新型全身抗癌治疗对急性肿瘤教育和服务的影响是什么?

IF 2.3 4区 医学 Q1 NURSING
Gina Madera , Ali Hodge , Lara Roskelly , Clare Greenbaum
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引用次数: 0

摘要

目的:探讨教育医护人员与新型全身抗癌治疗(SACT)相关的肿瘤紧急情况的重要性及其对急性肿瘤(AO)服务的影响。方法:本讨论基于临床专业知识并参考当前文献。结果:新型SACT,如免疫检查点抑制剂,具有更复杂的毒性特征,并且具有识别和治疗的挑战性。随着新药的开发和癌症患者数量的增加,预计毒性会越来越普遍;需要更多的数据来全面了解这一情况。医疗保健工作人员内部存在知识缺口,特别是肿瘤学专家之外的人员。这一领域的重点研究将为有针对性的教育干预提供方向。结论:SACT教育不足是一个安全问题;严重的毒性可能是致命的,但最初的症状可能很微妙,可能会被遗漏。我们认为,紧急护理途径可以帮助简化SACT毒性患者的适当管理,但对AO问题的认识仍然是“每个人的事”。继续临床教育是保持对新开发的SACT认识的关键。AO服务模式可能各不相同,但AO能力评估护照可以提供证明AO知识和技能的标准化方法。对护理实践的影响:肿瘤护士,作为一个高度专业化和知识渊博的医疗保健劳动力的一部分,是支持跨专业教育的关键。通过使用现有的癌症护理框架,这可以支持AO护照的实施。英国AO服务的学习和发展可以在国际上推广。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What Is the Impact of Novel Systemic Anticancer Therapy on Acute Oncology Education and Service Delivery?

Objectives

To discuss the importance of educating healthcare professionals about oncological emergencies linked to novel systemic anticancer therapy (SACT) and the impact on acute oncology (AO) services.

Methods

This discussion is based on clinical expertise and informed by current literature.

Results

Novel SACT, such as immune-checkpoint inhibitors, have more complex toxicity profiles and can be challenging to recognize and treat. An increasing prevalence of toxicity is expected as new drugs are developed and the numbers of patients living with and beyond cancer expand; more data are required to capture the full extent of this.
There are knowledge gaps within the healthcare workforce, particularly outside oncology-specialist settings. Focused research in this area will provide direction for targeted educational interventions.

Conclusions

Insufficient SACT education is a safety issue; severe toxicities can be fatal but initial symptoms can be subtle and may be missed. We argue that emergency care pathways can help to streamline the appropriate management of patients with SACT toxicity, but awareness of AO issues remains “everyone's business.”
Continuing clinical education is key to maintaining awareness of newly developed SACT. AO service models may vary, but AO competence assessment passports can provide a standardized method of evidencing AO knowledge and skills.

Implications for Nursing Practice

Oncology nurses, as a highly specialized and knowledgeable part of the healthcare workforce, are key in supporting interprofessional education. By using existing cancer nursing frameworks, this can support the implementation of the AO Passports. The learning and development of AO services in the UK can be transferred internationally.
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来源期刊
Seminars in Oncology Nursing
Seminars in Oncology Nursing Nursing-Oncology (nursing)
CiteScore
3.40
自引率
0.00%
发文量
68
审稿时长
45 days
期刊介绍: Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.
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