Ürolojik Muayene ve Tanı Testlerinde Hemşirenin Rol ve Sorumlulukları
Özet
Üroloji hemşireleri, nitelikli bakım hizmetlerinin yöneticisi olarak tanımlanan ve kapsamlı sağlık hizmeti sunan profesyonellerdir. Bu alanda uzmanlaşmak isteyen hemşirelerin, mezuniyet sonrası ileri düzey hemşirelik rolleri konusunda lisansüstü eğitim veya sertifika programları ile hazırlanması gerekmektedir. Üroloji hemşireliği, “yaralanma, büyüme-gelişme, yaşlanma, kanser, nörolojik, genetik, üreme ve çeşitli tıbbi hastalıklar nedeniyle ürolojik sağlık sorunları yaşayan bireylerin bakım gereksinimlerini karşılayan özel bir hemşirelik uzmanlığı” olarak tanımlanmaktadır. Üroloji hemşireleri, ürolojik hastalıkları olan bireylere bakım ve destek sağlamada kritik bir rol üstlenmektedir.
Muayene ve tanı testleri sürecinde üroloji hemşirelerinin temel rol ve sorumlulukları; bireyin tanılanması, girişimsel uygulamalarda planlanan tedavinin uygulanması, hasta güvenliğinin sağlanması, işlem öncesi, sırası ve sonrasında bireyin izlem ve eğitimini gerçekleştirme, duygusal gereksinimlerini karşılama gibi çeşitli görevleri içermektedir. Modern hemşirelik felsefesi doğrultusunda, üroloji hemşireliğindeki tüm rollerin odak noktası; bireyin yaşadığı çevre bağlamında değerlendirilmesi, bireysel ve bütüncül bir bakış açısı ile bakım gereksinimlerinin belirlenmesi ve karşılanması olmalıdır.
Urology nurses are professionals who are defined as managers of qualified nursing care services and provide comprehensive healthcare. Nurses who wish to specialize in this field should undergo postgraduate education or certification programs to prepare for advanced nursing roles required to deliver high-quality care to this specific patient group. Urology nursing is defined as a specialized nursing field that addresses the care needs of individuals experiencing urological health issues due to injury, growth and development, aging, cancer, neurological, genetic, reproductive, and various medical conditions. Urology nurses play a critical role in providing care and support to individuals with urological disorders.
During examination and diagnostic testing, the primary roles and responsibilities of urology nurses include patient assessment, implementation of planned treatments in interventional procedures, ensuring patient safety, monitoring and educating the patient before, during, and after procedures, and addressing their emotional needs. In line with contemporary nursing philosophy, the core focus of urology nursing should be assessing individuals within their living environment and determining and meeting their needs through an individualized and holistic approach.
Referanslar
Mckibben MJ, Kirby EW, ve ark. Projecting the urology workforce over the next 20 years. Urology, 2016; 98:21-6.
Quallich SA, Bumpus SM, Lajiness S. Competencies for the nurse practitioner working with adult urology patients. The Nurse Practitioner in Urology, 2016; 35(5):395-411.
Albaugh JA. Urology nursing practice educational preparation, titles, training, and job responsibilities around the globe. Urologic Nursing, 2012; 32(2):79-85.
Crowe H. Advanced urology nursing practice. Nature Reviews Urology, 2014; 11(3):178-82.
Comola GM. A nurse practitioner's experience ın a post-graduate nurse practitioner urology fellowship. Urologic Nursing, 2014; 34(3):133-4.
Benner P. Formation in professional education: an examination of the relationship between theories of meaning and theories of the self. Journal of Medicine and Philosophy, 2012; 38(4):356-64.
Quallich S, Lajiness MJ. Defining the urology nurse practitioner role in the united states: a delphi study. Journal of the American Association of Nurse Practitioners, 2022; 34(1):119-28.
Society of Urologic Nurses And Associates (SUNA). Urologic nursing: scope and standards of practice (2nd Ed.), 1999.
