Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care

Aim and objectives: To assess the adherence of a nursing care model in a multidisciplinary breast cancer unit in a tertiary hospital to the recommended competencies and quality indicators.Background: Aligning the competencies of the breast care nurse with international recommendations for this role...

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Autores: Rodriguez-Ortega, Ana, Ferro, Tàrsila, Pérez, Xavier, Pla Farnós, Maria Jesús, Gil Gil, Miguel, López Ojeda, Anna, Borràs Andrés, Josep Maria
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/198923
Acceso en línea:https://hdl.handle.net/2445/198923
Access Level:acceso abierto
Palabra clave:Tumors
Càncer de mama
Infermeria oncològica
Breast cancer
Oncology nursing
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spelling Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast careRodriguez-Ortega, AnaFerro, TàrsilaPérez, XavierPla Farnós, Maria JesúsGil Gil, MiguelLópez Ojeda, AnnaBorràs Andrés, Josep MariaTumorsCàncer de mamaInfermeria oncològicaTumorsBreast cancerOncology nursingAim and objectives: To assess the adherence of a nursing care model in a multidisciplinary breast cancer unit in a tertiary hospital to the recommended competencies and quality indicators.Background: Aligning the competencies of the breast care nurse with international recommendations for this role helps better fulfil patient needs, increases satisfaction and ensures continuity of care.Design: Cohort study.Methods: Breast care nursing was assessed in all patients treated at the Functional Breast Unit from 1 July 2016 to 30 June 2017. Patients were followed for 1 year. Sociodemographic, clinical and pathological data, treatments performed and nursing interventions were collected. The strobe checklist has been used to report this study. Results: We analysed nursing interventions carried out in 382 patients attended over 1 year in a multidisciplinary breast cancer unit. All patients with early disease had contact with the nurse at different times during their primary treatment. Only 58% of patients with advanced disease had contact with the nurse during their first year of illness. Moreover, first contact with the nurse was delayed by more than a week from diagnosis, the interval recommended by international guidelines.Conclusion: The nursing care model meets the core competencies defined for the breast care nurse in patients with early breast cancer, but the first visit should be organised earlier, and follow-up should extend beyond the completion of primary treatment.Relevance to clinical practice: This study evaluated the breast care nurse model in one breast cancer unit according to international guidelines. Nursing care adhered to most guideline requirements in patients with early breast cancer, but not in those with advanced disease. New models of care need to be developed for women with advanced breast cancer in order to achieve true patient-centred care.John Wiley & Sons202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion11 p.application/pdfhttps://hdl.handle.net/2445/198923Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1111/jocn.16639Journal of Clinical Nursing, 2023, vol. 32, p. 2722-2732https://doi.org/10.1111/jocn.16639cc by-nc-nd (c) Rodriguez-Ortega, Ana et al., 2023https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1989232026-05-29T05:05:01Z
dc.title.none.fl_str_mv Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care
title Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care
spellingShingle Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care
Rodriguez-Ortega, Ana
Tumors
Càncer de mama
Infermeria oncològica
Tumors
Breast cancer
Oncology nursing
title_short Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care
title_full Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care
title_fullStr Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care
title_full_unstemmed Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care
title_sort Self-assessment of a breast care nursing model within a Breast Unit: learning process and keys to improving breast care
dc.creator.none.fl_str_mv Rodriguez-Ortega, Ana
Ferro, Tàrsila
Pérez, Xavier
Pla Farnós, Maria Jesús
Gil Gil, Miguel
López Ojeda, Anna
Borràs Andrés, Josep Maria
author Rodriguez-Ortega, Ana
author_facet Rodriguez-Ortega, Ana
Ferro, Tàrsila
Pérez, Xavier
Pla Farnós, Maria Jesús
Gil Gil, Miguel
López Ojeda, Anna
Borràs Andrés, Josep Maria
author_role author
author2 Ferro, Tàrsila
Pérez, Xavier
Pla Farnós, Maria Jesús
Gil Gil, Miguel
López Ojeda, Anna
Borràs Andrés, Josep Maria
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Tumors
Càncer de mama
Infermeria oncològica
Tumors
Breast cancer
Oncology nursing
topic Tumors
Càncer de mama
Infermeria oncològica
Tumors
Breast cancer
Oncology nursing
description Aim and objectives: To assess the adherence of a nursing care model in a multidisciplinary breast cancer unit in a tertiary hospital to the recommended competencies and quality indicators.Background: Aligning the competencies of the breast care nurse with international recommendations for this role helps better fulfil patient needs, increases satisfaction and ensures continuity of care.Design: Cohort study.Methods: Breast care nursing was assessed in all patients treated at the Functional Breast Unit from 1 July 2016 to 30 June 2017. Patients were followed for 1 year. Sociodemographic, clinical and pathological data, treatments performed and nursing interventions were collected. The strobe checklist has been used to report this study. Results: We analysed nursing interventions carried out in 382 patients attended over 1 year in a multidisciplinary breast cancer unit. All patients with early disease had contact with the nurse at different times during their primary treatment. Only 58% of patients with advanced disease had contact with the nurse during their first year of illness. Moreover, first contact with the nurse was delayed by more than a week from diagnosis, the interval recommended by international guidelines.Conclusion: The nursing care model meets the core competencies defined for the breast care nurse in patients with early breast cancer, but the first visit should be organised earlier, and follow-up should extend beyond the completion of primary treatment.Relevance to clinical practice: This study evaluated the breast care nurse model in one breast cancer unit according to international guidelines. Nursing care adhered to most guideline requirements in patients with early breast cancer, but not in those with advanced disease. New models of care need to be developed for women with advanced breast cancer in order to achieve true patient-centred care.
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/198923
url https://hdl.handle.net/2445/198923
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1111/jocn.16639
Journal of Clinical Nursing, 2023, vol. 32, p. 2722-2732
https://doi.org/10.1111/jocn.16639
dc.rights.none.fl_str_mv cc by-nc-nd (c) Rodriguez-Ortega, Ana et al., 2023
https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc-nd (c) Rodriguez-Ortega, Ana et al., 2023
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 11 p.
application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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