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 I...

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Publicado en:Clinical Journal of Oncology Nursing Vol. 28; no. 4; pp. 397 - 406
Autores principales: LeStrange, Nicole, Walton, AnnMarie, Watson, Joni L., Sklarin, Nancy T., Thompson, Julie A., Affronti, Mary Lou
Formato: questionnaire/scale research tables/charts Journal Article
Publicado: Oncology Nursing Society Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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        atl: The Impact of Independent Chemotherapy Prescribing by Advanced Practice Providers on Patient Safety and Clinician Satisfaction.
      aug:
        au:
          LeStrange, Nicole
          Walton, AnnMarie
          Watson, Joni L.
          Sklarin, Nancy T.
          Thompson, Julie A.
          Affronti, Mary Lou
        affil: Nurse practitioner and an advanced practice provider manager at Memorial Sloan Kettering Cancer Center in New York, NY
      sug:
        subj:
          Neoplasms Drug Therapy
          Antineoplastic Agents Administration and Dosage
          Chemotherapy, Cancer
          Prescriptions, Drug
          Advanced Practice Registered Nursing Standards
          Job Satisfaction
          Patient Safety
          Human
          Male
          Female
          Adult
          Middle Age
          United States
          Questionnaires
          Cancer Care Facilities
          Attitude of Health Personnel
          National Cancer Institute (U.S.)
          Medication Errors
          Physician Assistants Psychosocial Factors
          Quality Improvement
          Work Environment
          Nursing Practice, Evidence-Based
          Patient Centered Care
          Hypersensitivity
          Confidence
          Oncologic Care
          Health Care Delivery
          Collaboration
          Descriptive Statistics
          Comparative Studies
          Data Analysis Software
          Fisher's Exact Test
          Odds Ratio
          Confidence Intervals
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: 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 threeyear 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.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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