Authors

1Miguel Ángel Sánchez Lozano, 2Elena Samper Moreno, 3Adolfo Romero Ruiz

Position

¹Enfermero. Coordinador del Hospital de Día Oncohematológico. UGC del cáncer. ²Enfermera. Unidad de Hospitalización. UGC del cáncer.³Enfermero. Especialista en Enfermería Médico-Quirúrgica (A. Clínicos). Experto Universitario en Métodos Avanzados de Estadística. Master Universitario en Economía de la Salud, Gestión Sanitaria y Uso Racional del Medicamento. Doctorando por la Universidad de Málaga.

Contact address

Adolfo Romero Ruiz. C/ Mármoles, 38, 4º B. 29007 Málaga.

Contact email: preanalitica@gmail.com

Abstract

The majority of patients with cancer receive chemotherapy. The special charac­teristics of this therapy requires that these patients be attended in ad hoc facilities, commonly referred to as day hospitals (oncology DH or oncology and hematology DH), although their organization is not unified across the country. Achieve effective management of these services provides not only better clinical care, but a better use of existing resources and increased satisfaction of professionals and patients.
The purpose of this paper is to present the organizational change made in a DH, which has used the philosophy of focusing on patient-centered care, to provide a much friendlier environment, a more empathetic and better mana­gement of resources, together with greater involvement of nurses in the management of care.
We describe the characteristics of the on-entry patient status and the changes introduced, consisting in the creation of a Nursing Admission Consultation (NAC) to receive DH patients coming for the first time, a Nursing Coordination Station (NCS) that manages care and resources at the DH; grouping of the beds and armchairs/chairs in the four areas of Treatment Administration Consultation (TAC) attended by a nurse and finally the creation of a Discharge Care Instructions Report (DCIR) for subsequent use by community nurses­. These measures have enabled to go from care on demand to programmed care, which has implied greater involvement on the part of health professionals in the organization and management of the services provided by the DH.

Keywords:

day hospital; human resources; management; occupational satisfaction; oncologyquality of life

Versión en Español

Título:

Experiencia de un nuevo modelo organizativo en un hospital de día oncohematológico