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Nursing Clinical Information System (NCIS)
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Sentinel node referent nurse: Description, validation and application in clinical practice.

J Ribera-Perianes1, D Buján Leiva2, X Cases Moreno1

  • 1Nuclear Medicine Department, Hospital Clínic de Barcelona, Barcelona, Spain.

Revista Espanola De Medicina Nuclear E Imagen Molecular
|March 9, 2022
PubMed
Summary
This summary is machine-generated.

A new Sentinel Node Referent Nurse (SNRN) role was developed and validated to improve patient care during radioguided surgery (RGS). This role reduced patient anxiety and improved the technical quality of the sentinel node biopsy procedure.

Keywords:
Biopsia selectiva del ganglio centinelaBreast cancerCalidad asistencialCuidados de enfermeríaCáncer de mamaLinfogammagrafíaLymphoscintigraphyMedicina NuclearNuclear medicineNursing careQualitySentinel node biopsy

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Area of Science:

  • Surgical Oncology
  • Nuclear Medicine
  • Nursing Science

Background:

  • The integration of a dedicated nurse into the radioguided surgery (RGS) team was explored in 2019.
  • The referent nurse model was adapted for preoperative sentinel node (SN) approaches.

Purpose of the Study:

  • To define the profile of the Sentinel Node Referent Nurse (SNRN).
  • To validate the practical application of the SNRN role.
  • To establish the clinical implementation of the SNRN.

Main Methods:

  • A Plan-Do-Check-Act (PDCA) cycle was employed for process analysis and improvement.
  • SNRN functions were defined within the breast cancer protocol.
  • A pilot test involving 20 patients was conducted to validate the process.

Main Results:

  • New procedural flowcharts incorporating the SNRN role and interventions were created.
  • The pilot test showed a 58.3% reduction in subjective anxiety and a 75% decrease in overall anxiety.
  • Patient knowledge of the procedure was 100%, with acceptable pain perception during radiotracer administration.
  • Technical quality metrics achieved 8/10 predefined RGS team standards.

Conclusions:

  • The complexity of SN biopsy necessitates enhanced nursing involvement in presurgical localization.
  • The SNRN profile is well-suited to manage presurgical SN localization processes.
  • Implementation of the SNRN role led to improvements in nursing diagnoses and assessed clinical items.