Estrategias para la mejora del cuidado del paciente oncológicoResultados del proyecto SHARE (Sesiones interHospitalarias de Análisis y Revisión en Enfermería)

  1. María de la Concepción Reñones Crego
  2. Fernández Pérez, Dolores
  3. Vena Fernández, Carmen
  4. Zamudio Sánchez, Antonio
Revista:
Enfermería clínica

ISSN: 1130-8621

Ano de publicación: 2016

Volume: 26

Número: 5

Páxinas: 312-320

Tipo: Artigo

DOI: 10.1016/J.ENFCLI.2016.04.005 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Enfermería clínica

Resumo

Cancer treatment is a major burden for the patient and its family that requires an individualized management by healthcare professionals. Nurses are in charge of coordinating care and are the closest healthcare professionals to patient and family; however, in Spain, there are not standard protocols yet for the management of oncology patients. The Spanish Oncology Nursing Society developed between 2012 and 2014 the SHARE project, with the aim of establishing strategies to improve quality of life and nursing care in oncology patients. It was developed in 3 phases. First, a literature search and review was performed to identify nursing strategies, interventions and tools to improve cancer patients’ care. At the second stage, these interventions were agreed within a group of oncology nursing experts; and at the third phase, a different group of experts in oncology care categorized the interventions to identify the ones with highest priority and most feasible to be implemented. As a result, 3 strategic actions were identified to improve nursing care during cancer treatment: To provide a named nurse to carry out the follow up process by attending to the clinic or telephonic consultation, develop therapeutic education with adapted protocols for each tumor type and treatment and ensure specific training for nurses on the management of the cancer patients. Strategic actions proposed in this paper aim to improve cancer patients’ healthcare and quality of life through the development of advanced nursing roles based on a higher level of autonomy, situating nurses as care coordinators to assure an holistic care in oncology patients.

