ABSTRACT
This educational article highlights the critical role of pediatric urology nursing research in improving the care of children with urological conditions. It discusses the multifaceted nature of pediatric urology nursing, addresses challenges such as limited nurse scientists and resource constraints, and highlights the need to overcome barriers to increase research involvement. The authors emphasize the importance of prioritizing research areas, the promotion of collaboration, and the provision of adequate funding and academic time for pediatric nurses to contribute to evidence-based practice, to improve patient outcomes. Furthermore, it highlights the importance of research in advancing nursing practice, shaping protocols, and advocating for the rights and needs of children with urological conditions and their families.
Subject(s)
Nursing Research , Pediatric Nursing , Quality Improvement , Humans , Child , Urology , Urologic Diseases/therapy , Urologic Diseases/nursingABSTRACT
INTRODUCTION: The management of patients in functional urology is complex and requires the expertise of the medical team but also of the nurse team. The aim of this article is to detail the roles of the nurses in functional urology. METHODS: Exchanges with the nurses of our unit, analysis of the literature using the terms "nurse", "urology", "urodynamics" in the PubMed search engine, and a search for regulatory texts relating to the practice of nurses in urology units were conducted. RESULTS: Since the creation of the Inter-University Diploma of Nurse Expert in Urology in 2002 and the inter-professional cooperation protocols in 2009, the urologist can rely on the specific skills of nurses to optimise the patient's management: from endoscopic or urodynamic explorations, to stomatherapy or sexology, from therapeutic education to specialised treatments such as posterior tibial nerve stimulation, sacral neuromodulation or botulinum toxin injections. Their expertise is an undeniable asset in the patient support and for the quality of care. The cooperation protocols respond to the current problems of the healthcare system: attractiveness for paramedical professionals, medical demographics and ambulatory care. The increasingly frequent practice of multidisciplinary consultation meetings also gives them a coordinating role. CONCLUSION: Nurses in functional urology plays a major role in diagnostic and therapeutic management as the patient's privileged contact and collaborator with the referring urologist.
Subject(s)
Nurse's Role , Urologic Diseases/diagnosis , Urologic Diseases/nursing , HumansABSTRACT
OBJECTIVES: The objectives of this study were: To analyze the causes of urological consultation of the child with CP, to analyze the role of nursing in the urological care of children with CP referred to Urology, and to know the relationship between the child's urinary tract infection and CP and its degree of independence. METHOD: Retrospective analytical observational study based on the review of the clinical records of patients diagnosed with cerebral palsy. Forty-seven patients selected by simple randomization in an age range of 2 to 16 years were included in the study in an outpatient clinic for CP patients located in a town in northern Mexico. RESULTS: The causes of urological consultation of the child with CP, referred by nursing were: urinary infection, phimosis, retractable testicle, cryptorchidism, hypogonadism, overactive bladder, and hypospadias. The relationship between the urinary infection of the child with CP and its degree of independence was established with the level of urinary sphincter control. CONCLUSIONS: The nursing staff is a key and decisive factor in the diagnosis, early reference for treatment and monitoring of the evolution of urinary disorders in children with CP. It is not indicated to start a toilet training program in children with CP, without having previously ruled out a urinary tract infection.
OBJETIVOS: Los objetivos de este estudio fueron: analizar las causas de consulta urológica del niño con Parálisis Cerebral (PC), analizar el rol de enfermería en el cuidado urológico de niños con PC referidos a Urología, y conocer la relación entre la infección urinaria del niño con PC y su grado de independencia. MATERIAL Y METODO: Estudio observacional analítico retrospectivo en base a la revisión del expediente clínico de pacientes con diagnóstico de parálisis cerebral. Se incluyeron en el estudio a 47 pacientes seleccionados mediante aleatorización simple en un rango de edad de 2 a 16 años en una clínica de atención ambulatoria para pacientes con PC, ubicada en una población del norte de México. RESULTADOS: Las causas de consulta urológica del niño con PC, referidos por enfermería fueron: infección urinaria, fimosis, testículo retráctil, criptorquidia, hipogonadismo, vejiga hiperactiva, e hipospadias. La relación entre la infección urinaria del niño con PC y su grado de independencia se estableció con el nivel de control de esfínter urinario. CONCLUSIONES: El personal de enfermería es factor clave y decisivo en el diagnóstico, referencia temprana para tratamiento y vigilancia de la evolución de los trastornos urinarios en niños con PC. No está indicado iniciar un programa de control de esfínteres en niños con PC, sin haber descartado antes una infección urinaria.
