Consistent Nursing Presence Through Questionably Unprecedented Times.

Election season. Those words evoke sighs, spur eye rolls, emblazon debates, strain relationships, spark activism, and fan hope. The Clinical Journal of Oncology Nursing team works months ahead of each issue. By publication, A.

The Impact of Independent Chemotherapy Prescribing by Advanced Practice Providers on Patient Safety and Clinician Satisfaction.

BACKGROUND: Literature on advanced practice providers (APPs) prescribing chemotherapy independently, without physician cosignature, is limited. OBJECTIVES: This project assessed safety and provider satisfaction for an existing independent APP chemotherapy prescribing privilege at a National Cancer Institute-designated comprehensive cancer center. METHODS: Rate of Reporting to Improve Safety and Quality events associated with APPs with independent chemotherapy prescribing privileges was compared to that of physicians during a three-year period. Satisfaction of APPs with independent chemotherapy prescribing privileges was evaluated. FINDINGS: The odds of a reported event were higher for physicians than for APPs. APP survey responses were positive for readiness, confidence, and satisfaction with independent chemotherapy prescribing privilege.

Ruthlessly Subtract to Build Oncology Programs and Add Value.

Building modern healthcare programs and systems caring for populations requires expert skills in strategy, finance, people operations, workflow, evaluation, and more. Build often connotes adding services and people, but it al.

Nursing's Primary Commitment Embedded in the Quintuple Aim.

Anecdotally, from personal experience as a growing editor and in talking with experienced editors, rejecting evidence-based project manuscripts that do not include patient outcomes is routine. Phrased differently, it is typic.

A New Paradigm for Nurse Leader Decision-Making Within Complex Adaptive Systems.

Health care is a complex and ever-changing environment for nurse leaders and other health care industry decision-makers. The prevailing leadership and decision-making models, rooted in Industrial Age principles, often struggle to adapt to the complexities of modern health care. This article explores the foundations of complexity science and its application to health care decision-making, highlighting the importance of understanding systems dynamics and embracing complexity. Drawing from systems knowledge, the Cynefin Sensemaking Framework, and understanding how to develop enabling constraints, nurse leaders can navigate the complexities of health care by identifying the nature of the problem and applying appropriate decision-making strategies, fostering agility and innovation. By embracing complexity and adopting adaptive leadership approaches, nurse leaders can pragmatically navigate the complexities of modern health care and drive transformative change. This manuscript provides methods for nurse leaders to enhance decision-making within the dynamic landscape of health care as a complex adaptive system.

Faith and Science: Sacred Decision-Making in Cancer Care.

Many people view health, wellness, and illness through a lens of religion and spirituality (R&S), modern science, and culture. Faith and science are not dichotomous in health care; they are complementary and even intercon.

For the (Rigorous) Love of Oncology Nursing.

Although the nursing profession has seen significant changes, the core of nursing has never changed. It has always been and will always be about serving all people with holistic care in whatever ways they need at the time.

Artificial Intelligence: Basics, Impact, and How Nurses Can Contribute.

Applying artificial intelligence (AI) to cancer care has the potential to transform and enhance nursing practice and patient outcomes, from cancer prevention and screening through treatment, survivorship, and end-of-life care.