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为被诊断患有前列腺癌的男性提供全面综合服务——护士及相关医疗保健专业人员的标准和技能集定义。

Aiming for a holistic integrated service for men diagnosed with prostate cancer - Definitions of standards and skill sets for nurses and allied healthcare professionals.

作者信息

Lamb Alastair D, Thompson Sue, Kinsella Netty, Gerbitz Ingmar, Chapman Elaine, Putt Lisa, Bennett Sophie, Thankappannair Vineetha, Geoghegan Lisa, Wright Naomi, Stirton-Croft Alison, Nixon Penny, Styling Andrew, Whitney Diane, Hodgson Lindsay, Punt Lisa, Longmore Jenny, Carter Mike, Petch Bill, Rimmer Yvonne, Russell Simon, Hughes-Davies Luke, Mazhar Danish, Shah Nimish C, Gnanapragasam Vincent J, Doble Andrew, Bratt Ola, Kastner Christof

机构信息

CamPARI Clinic, Cancer Directorate, Addenbrooke's Hospital, Cambridge, UK.

Peterborough City Hospital, Peterborough, Cambridgeshire, UK.

出版信息

Eur J Oncol Nurs. 2017 Aug;29:31-38. doi: 10.1016/j.ejon.2017.04.004. Epub 2017 May 11.

DOI:10.1016/j.ejon.2017.04.004
PMID:28720263
Abstract

PURPOSE

To establish a comprehensive set of recommendations for the service structure and skill set of nurses and allied healthcare professionals in prostate cancer care.

METHODS

Using components of formal consensus methodology, a 30-member multidisciplinary panel produced 53 items for discussion relating to the provision of care for prostate cancer patients by specialist nurses and allied healthcare professionals. Items were developed by two rounds of email correspondence in which, first, items were generated and, second, items refined to form the basis of a consensus meeting which constituted the third round of review. The fourth and final round was an email review of the consensus output.

RESULTS

The panel agreed on 33 items that were appropriate for recommendations to be made. These items were grouped under categories of "Environment" and "Patient Pathway" and included comments on training, leadership, communication and quality assessment as well as specific items related to prostate diagnosis clinics, radical treatment clinics and follow-up survivor groups.

CONCLUSIONS

Specialist nurses and allied healthcare professionals play a vital role alongside urologists and oncologists to provide care to men with prostate cancer and their families. We present a set of standards and consensus recommendations for the roles and skill-set required for these practitioners to provide gold-standard prostate cancer care. These recommendations could form the basis for development of comprehensive integrated prostate cancer pathways in prostate cancer centres as well as providing guidance for any units treating men with prostate cancer.

摘要

目的

为前列腺癌护理中护士及相关医疗保健专业人员的服务结构和技能组合制定一套全面的建议。

方法

采用正式共识方法的组成部分,一个由30名成员组成的多学科小组提出了53项与专科护士及相关医疗保健专业人员为前列腺癌患者提供护理有关的讨论项目。这些项目通过两轮电子邮件通信制定,第一轮生成项目,第二轮对项目进行完善,以形成共识会议的基础,该会议构成第三轮审查。第四轮也是最后一轮是对共识结果的电子邮件审查。

结果

小组就33项适合提出建议的项目达成一致。这些项目分为“环境”和“患者就医途径”两类,包括对培训、领导力、沟通和质量评估的评论,以及与前列腺诊断诊所、根治性治疗诊所和随访幸存者群体相关的具体项目。

结论

专科护士及相关医疗保健专业人员在泌尿科医生和肿瘤学家的配合下,在为前列腺癌男性患者及其家人提供护理方面发挥着至关重要的作用。我们提出了一套标准和共识建议,以明确这些从业者提供金标准前列腺癌护理所需的角色和技能组合。这些建议可为前列腺癌中心制定全面综合的前列腺癌就医途径奠定基础,并为任何治疗前列腺癌男性患者的单位提供指导。

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