Subject(s)
Cerebral Palsy/complications , Urologic Diseases/pathology , Adolescent , Cerebral Palsy/nursing , Child , Child, Preschool , Humans , Male , Nurse's Role , Retrospective Studies , Urinary Tract Infections , Urologic Diseases/complications , Urologic Diseases/nursingABSTRACT
Objetivos: Los objetivos de este estudio fueron: analizar las causas de consulta urológica del niño con Parálisis Cerebral (PC), analizar el rol de enfermería en el cuidado urológico de niños con PC referidos a Urología, y conocer la relación entre la infección urinaria del niño con PC y su grado de independencia. Material y método: Estudio observacional analítico retrospectivo en base a la revisión del expediente clínico de pacientes con diagnóstico de parálisis cerebral. Se incluyeron en el estudio a 47 pacientes seleccionados mediante aleatorización simple en un rango de edad de 2 a 16 años en una clínica de atención ambulatoria para pacientes con PC, ubicada en una población del norte de México. Resultados: Las causas de consulta urológica del niño con PC, referidos por enfermería fueron: infección urinaria, fimosis, testículo retráctil, criptorquidia, hipogonadismo, vejiga hiperactiva, e hipospadias. La relación entre la infección urinaria del niño con PC y su grado de independencia se estableció con el nivel de control de esfínter urinario. Conclusiones: El personal de enfermería es factor clave y decisivo en el diagnóstico, referencia temprana para tratamiento y vigilancia de la evolución de los trastornos urinarios en niños con PC. No está indicado iniciar un programa de control de esfínteres en niños con PC, sin haber descartado antes una infección urinaria
Objectives: The objectives of this study were: To analyze the causes of urological consultation of the child with CP, to analyze the role of nursing in the urological care of children with CP referred to Urology, and to know the relationship between the childs urinary tract infection and CP and its degree of independence. Method: Retrospective analytical observational study based on the review of the clinical records of patients diagnosed with cerebral palsy. Forty-seven patients selected by simple randomization in an age range of 2 to 16 years were included in the study in an outpatient clinic for CP patients located in a town in northern Mexico. Results: The causes of urological consultation of the child with CP, referred by nursing were: urinary infection, phimosis, retractable testicle, cryptorchidism, hypogonadism, overactive bladder, and hypospadias. The relationship between the urinary infection of the child with CP and its degree of independence was established with the level of urinary sphincter control. Conclusions: The nursing staff is a key and decisive factor in the diagnosis, early reference for treatment and monitoring of the evolution of urinary disorders in children with CP. It is not indicated to start a toilet training program in children with CP, without having previously ruled out a urinary tract infection
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Cerebral Palsy/complications , Urologic Diseases/pathology , Cerebral Palsy/nursing , Nurse's Role , Urinary Tract Infections/nursing , Urologic Diseases/complications , Urologic Diseases/nursing , Retrospective StudiesABSTRACT
No disponible
Subject(s)
Humans , Nurse Specialists/legislation & jurisprudence , Nurse Specialists/organization & administration , Nurse Clinicians/organization & administration , Nurse Clinicians/legislation & jurisprudence , Diagnostic Techniques, Urological/nursing , Urologic Diseases/nursingABSTRACT
Legalmente, la titulación de Practicante se crea en el año 1857, desapareciendo al integrarse en la nueva de Ayudante Técnico Sanitario (ATS), en 1953, junto con la de Matrona, creada asimismo en 1857, y Enfermera, surgida oficialmente en 1915. Estas tres profesiones constituyen los antecedentes inmediatos del diplomado en Enfermería (año 1977) y este del actual graduado en Enfermería. Una parte importante de los cuidados que administraban eran los relativos a la Urología. Los objetivos propuestos son dos: conocer el contenido en materia de enfermería uronefrológica de los textos empleados para la formación del practicante y conocer, asimismo, en base a la documentación oficial publicada, lo referente a la figura del practicante y la Enfermería urológica. La metodología seguida ha sido la histórica. La figura del practicante ha sido clave en la conformación del actual profesional de Enfermería. Los estudios realizados sobre estos profesionales en relación con los cuidados urológicos son aún escasos, siendo necesario investigaciones de carácter histórico para conocer la verdadera dimensión de sus aportaciones. Hasta llegar a la creación de la especialidad de Urología y Nefrología para ATS en julio de 1975, encontramos en los textos consultados un interés creciente en materia de Enfermería urológica, así como el grado de autonomía profesional alcanzado por el practicante en este campo
