Review of the role of emergency nurses in management of chemotherapy-related complications

Considine, Julie, Livingston, Patricia, Bucknall, Tracey and Botti, Mari 2009, Review of the role of emergency nurses in management of chemotherapy-related complications, Journal of clinical nursing, vol. 18, no. 18, pp. 2649-2655.

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Title Review of the role of emergency nurses in management of chemotherapy-related complications
Author(s) Considine, Julie
Livingston, Patricia
Bucknall, Tracey
Botti, Mari
Journal name Journal of clinical nursing
Volume number 18
Issue number 18
Start page 2649
End page 2655
Total pages 6
Publisher Blackwell Scientific Publications
Place of publication Oxford, England
Publication date 2009
ISSN 0962-1067
1365-2702
Keyword(s) Cancer
chemotherapy
clinical risk
cost
emergency nursing
oncology
Summary Aims and objectives : To examine the role of emergency nurses in caring for patients who receive chemotherapy in ambulatory oncology settings. Reasons for emergency department presentations are examined, specific sources of clinical risk for patients receiving chemotherapy who require emergency care are discussed and cost implications of emergency department presentations related to chemotherapy are analysed.

Background : Given the increased administration of chemotherapy in ambulatory settings, emergency nurses play an important role in the management of patients undergoing adjuvant chemotherapy. Emergency departments are the major entry point for acute inpatient hospital care of complications arising from chemotherapy.

Design : Systematic review.

Results : Chemotherapy-related emergency department presentations have considerable clinical and cost implications for patients and the healthcare system. Strategies to improve emergency department management of chemotherapy complications and reduction in preventable emergency department presentations has significant implications for improving cancer patients' quality of life and reducing the cost of cancer care.

Conclusions : Nurses are well placed to play a pivotal role in chemotherapy management and lead interventions such as a specialist oncology nursing roles that provide information and support to guide patients through their chemotherapy cycles. These interventions may prevent emergency department presentations for patients receiving chemotherapy in ambulatory settings.

Relevance to clinical practice : Patients receiving chemotherapy require access to specialised care to manage distressing symptoms, as they are at significant clinical risk because of immunosuppression and may not exhibit the usual signs of critical illness. A team approach both within and across nursing specialities may improve care for patients receiving chemotherapy and increase effective use of healthcare resources.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
HERDC collection year 2009
Copyright notice ©2009, Blackwell Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30018032

Document type: Journal Article
Collection: School of Nursing and Midwifery
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Created: Fri, 14 Aug 2009, 13:54:27 EST by Julie Considine

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