Referencias bibliográficas

  • 1 Markides, M., The importance of good communication between patient and health professionals. J Pediatr Hematol Oncol. 33:Suppl 2 (2011), S123–S125.
  • 2 Gilbert, J.E., Green, E., Lankshear, S., Hughes, E., Burkoski, V., Sawka, C., Nurses as patient navigators in cancer diagnosis: Review, consultation and model design. European Journal of Cancer Care. 20 (2011), 228–236.
  • 3 Linnen, D., Rowley, A., Empoderamiento enfermero: Argumentos a favor. Nursing. 31 (2014), 53–56.
  • 4 Lewis, R., Neal, R.D., Williams, N.H., France, B., Wilkinson, C., Hendry, M., Nurse-led vs. conventional physician-led follow-up for patients with cancer: Systematic review. J Adv Nurs. 65 (2009), 706–723.
  • 5 Leeuw, J., Larsson, M., Nurse-led follow-up care for cancer patients: What is known and what is needed. Support Care Cancer. 21 (2013), 2643–2649.
  • 6 Coolbrandt, A., Wildiers, H., Aertgeerts, B., van der Elst, E., Laenen, A., Dierckx de Casterlé, B., et al. Characteristics and effectiveness of complex nursing interventions aimed at reducing symptom burden in adult patients treated with chemotherapy: A systematic review of randomized controlled trials. Int J Nurs Stud. 51 (2014), 495–510.
  • 7 Thomas, M.L., Elliott, J.E., Rao, S.M., Fahey, K.F., Paul, S.M., Miaskowski, C., A randomized: Clinical trial of education or motivational-interviewing-based coaching compared to usual care to improve cancer pain management. Oncol Nurs Forum. 39 (2012), 39–49.
  • 8 Cox, K., Wilson, E., Follow-up for people with cancer: Nurse-led services and telephone interventions. J Adv Nurs. 43 (2003), 51–61.
  • 9 Neuss, M.N., Polovich, M., McNiff, K., Esper, P., Gilmore, T.R., LeFebvre, K.B., et al. Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration safety standards including standards for the safe administration and management of oral chemotherapy. J Oncol Pract. 9:2S (2013), 5s–13s.
  • 10 Pérez Fidalgo, J.A., García Fabregat, L., Cervantes, A., Margulies, A., Vidall, C., Roila, F., Management of chemotherapy extravasation: ESMO–EONS clinical practice guidelines. Ann Oncol 23:suppl 7 (2012), vii167–vii173.
  • 11 European Oncology Nursing Society. The strategic CARE plan. Londres: EONS; 2013 [acceso 10 Dic 2015] Disponible en: http://www.cancernurse.eu/about_eons/strategy.html.
  • 12 Wiederholt, P.A., Connor, N.P., Hartig, G.K., Harari, P.M., Bridging gaps in multidisciplinary head and neck cancer care: Nursing coordination and case management. Int J Radiat Oncol Biol Phys. 69 (2007), S88–S91.
  • 13 Position statement. The role of cancer nurses in the world. 2015. [consultado 10 Dic 2015]. Disponible en: http://www.cancernurse.eu/advocacy/positionstatementglobalrole.html.
  • 14 Camacho-Bejarano, R., Mariscal Crespo, M.I., Merino Navarro, D., Análisis de los procesos asistenciales oncológicos en Andalucía: De la calidad de los cuidados a la continuidad asistencial. Rev Soc Esp Enferm Oncol 15 (2013), 5–14.
  • 15 Robinson-White, S., Conroy, B., Slavish, K.H., Rosenzweig, M., Patient navigation in breast cancer: A systematic review. Cancer Nurs. 33 (2010), 127–140.
  • 16 Lee, T., Ko, I., Lee, I., Kim, E., Shin, M., Roh, S., et al. Effects of nurse navigators on health outcomes of cancer patients. Cancer Nurs. 34 (2011), 376–384.
  • 17 Jurado-Campos, J., Anglada-Dilme, M.T., Canet-Ponsa, M., Privat-Marcè, M.L., Fàbrega-Pairó, T., Juvinyà-Canal, D., Implementación de un modelo integrado de enfermería de enlace: Un estudio descriptivo. Enferm Clín. 18 (2008), 253–261.
  • 18 Sánchez-Martín, C.I., Cronicidad y complejidad: Nuevos roles en Enfermería. Enfermeras de Práctica Avanzada y paciente crónico. Enferm Clín. 24 (2014), 79–89.
  • 19 Morales-Asencio, J.M., Gestión de casos y cronicidad compleja: Conceptos, modelos, evidencias e incertidumbres. Enferm Clín. 24 (2014), 23–34.
  • 20 Goodman, C., Morales Asensio, J.M., de la Torre-Aboki, J., La contribución de la enfermera de Práctica Avanzada como respuesta a las necesidades cambiantes de salud de la población. Metas de Enfermería. 16 (2013), 20–25.
  • 21 Knobf, M.T., Being prepared: Essential to self-care and quality of life for the person with cancer. Clin J Oncol Nurs. 17 (2013), 255–261.
  • 22 Castillo-Bueno, M.D., Moreno-Pina, J.P., Martínez-Puente, M.V., et al. Effectiveness of nursing intervention for adult patients experiencing chronic pain: A systematic review. JBI Library of S ystematic Reviews. 8 (2010), 1112–1168.
  • 23 Jahn, P., Kuss, O., Schmidt, H., Bauer, A., Kitzmantel, M., Jordan, K., et al. Improvement of pain-related self-management for cancer patients through a modular transitional nursing intervention: A cluster-randomized multicenter trial. Pain. 155 (2014), 746–754.
  • 24 Grenier, N., Lebel, V., Gill, M., Mullen, T., Mitchinson, K., Sebborn, K., et al. Effectiveness of a nursing support program for patients with recurrent ovarian cancer receiving pegylated liposomal doxorubicin (Caelyx/Doxil). Can Oncol Nurs J. 17 (2007), 133–140.
  • 25 Kearney, N., Miller, M., Maguire, R., Dolan, S., MacDonald, R., McLeod, J., et al. WISECARE+: Results of a European study of a nursing intervention for the management of chemotherapy-related symptoms. Eur J Oncol Nurs. 12 (2008), 443–448.
  • 26 Mariscal Crespo, M.I., Autocuidados y salud en mujeres afectadas de cáncer de mama. Departamento de enfermería comunitaria, medicina preventiva y salud pública, e historia de la ciencia. 2006, Universidad de Alicante, Alicante.
  • 27 Merino Navarro, D., Impacto del Programa Integrado de Autocuidado específico en mujeres afectadas de cáncer de mama. Departamento de enfermería comunitaria, medicina preventiva y salud pública, e historia de la ciencia. 2012, Universidad de Alicante, Alicante.
Fonte de datos: Dialnet