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Biomedical subjects

L Sveningson

Publications and source records attributed to L Sveningson.

4 recordsLinked to original sources

Case management in an integrated delivery system.

A case management program is designed so that the nurses could work with any client within the health system, regardless of the diagnosis of provider. A variety of challenges surfaced: maintaining visibility within a large health care system; working with varied approaches to client care issues; and being clinically knowledgeable in the variety of chronic illnesses. Hospital admissions, physician and emergency department visits and costs are measured after establishing a nurse case management program.

Case Management↗

Regulation of advanced nursing practice: Part Two--Certification.

PURPOSE/OBJECTIVE: To present an overview of issues related to the use of advanced practice nursing (APN) certification. DATA SOURCES: Published articles, position papers, and colleague experiences. DATA SYNTHESIS: Certification is used for credentialing APNs at the state level, and in some states, it is a requirement for second licensure. Presently, a great deal of variability exists in the purposes and procedures related to certification processes, thus devaluing its use. CONCLUSION: The lack of consistency among certifying agencies and the lack of documented impact of certified advanced nursing practice can negatively affect the value placed on certification as an advanced practice credential. In the current climate of increased regulation, nursing must maintain control of practice regulation. IMPLICATIONS FOR NURSING PRACTICE: Inconsistencies between states and among nursing organizations can negatively affect the mobility and career flexibility of APNs. The evaluation of outcomes related to certified advanced nursing practice must be a research priority in the current climate. Collaboration among specialty organizations also must occur to increase the credibility of certification as a nursing credential.

Certification↗

A research nurse: enhancing participation in clinical trials.

The Fargo CCOP believes that a Research Nurse enhances their participation in clinical trials. Although it is early in our evaluation, the CCOP has maintained a stable accrual level despite the loss of a Medical Oncologist that historically led our research accrual totals. It may also be noted that enhancing treatment protocol participation increases cancer control participation as illustrated in the figure below. Cancer Control accrual is very respectable and positions the Fargo CCOP among the leaders in the North Central Cancer Treatment Group. The Cancer Control protocols are very time intensive. It would have been extremely difficult for the Medical Oncology Nursing staff to add cancer control research responsibilities to an already busy work day. Although subjective, communication between nurses, physicians, and data managers has been enhanced. Medical Oncology nurses have also begun to do more extensive telephone follow up with non-study patients. Minor violations appear to be decreasing. In summary, the Fargo CCOP plans to continue support of the Research Nurse role. Centralizing the accountabilities identified with one individual provides a mechanism for better communication, patient compliance, and higher patient accrual to cancer treatment and cancer control protocols. This approach may be helpful to other community cancer programs that wish to enhance their participation in clinical trials and the NCI's effort to increase patient accrual to high priority protocols.

Clinical Trials as Topic↗