制定化疗和生物管理标准:组织临床护士专家带领实践变革
Faye Inumerables1, Elizabeth Joy, Megan Leary
1Author Affiliations: Associate Director, Evidence-Based Practice & CNSs, Memorial Sloan Kettering Cancer Center (Inumerables); Clinical Nurse Specialist, K11 Phase I Clinical Trials and K15 General Infusion, Memorial Sloan Kettering Cancer Center, David H. Koch Center for Cancer Care (Joy); Clinical Nurse Specialist, M12 Inpatient Leukemia, Clinical Trials and Chemotherapy, Memorial Sloan Kettering Cancer Center (Leary); Clinical Nurse Specialist, 53rd Street Developmental Treatment Unit (DTU), Gyn/Mel/Sarcoma Service, Brooklyn Infusion Center (BIC), & Memorial Medical Care, PC (MMC), Memorial Sloan Kettering Cancer Center Rockefeller Outpatient Pavilion (Karonis); and Clinical Nurse Specialist, Outpatient Breast Service, Outpatient Verification Nurse Team & Ralph Lauren Center, Memorial Sloan Kettering Cancer Center (Komo), New York, New York.
护士们接受了循环炼技术的培训,以标准化小量输液的管理. 这种基于证据的实践确保了药物完整的输送,并提高了瘤学环境中的患者护理质量.
科学领域:
- 瘤学 护理 护理专业
- 基于证据的实践.
- 输液治疗是一种输液疗法.
背景情况:
- 鉴于缺乏机构标准,鉴于化学疗法和生物药物管理实践的差异.
- 标准化小量输液的管理对于患者的安全性和治疗疗效至关重要.
研究的目的:
- 描述标准化小体积输液施用方法的成功实施,采用循环启动技术.
- 详细说明国家癌症研究所指定癌症中心护士的教育和培训过程.
主要方法:
- 临床护士专家 (CNSs) 与一个跨专业团队合作,领导了一项全系统的实践变革.
- 进行了为期2周的软推出,随后进行了为期20分钟的教育模块,为护理人员提供了实践培训.
- 培训培训师模式和每日汇报被用来支持护士和解决故障问题.
主要成果:
- 91%的前线护士 (在714名护士中,有643名) 接受了循环启动技术的教育.
- 培训包括安全,冲洗,编程,处理和患者教育.
- 标准化方法在内部传播,并开发了患者教育材料.
结论:
- 临床护士专家在建立最佳实践和实施基于证据的建议方面发挥着关键作用.
- 循环启动技术确保了完整的药物输送,优化了患者的护理.
- 标准化的护理实践对于高质量的化疗和生物疗法管理至关重要.
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