Legally, nursing degree was created in 1857. However, it disappeared when it was integrated into Medical Assistant, in 1953, in conjunction with Midwife which was also established in 1857, and Nursing which was officially established in 1915. These three professions constitute the immediate antecedent of Nursing Degree (1977) and the latter is the antecedent for the current Nursing Degree. They administered urologic care. The proposed objectives are two: on the one hand, to know the content related to uro-nephrologic technicisms employed in texts for the instruction of nurses. On the other hand, with the knowledge obtained from official publications to know all the issues related to the nurse and urologic nursing. With regards to methodology a historic approach has been used. The figure of the nurse was key in the configuration of the current professional nursing. The research carried out on these professionals and their relationship with urologic care are still scarce. Thus, it is necessary a historic research to know the dimension of their contributions. Until the establishment of Urology and Nephrology for Nurse in 1975, an increasing and steady interest is found in the specialties of Urology and Nephrology issues as well as in the degree of professional autonomy achieved by the nurse in this field
Subject(s)
Humans , History, 17th Century , History, 18th Century , History, 19th Century , History, 20th Century , History of Nursing , Urologic Diseases/nursingABSTRACT
No disponible
Subject(s)
Humans , Patient Safety , Quality of Health Care , Patient-Centered Care , Nursing Care , Urologic Diseases/nursingABSTRACT
No disponible
Subject(s)
Humans , Urologic Diseases/nursing , Hospitalization , Noise Monitoring , Cross-Sectional StudiesABSTRACT
La enfermera en urología adjudica a menudo adjetivos subjetivos a la orina de los pacientes a su cargo. Pretendemos dotar a los profesionales de una herramienta ágil y visual para disminuir la variabilidad con la que se describe el color de la orina. Para ello se ha elaborado un póster fotográfico tras una búsqueda bibliográfica y una observación directa de las palabras utilizadas para describir la diuresis por parte de las enfermeras del Servicio de Urología del Hospital Miguel Servet de Zaragoza
The urology nurse often assigns subjective adjectives to the urine of the patients in her care. We aim to equip professionals with an agile and visual tool to reduce the variability with which the color of the urine is described. For this purpose, a photographic poster was created after a bibliographical search and a direct observation of the words used to describe the diuresis by the nurses of the Urology Service of the Miguel Servet Hospital of Zaragoza
Subject(s)
Humans , Urinalysis/standards , Urologic Diseases/nursing , Nursing Diagnosis/methods , Hematuria/diagnosis , Practice Patterns, Nurses'/standardsABSTRACT
No disponible
Subject(s)
Humans , Urologic Diseases/nursing , Patient Education as Topic , Nurse-Patient Relations , Patient Compliance/statistics & numerical dataABSTRACT
The role of the nurse practitioner (NP) has expanded into specialty domains. This document proposes 24 competencies specific to the urology NP, which are also consistent with the recommendations of National Organization of Nurse Practitioner Faculties (NONPF) and compliment the American Urologic Association (AUA) 2014 white paper on the incorporation of advanced practice providers in urology practices. It describes three levels of practice and experience progression for the urology NP working with adult patients, independent of specific clinical setting. These urology-specific competencies supplement and complement the core competencies and population-focused competencies of generalist nurse practitioners.
Subject(s)
Clinical Competence , Nephrology Nursing/standards , Nurse Practitioners/standards , Urologic Diseases/nursing , Adult , HumansABSTRACT
The field of female urology covers a broad spectrum of lower urinary tract dysfunction and pelvic disorders. The aim of this article is to provide a comprehensive review of the most significant literature published during 2013.
