Cox Keith, Karikios Deme, Roydhouse Jessica K, White Kate
Sydney Cancer Centre, Royal Prince Alfred Hospital, Missenden Road, Camperdown, NSW 2050, Australia.
Aust Health Rev. 2013 Nov;37(5):632-5. doi: 10.1071/AH13069.
This case study evaluates the oncology nurse practitioner (NP) role in a chemotherapy unit.
The NP works in the cancer centre of a major metropolitan public hospital. The NP role was established in the chemotherapy unit in 2007. The NP reviews all patients that have an unscheduled presentation to the unit, with symptoms relating either to their disease or treatment.
All unscheduled occasions of service provided by the NP in the chemotherapy unit over 6 months were recorded. Data were collected on patient demographic characteristics, medical problems and reason for presentation. Data on duration of care, interventions and outcomes administered by the NP were captured.
There were 87 occasions of service (72 patients) during the study period. Nausea, vomiting or dehydration were the most common presenting problems and most presenting problems were moderate or severe (n = 73, 84%). The median time to review for the NP was 5 min and nearly all consultations (n = 83, 96%) took 30 min or less. Following NP consultation, most occasions of service did not require subsequent hospital admission (n = 52, 60%), medical advice (n = 61, 70%) or medical review (n = 75, 86%).
The NP is a valuable asset to a busy department, increasing access to timely and appropriate healthcare for patients on chemotherapy.
本案例研究评估肿瘤专科护士在化疗科室中的角色。
该肿瘤专科护士在一家大型都市公立医院的癌症中心工作。肿瘤专科护士的角色于2007年在化疗科室确立。该肿瘤专科护士会对所有非计划前来科室就诊、出现与疾病或治疗相关症状的患者进行评估。
记录肿瘤专科护士在化疗科室6个月内提供的所有非计划服务情况。收集患者的人口统计学特征、医疗问题及就诊原因等数据。记录肿瘤专科护士的护理时长、采取的干预措施及治疗结果等数据。
研究期间共提供了87次服务（涉及72名患者）。恶心、呕吐或脱水是最常见的就诊问题，且大多数就诊问题为中度或重度（n = 73，84%）。肿瘤专科护士的中位评估时间为5分钟，几乎所有会诊（n = 83，96%）耗时30分钟或更短。经过肿瘤专科护士会诊后，大多数服务情况无需后续住院治疗（n = 52，60%）、医疗建议（n = 61，70%）或医学评估（n = 75，86%）。
肿瘤专科护士是繁忙科室的宝贵资产，能增加化疗患者获得及时、恰当医疗服务的机会。
