhension qu'ils ont de leurs soins et de leur cheminement sécuritaire au fil des transitions (Chasen & Dippenaar, 2008;De Serres & Beauchesne, 2000;Fillion et al, 2006;Mick, 2008;Skrutkowski et al, 2008). Malgré les aspects fort complexes de ce type de recherche sur l'incidence des rôles infirmiers sur les résul-doi:10.5737/1181912x203122128 tats pour les patients, il importe que les soins infirmiers continuent leurs efforts d'évaluation des impacts pour le système et pour les patients des divers modèles d'aide à la navigation des patients.…”

The meaning of being an oncology nurse: Investing to make a difference

“…Given the higher rates of cancer in older individuals and an increasingly older Canadian population, the cancer care system will be further challenged to respond with advanced knowledge and skill sets (Mick, 2008 Aging and older patients bring to their cancer diagnosis unique challenges (Monfardini & Yancik, 1993;Newcombe & Carbone, 1993;Pal, Katheria, & Hurria, 2010;Puts et al, 2010). Older oncology patients are more likely to have comorbid conditions (Puts et al) that can potentially limit functioning (Monfardini & Yancik; Pal et al), which include but are not limited to respiratory, renal and cardiac decline (Puts et al).…”