Subject(s)
Urologic Diseases/diagnosis , Urologic Diseases/therapy , Urology/trends , Female , Humans , Nephrology Nursing , Urologic Diseases/nursingSubject(s)
Drug Prescriptions/economics , Gatekeeping/economics , Health Services Accessibility , Urologic Diseases/drug therapy , Urological Agents/economics , Drug Prescriptions/statistics & numerical data , Formularies as Topic , Humans , Patient Protection and Affordable Care Act , United States , Urologic Diseases/nursingABSTRACT
Cancer is a complex illness that over the years has provoked much fear and speculation for patients, their relatives and health professionals. Emphasis has been placed on cancer management from the point of diagnosis, as well as treatments and their associated risks. As a result of increased technology and improved treatment modalities, more people are now surviving cancer and go on to live longer and healthier lives. While such an achievement is commendable, it places a significant strain on the healthcare economy. The Cancer Reform Strategy acknowledges that the management of cancers in the UK warrants clear definitive protocols and guidelines, to ensure a strategy that is capable of achieving the desired outcomes for those individuals who are affected by the disease. Integral to this objective is the multidisciplinary team, in which the role of the cancer nurse specialist is fundamental to achieving holistic patient outcomes. However, this article addresses the challenges of a uro-oncology clinical nurse specialist from a conceptual, as well as a personal, perspective. It focuses on the role that is specific to the management of patients who are diagnosed with urological cancers.
Subject(s)
Neoplasms/complications , Neoplasms/nursing , Nephrology Nursing/methods , Oncology Nursing/methods , Urologic Diseases/etiology , Urologic Diseases/nursing , Humans , Nephrology Nursing/standards , Nurse Clinicians/standards , Oncology Nursing/standards , Practice Guidelines as TopicABSTRACT
La Enfermería de Práctica Avanzada es un modelo emergente en España, con gran trayectoria en el contexto anglosajón, y que está empezando a desarrollarse en otros países europeos. Estos nuevos perfiles avanzados toman como base una mayor capacitación de las enfermeras en cuatro vertientes: clínica avanzada, gestión, docencia e investigación, y se materializa en distintas figuras, entre las que cabe destacar la Nurse Practitioner (actualmente denominada Advanced Practitioner) y la Nurse Consultant, caracterizadas por una capacitación específica que les permite desarrollar tareas de mayor nivel de complejidad, basada en la toma de decisiones autónoma y una cartera de servicios propia que va más allá de las actividades tradicionales establecidas en nuestro contexto, y donde la enfermera de práctica avanzada lidérala valoración y el seguimiento de los pacientes e incluso, en el caso de la Nurse Consultant, con participación activa en el diseño de estrategias de salud y como asesora en materia de investigación, gestión y clínica avanzada. En el campo de los cuidados urológicos existen diferentes figuras, conocidas como Advanced Urology Nurse o Urology Nurse Practitioner, cuyo desarrollo ha tenido lugar en EEUU, Canadá e Inglaterra principalmente, con puestos específicos definidos y un sistema de acreditación profesional propio, y que se está planteando como la clave a los modelos más tradicionales en muchos sistemas sanitarios europeos, mejorando la accesibilidad a los servicios a través de una gestión compartida de la demanda asistencial partiendo de un nuevo diseño de los mapas competenciales de los distintos profesionales y, por ende, contribuyendo a la coste-eficiencia de los sistemas sanitarios
The Advanced Practice Nursing is an emerging model in Spain, with great experience in the Anglo-Saxon context, which is being developed in other European countries. These new profiles are based on an advanced further training of nurses in four areas: advanced clinical competencies, clinical management, teaching and research. The Advanced Practice Nursing has two main figures: Nurse Practitioner (also known as Advanced Practitioner) and Nurse Consultant, characterized by a specific training orientate to perform tasks of greater complexity based on autonomous decision making and defined catalogue of services which goes beyond traditional activities set in our context, and where the nurse Advanced Practice leads patient assessment and follow up. The Nurse Consultant also performs health policy design and consultancy functions. Within the urologic care field, different roles have emerged in the U.S., Canada and England known as Advanced Urology Nurse or Urology Nurse Practitioner with defined professional positions and specific professional accreditation systems. These new orientation is being proposed as the key to more traditional models in many European health systems, improving access to healthcare services through a shared management of the clinical demand based on the design of a new competency map for healthcare practitioners and, therefore, contributing to the cost-efficiency of health systems