American Urological Association (AUA). AUA Consensus Statement On Advanced Practice Providers. 2014. Http://Www.Auanet. Org/Common/Pdf/Advocacy/Advoca- Cy-By-Topic/AUA-Consensus- Statement-Advanced-Practice- Providers-Full.Pdf
Kanan N. Üriner sistemin cerrahi hastalıkları ve bakımı. Akyolcu N, Kanan N, Aksoy G, Editör. Cerrahi Hemşireliği II. 1. Baskı, İstanbul: Nobel Tıp Kitabevleri, 2018, P. 613-65.
Talley K, Wyman JF, Berry A, Newman DK. Comparison of professional roles between urologic nurses, advanced practice providers, and therapists who provide continence care: results of a cross-sectional survey. Urologic Nursing, 2022; 42(4):165-76.
Quallich SA. Updated competencies for the nurse practitioner working with adult urology patients. Urologic Nursing, 2021; 41(3):126-40.
Delgado-Guay MO HA. Multidimensional patient assessment. In: Bruera E, Higginson IJ, Von Gunten CF MT, Editor. Textbook Palliative Care and Supportive Medicine. 3rd Ed. FL: CRC Press; 2021. P. 149–61.
Fitzsimmons D AS. Approaches to assessment in palliative care. In: Payne S, Seymour J IC, Editor. Palliative care nursing principles and evidence based practices. 1st Ed. England: Open University Press; 2004. P. 163–80.
Acaroğlu R. Sağlık öyküsü ve fiziksel muayene. In: Atabek-Aştı T KA, Editor. Klinik Uygulama Yöntemleri ve Becerileri. 1st Ed. Adana: Nobel Tıp Kitabevi; 2011. P. 539–609.
Acaroğlu R, Şendir M KH. Hemşirelik süreci. In: Babadağ K AT, Editor. Hemşirelik Esasları Uygulama Kitabı. 1st Ed. İstanbul: İstanbul Tıp Kitabevleri; 2008. P. 8–20.
Quallich, SA. Knowledge as the power to define our urology role. Urologic Nursing, 2018; 38(1):5-7.
Büyükyılmaz F. Palyatif bakımda ağrı yönetimi ve hemşirelik yaklaşımı. In: Akçakaya A, Editor. Palyatif Bakım ve Tıp. 1st Ed. İstanbul: İstanbul Tıp Kitabevleri; 2019. P. 54–68.
Acaroğlu R. Yaşam aktivitelerine temellenen Roper-Logan-Tierney modeli’ne giriş. In: Acaroğlu R, Şendir M KH, Editor. Roper-Logan-Tierney Modelin Uygulamada Kullanılması. 1st Ed. İstanbul: Nobel Tıp Kitabevi; 2021. P. 2–24.
Mitchell KA, Spitz A. Use of advanced practice providers as part of the urologic healthcare team. Current Urology Reports, 2015; 16(9):62.
Shendy M, Marinceu D, ve ark. Role of nursing in urogynaecology. ın nursing-new ınsights for clinical care. Intechopen; 2022. Retrived From: Https://Www.İntechopen.Com/Chapters/84043
Cera JL. Defining the role of the urogynecology nurse practitioner: a call to contemporary distinction through subspecialty certification. Urologic Nursing, 2021; 41(3):141-52.
Culha Y, Acaroglu R. The Effect of video-assisted clean intermittent catheterization training on patients’ practical skills and self-confidence. International Neurourology Journal, 2022; 26(4):331-41.
Büyükyilmaz F, Culha Y. ve ark. The effects of bladder training on bladder functions after transurethral resection of prostate. Journal of Clinical Nursing, 2020;29(11-12):1913-19.
Çulha Y, Ak ES, Çulha MG. The effect of running water sound listened to patients during urodynamics on anxiety and urodynamic parameters. International Neurourology Journal, 2023;27(3): 217-23.
