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护士导航员对乳腺癌患者基因检测及及时治疗决策的影响

Impact of a nurse navigator on genomic testing and timely treatment decision making in patients with breast cancer.

作者信息

McAllister Kelly A, Schmitt Mary L

机构信息

Saint Joseph Hospital in Nashua, NH.

出版信息

Clin J Oncol Nurs. 2015 Oct;19(5):510-2. doi: 10.1188/15.CJON.510-512.

DOI:10.1188/15.CJON.510-512
PMID:26414569
Abstract

The purpose of this quality improvement project was to define best practices for identifying appropriate patients for genomic testing and improve timeliness for ordering tests and reporting results. An interdisciplinary team of surgeons, radiologists, medical oncologists, and nurses agreed that the RN navigator would be the key person to facilitate timely access to genomic profiling. AT A GLANCE: Genomic profiling has become the standard of care for patients with early-stage breast cancer to assist in developing individualized treatment plans. Nurse navigators can play a key role in improving timeliness of care. The APN-RN model led to improvements in turnaround time and complicance with the National Comprehensive Cancer Network's recommendations for genomic testing.

摘要

这个质量改进项目的目的是确定为合适的患者进行基因检测的最佳做法,并提高检测订单下达和结果报告的及时性。由外科医生、放射科医生、医学肿瘤学家和护士组成的跨学科团队一致认为,注册护士导航员将是促进及时获得基因分析的关键人物。一目了然:基因分析已成为早期乳腺癌患者护理的标准,以协助制定个性化治疗方案。护士导航员在提高护理及时性方面可以发挥关键作用。高级实践护士-注册护士模式使周转时间得到改善,并符合美国国立综合癌症网络关于基因检测的建议。

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