Coleman Elizabeth Ann, Coon Sharon K, Lockhart Kimberly, Kennedy Robert L, Montgomery Robert, Copeland Nevada, McNatt Paula, Savell Shelia, Stewart Carol
The College of Nursing, The University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Clin J Oncol Nurs. 2009 Apr;13(2):165-72. doi: 10.1188/09.CJON.165-172.
The study compared certified nurses with noncertified nurses for symptom management of nausea, vomiting, and pain; patient satisfaction; and nurse satisfaction to determine the effect of certification in oncology nursing on those nursing-sensitive outcomes. A total of 93 nurses--35 (38%) of them certified in oncology nursing--and 270 patients completed surveys. Chart audits provided additional data on symptom management. Certified nurses scored higher than noncertified nurses on the Nurses' Knowledge and Attitudes Survey Regarding Pain as well as the Nausea Management: Nurses' Knowledge and Attitudes Survey. The chart audits showed that certified nurses followed National Comprehensive Cancer Network guidelines for chemotherapy-induced nausea and vomiting (CINV) management more often than noncertified nurses. The study demonstrated that job satisfaction is fairly high for oncology nurses and patient satisfaction is high. In general, cancer pain and CINV were managed well but improvements can be made. Nurses and physicians continuously should be educated on evidence-based guidelines for symptom management of cancer pain and CINV, and a CINV knowledge and attitude assessment tool should be developed.
该研究比较了有资质的护士和无资质的护士在恶心、呕吐和疼痛症状管理方面的情况；患者满意度；以及护士满意度，以确定肿瘤护理认证对这些护理敏感结果的影响。共有93名护士——其中35名（38%）获得肿瘤护理认证——以及270名患者完成了调查。病历审核提供了有关症状管理的更多数据。在《护士关于疼痛的知识和态度调查》以及《恶心管理：护士知识和态度调查》中，有资质的护士得分高于无资质的护士。病历审核显示，有资质的护士比无资质的护士更常遵循美国国立综合癌症网络关于化疗引起的恶心和呕吐（CINV）管理的指南。该研究表明，肿瘤护士的工作满意度相当高，患者满意度也很高。总体而言，癌症疼痛和CINV得到了较好的管理，但仍有改进空间。护士和医生应持续接受关于癌症疼痛和CINV症状管理的循证指南教育，并且应开发一种CINV知识和态度评估工具。
