以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (21): 27-31.doi: 10.16460/j.issn1008-9969.2024.21.027

Previous Articles     Next Articles

Establishment and practice of nurse specialist-led radiotherapy nursing clinic

HOU Mina, ZHONG Wen-huanb, QI Li-pinga, CHEN Yu-peia, HOU Bin-binc, CHEN Liua, FENG Hui-xiaa   

  1. a. Radiotherapy Ward I; b. Radiotherapy Outpatient Clinic; c. Radiotherapy Ward III, Sun Yat-Sen University Cancer Center, Collaborative Innovation Center for Cancer Medicine of State Key Laboratory of Oncology in South China, Guangdong Provincial Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou 510060, China
  • Received:2024-07-03 Published:2024-12-04

PDF (PC)

17

Like

Abstract: Objective To explore the clinical effect of establishing radiation oncology specialist nursing clinic led by specialist nurses. Methods A radiotherapy specialized nursing clinic was established in July 2023, and qualified nurse specialists were selected to provide patients with services on health education, radiation dermatitis, radiation oral mucositis, drainage tube care, nutritional assessment and swallowing assessment. The practice effect of the clinic was evaluated according to the workload, the effectiveness of main specialty work, the satisfaction of patients and doctors, job engagement and career benefits. Results The radiotherapy specialized nursing clinic received 561 cases, of which 257 were patients with nasopharyngeal carcinoma, accounting for 45.8% of the total; treatment of grade-3 radiodermatitis accounted for 69.3% of the total visits. The difference in radiodermatitis wound area before and after treatment was statistically significant (P<0.01). The rate of patient satisfaction was 97.1% and that of doctor satisfaction 100%. The difference in job engagement and career benefits before and after the operation of the clinic was statistically significant (P<0.05). Conclusion Radiotherapy specialized nursing clinic meets the diversified medical needs of patients and effectively manage various nursing issues faced by patients during radiotherapy. This initiative improves patient experience, and provides practice platform for nurse specialists to enhance career value and work engagement.

Key words: nurse specialist, specialized nursing clinic, radiotherapy, patient satisfaction, radiation dermatitis

CLC Number: 

