RESUMO
A collaborative practice was established at the University of Southern California/Kenneth Norris Jr. Cancer Hospital utilizing combined roles of the CNS and nurse practitioner. The role was created out of a specific need of the physicians of the gastrointestinal malignancy service. Increased administrative and clinical responsibilities necessitated another clinical expert to be readily available for the management of the acute care private practice patients. As a CNS for both the departments of medicine and nursing, my primary responsibilities are focused within the ambulatory care area. This paper presents the concept for this position, the professional and personal benefits, advantages and disadvantages, and recommendations for nursing practice.
Assuntos
Neoplasias Gastrointestinais/enfermagem , Descrição de Cargo , Enfermeiros Clínicos/normas , Profissionais de Enfermagem/normas , Assistência Ambulatorial , HumanosRESUMO
Although the overall incidence of gastric cancer in the United States is decreasing, Korean-Americans are increasingly at risk of developing this type of cancer. The epidemiology of gastric cancer in the Korean population is associated with environmental and genetic factors. Current treatment modalities include surgery, chemotherapy, and radiation. A case study is presented of a Korean patient who elected to participate in an investigational research protocol at the University of Southern California/Kenneth Norris Jr. Cancer Hospital. The paper also contains a discussion of transcultural nursing focusing on the background, values, and healthcare practices of Korean-Americans and the associated nursing implications.
