关键词: Food allergy allergist case manager nurse clinician nursing interventions oral immunotherapy patient educator program manager registered nurse research coordinator staffing models

来  源:   DOI:10.2500/jfa.2022.4.220014   PDF(Pubmed)

Abstract:
Oral immunotherapy (OIT) emerged into clinical practice, and its delivery highlights the multifaceted expertise of registered nurses (RN) as central to allergy/immunology interprofessional collaborative teams. The allergist-RN model of clinical evidenced-based OIT provision is presented. RN competencies, role components, and intervention examples are included to assist RNs and allergists in maximizing RN capabilities. RNs\' patient-centered focus, and the ability to evaluate and incorporate physical, psychological, and sociological patient aspects are assets to OIT teams. RNs can establish best practices, initiate scholarly inquiry, and disseminate new knowledge to interdisciplinary colleagues. RNs also implement allergist-prescribed standing protocols within their legal practice scope by using their clinical judgment during evaluation of a patient receiving OIT. The same RN may serve as a nurse clinician, patient and family educator, case manager, research collaborator, and OIT program manager. Allergy/immunology practices use diverse staffing models, which thus require adaptation of presented descriptions per clinical team needs and resources.
摘要:
口服免疫疗法(OIT)出现在临床实践中,其交付强调了注册护士(RN)的多方面专业知识,是过敏/免疫学跨专业协作团队的核心。提出了基于临床证据的OIT提供的过敏症-RN模型。RN能力,角色组件,并包括干预示例,以帮助RN和变态反应学家最大限度地提高RN能力。RN以患者为中心的焦点,以及评估和整合身体的能力,心理,和社会学患者方面是OIT团队的资产。RN可以建立最佳实践,发起学术调查,并向跨学科同事传播新知识。RN还通过在评估接受OIT的患者期间使用其临床判断,在其法律实践范围内实施变态反应医师规定的常设协议。同一个RN可以担任护士临床医生,病人和家庭教育者,案件经理,研究合作者,和OIT项目经理。过敏/免疫学实践使用不同的人员配备模型,因此,这需要根据临床团队的需求和资源调整所提供的描述。
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