  • R47
[1] Sung H, Ferlay J, Siegel RL, et al.Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021,71(3):209-249.DOI: 10.3322/caac.21660.
[2] Price P, Fleurent B, Barney S E.The role of the global coalition for radiotherapy in political advocacy for radiation therapy as a Cost-Effective and underfunded modality around the world[J]. Int J Radiat Oncol Biol Phys, 2021,111(1):23-26.DOI:10.1016/j.ijrobp.2021.04.010.
[3] 进一步改善护理服务行动计划(2023-2025年)[J].进一步改善护理服务行动计划(2023-2025年)[J]. 中国护理管理, 2023,23(7):961-963.DOI: 10.3969/j.issn.1672-1756.2023.07.001.
[4] Hatchett R.How to set up a nurse-led clinic[J]. Nurs Stand, 2016,30(37):64-65.DOI:10.7748/ns.30.37.64.s45.
[5] 覃慧, 吴金凤, 王婷, 等. 专科护士工作投入量表的编制及信效度检验[J]. 护理学杂志, 2022,37(1):56-59.DOI:10.3870/j.issn.1001-4152.2022.01.056.
[6] 胡菁, 刘晓虹.护士职业获益感对职业倦怠的影响研究[J]. 护理研究, 2016, 30(2):160-163.DOI:10.3969/j.issn.1009-6493.2016.02.011.
[7] Chen Y, Chen W, Yang Y, et al.Characteristics of symptom distress in Chinese nasopharyngeal carcinoma patients and its relation to mood disturbance: a cross-sectional study[J]. Eur J Cancer Care (Engl), 2019,28(4):e13032.DOI:10.1111/ecc.13032.
[8] 刘得意. 鼻咽癌同步放化疗患者患病体验的纵向质性研究[J]. 当代护士(上旬刊), 2023,30(5):68-71.DOI:10.19791/j.cnki.1006-641 1.2023.13.019.
[9] 周慧芳. 专科护理促康复爱心守护暖人心[N]. 山西日报, 2023-10-12.
[10] Molassiotis A, Liu X L, Kwok S W.Impact of advanced nursing practice through nurse-led clinics in the care of cancer patients: a scoping review[J]. Eur J Cancer Care (Engl), 2021,30(1):e13358.DOI:10.1111/ecc.13358.
[11] 彭琦, 孙红玲, 吴婉英, 等. 肿瘤患者放射性皮炎评估工具与护理干预研究进展[J]. 中华全科医学, 2023,21(5):849-852.DOI:10.16766/j.cnki.issn.1674-4152.002998.
[12] 庄一渝, 冯金娥, 隋伟静. 高级临床专科护士的设立与发展[J].中国护理管理, 2021,21(9):1372-1376.DOI:10.3969/j.issn.1672-1756.2021.09.019.
[13] 滕莉, 徐苗苗, 肖月平, 等. 专科护士主导的综合护理门诊的建立与实践[J]. 护理学报, 2023,30(16):37-40.DOI:10.16460/j.issn1008-9969.2023.16.037.
[14] 丁舒, 王晓莉, 秦玲玲, 等. 联合出诊模式下医生对高血压护理门诊工作评价的质性研究[J]. 护理学杂志, 2018, 33(22):67-68.DOI:10.3870/j.issn.1001-4152.2018.22.067.
[15] 沙秀兰, 余锦红, 何彩云, 等. 医护合作模式对肝病区护理人员专科知识及护理质量的影响[J]. 中华现代护理杂志, 2014,20(23):2935-2937.DOI:10.3760/j.issn.1674-2907.2014.23.023.
[16] 王明雪, 孙运波, 邢金燕, 等. ICU护士医护合作水平、职业获益感与工作投入的相关性研究[J]. 中国护理管理, 2017, 17(9):1186-1189.DOI:10.3969/j.issn.1672-1756.2017.09.008.
[17] Nielsen A, Lasater K, Stock M.A framework to support preceptors' evaluation and development of new nurses' clinical judgment[J]. Nurse Educ Pract, 2016,19:84-90.DOI:10.1016/j.nepr.2016.03.012.
[18] 张育, 韩斌如, 陈曦. 专科护理门诊对护士职业认同感影响的调查[J]. 中国病案, 2022,23(11):13-15.DOI: 10.3969/j.issn.1672-2566.2022.11.006.
[19] 杜玉, 张玉侠, 陆小英, 等. 上海市19所三级医院护士主观社会地位现状及影响因素调查[J]. 护理学杂志, 2023, 38(14):54-59.DOI:10.3870/j.issn.1001-4152.2023.14.054.
[20] 卓荣新, 张爱华. 护士工作投入与工作环境、职业获益感的相关性分析[J]. 军事护理, 2022,39(10):29-32.DOI:10.3969/j.issn.2097-1826.2022.10.008.
[21] 肖晓玲, 张东华, 熊丽萍, 等. 护士职业获益感对其工作投入的影响研究[J]. 护理管理杂志, 2015,15(6):386-388.DOI:CNKI:SUN:HLGL.0.2015-06-005.
[1] ZHANG Ying, CHE Xiao-yan, WAN Wan, QIN Xue, ZHANG En-si, CHONG Wu, ZHENG Shu-juan. Scope of practice and core competence of nurses acted as sex therapist in China: a qualitative study [J]. Journal of Nursing, 2024, 31(7): 68-72.
[2] ZHANG Li, LI Fu-hua, GU Xiao-gai, HAO Na, WANG Dan-dan, GUAN Mei-qi. Construction of training program for nurse specialist of inflammatory bowel disease [J]. Journal of Nursing, 2024, 31(19): 31-36.
[3] GUAN Yan, CHEN Chen, SU Yun-yan, JIN Hua, XIE Xiao-li, HU Yue-xiu, WANG Zhe-yun. Construction of training program for cardiac surgery nurse specialists based on Taylor model [J]. Journal of Nursing, 2024, 31(18): 67-72.
[4] JIANG An-qi, FU Hong-ying, SONG Yuan-yuan, CHEN Xu, ZHAI Qiang-xin, GE Rui-yu. Teaching experience of instructors of nurse specialist of wound care in Guizhou province: a qualitative study [J]. Journal of Nursing, 2024, 31(17): 13-16.
[5] CHEN Yu-ping, PENG Gang-yi, ZHANG Li, HE Jin-yun, ZHENG Jing, LIN Qun-yan, WANG Lin-xiao, YANG Yan. Construction of evaluation index system of core competency of clinical infection control nurse specialists [J]. Journal of Nursing, 2023, 30(6): 15-21.
[6] ZHANG Zeng-mei, WANG Yu, ZHAO Hai-yun, ZHANG Ying, JIN Zi, NIE Yun-fei. Anchor-based teaching combined with Gibbs' reflective cycle in training for nurse specialists in Operating Room [J]. Journal of Nursing, 2023, 30(24): 12-15.
[7] TENG Li, XU Miao-miao, XIAO Yue-ping, HU Huan, ZHANG Xing, LUO Tian, ZOU Gui-zhen, WANG Yun, FU A-dan. Establishment and practice of nurse specialist-led comprehensive nursing clinic [J]. Journal of Nursing, 2023, 30(16): 37-40.
[8] HU Jie-man, Miao Xue-yi, JIANG Xiao-man, TANG Chu-lei, XU Qin. Construction of core competency evaluation index system for community oncology nurse specialists [J]. Journal of Nursing, 2023, 30(15): 29-32.
[9] LI Jia-yan, YANG Li, ZHU Jing-wen, ZHANG Yan-xin, LIANG Qiu-ting, ZHOU Yi, LU Jia-mei. Status quo and influencing factors of negative social expectation of patients with nasopharyngeal carcinoma undergoing concurrent radiotherapy and chemotherapy: a 200-case study [J]. Journal of Nursing, 2023, 30(11): 65-70.
[10] LI Dan-dan, QIAO Yuan-jing, LIU Jia-xin, WANG Xu, XIA Yu-xue, LIANG Wen-na, QIN Guang-ya, FENG Meng-xuan. Construction of practice training effect evaluation system of intravenous therapy nurse specialists based on Offset model [J]. Journal of Nursing, 2023, 30(10): 73-78.
[11] WANG Qiu-ting, LIN Mei-zhen, WEI Lin, LIU Yang-chen, DENG Chong, LIN Lli-jun, LIN Jing-xia, ZHU li-jia, HU Ping. Construction of Qualification Certification Scheme for Nurse Specialists of Traditional Chinese Medicine Based on Core Competence [J]. Journal of Nursing, 2022, 29(20): 17-21.
[12] ZHANG Yu, LI Wan-dan, LUO Ying-xia, XIE Yang-wei. Best Evidence Summary of Management of Gastrointestinal Symptoms in Patients with Nasopharyngeal Carcinoma Undergoing Chemotherapy or Radiotherapy [J]. Journal of Nursing, 2022, 29(2): 35-39.
[13] JIN Yu-ping, ZHUANG Hong-xia, CHEN Xia, FAN Xiao-ning, MA Wen, WEI Zhi-juan. Construction of Evaluation Index System of Core Competence of Neurocritical Care Nurses [J]. Journal of Nursing, 2022, 29(15): 28-32.
[14] YI Hui-hui, XIA Zhen-lan, LI Yu, HUANG Hai-yan, TAN Zhen, ZHANG Li-hua. Effect of Structured Bladder Management on Postoperative Urinary Retention of Elderly Patients with Hip Fracture [J]. Journal of Nursing, 2021, 28(6): 65-70.
[15] ZHANG Na, SONG Jin-xia, WANG Hong-qiao, ZHOU Jing, JIN Yong-long, WANG Yuan-yuan, SUN Hui-hui. Changes of Symptom Clusters among Nasopharyngeal Carcinoma Patients undergoing Concurrent Chemoradiotherapy: A Longitudinal Study [J]. Journal of Nursing, 2019, 26(23): 6-10.
Viewed
Full text


