Abordaje del proceso asistencial por enfermeras gestoras de casos en una Unidad de Mama

  1. María Isabel López-Pérez 1
  2. Alonso Molina-Rodríguez 2
  3. Francisco David Harillo-Acevedo 3
  4. Ascensión Guillén-Martínez 4
  5. María Patricia Palacio-Gaviria 5
  1. 1 Servicio Murciano de Salud, Hospital Santa Lucía, Área II de Salud, Murcia, España
  2. 2 Facultad de Enfermería, Universidad de Murcia, Murcia, España
  3. 3 Servicio Murciano de Salud, Hospital Rafael Méndez, Área III de Salud, Murcia, España
  4. 4 Facultad de Ciencias Sociosanitarias, Universidad de Murcia, Murcia, España
  5. 5 Servicio Murciano de Salud, Hospital Virgen de la Arrixaca, Área I de Salud, Murcia, España
Journal:
Enfermería clínica

ISSN: 1130-8621

Year of publication: 2024

Volume: 34

Issue: 2

Pages: 90-95

Type: Article

DOI: 10.1016/J.ENFCLI.2024.01.003 DIALNET GOOGLE SCHOLAR

More publications in: Enfermería clínica

Abstract

Objective Breast units led by nurse case managers are being implemented to provide comprehensive care in the detection and treatment of breast cancer. However, their implementation is heterogeneous and the results of the care process with this professional have not been studied. The aim of the study is to describe the management in time and the approach of the process by a nurse case manager in the breast unit of women with suspected breast cancer pathology, derived from the breast cancer screening program. Methods Descriptive, cross-sectional, retrospective study carried out in 2021. Women treated in a breast unit managed by a nurse case manager in a hospital in southern Spain were included. Sociodemographic, clinical and care process characteristics were analysed. Results A total of 118 women of Spanish nationality (92%) participated, with a mean age of 59 years. The diagnosis of malignancy was made in 74.6% of them. Seventy-nine percent of the women had their first visit within 3 days. The mean time to diagnosis was 3.98 days (SD: ±3.93), 4.2 weeks (SD: ±1.84) to initiate treatment and a total in-hospital time of 33 days (SD: ±13.45). Discussion The management of nurse case managers in breast units contributes to improving or speeding up times, in accordance with international guidelines, helping this approach in the continuity of the care process for women referred after screening for breast cancer detection.

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