Abstract

Cited
  Shared   
[1] MA Rui-ying,LI Ya-jie. Inspiration from Nursing Payment Means in Diagnosis Related Groups of USA[J]. JOURNAL OF NURSING, 2012, 19(1): 23 -25 .
[2] . [J]. JOURNAL OF NURSING, 2012, 19(1): 26 -28 .
[3] . [J]. JOURNAL OF NURSING, 2012, 19(1): 29 -31 .
[4] . [J]. JOURNAL OF NURSING, 2012, 19(1): 31 .
[5] NING Ning,CHEN Jia-li,ZHU Hong,Ma Li. Application of Project Management Theory in Innovative Nursing Management[J]. JOURNAL OF NURSING, 2012, 19(1): 32 -35 .
[6] CAI De-fang,DONG Yun-chun,LI Chang-qiong,ZHOU Yuan. Application of Comprehensive Performance Evaluation System for Nurses[J]. JOURNAL OF NURSING, 2012, 19(1): 36 -39 .
[7] . [J]. JOURNAL OF NURSING, 2012, 19(1): 39 -41 .
[8] . [J]. JOURNAL OF NURSING, 2012, 19(1): 42 -44 .
[9] . [J]. JOURNAL OF NURSING, 2012, 19(1): 45 -47 .
[10] . [J]. JOURNAL OF NURSING, 2012, 19(1): 48 -50 .