{"id":8880,"date":"2024-09-23T08:30:16","date_gmt":"2024-09-23T06:30:16","guid":{"rendered":"https:\/\/www.easistent.ro\/?p=8880"},"modified":"2024-10-24T11:28:48","modified_gmt":"2024-10-24T09:28:48","slug":"proiectarea-teoretica-a-unui-model-de-cadru-de-competente-de-baza-pentru-asistentii-medicali-din-oncologie","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=8880","title":{"rendered":"Proiectarea teoretic\u0103 a unui model de Cadru de competen\u021be de baz\u0103 pentru asisten\u021bii medicali din oncologie"},"content":{"rendered":"\n<p>Mariana Zazu<sup>1,2 <\/sup>, Doina Carmen Mazilu<sup>1,2<\/sup>, Viorica Nedelcu<sup>1,2<\/sup>, Claudia Elena Dobre<sup>1,2<\/sup>, Corina Gagiu<sup>1,2,3<\/sup>, Daniela Stan<sup>1,2,4<\/sup>, Ana Mare\u0219<sup>1,5<\/sup>, Florentina Ligia Furtunescu<sup>2,6<\/sup><\/p>\n\n\n\n<p><sup>1<\/sup>OAMGMAMR Bucure\u0219ti; Centrul Rom\u00e2n de Cercetare \u00een \u00cengrijiri de S\u0103n\u0103tate: Centru de Excelen\u021b\u0103 JBI; <sup>2<\/sup> UMFCD Carol Davila; <sup>3<\/sup>Spitalul Clinic de Psihiatrie \u201eProf. Dr. Alexandru Obregia\u201d, Bucure\u0219ti; <sup>4<\/sup>Spitalul Clinic de Obstetric\u0103-Ginecologie \u201eProf. Dr. Panait S\u00e2rbu\u201d, Bucure\u0219ti; <sup>5<\/sup>Spitalul de Urgen\u021b\u0103 Bagdasar-Arseni, Bucure\u0219ti; <sup>6<\/sup>Institutul Na\u021bional de S\u0103n\u0103tate Public\u0103, Bucure\u0219ti, Romania<\/p>\n\n\n\n<h2><strong>Introducere<\/strong><\/h2>\n\n\n\n<p class=\"has-drop-cap\">\u00cen contextul practicii avansate, asisten\u021bii medicali de oncologie sunt profesioni\u0219ti cheie care furnizeaz\u0103 \u00eengrijiri medicale \u00een comunitate, ambulatoriu, unit\u0103\u021bi medicale pentru pacien\u021bi cu afec\u021biuni acute sau cronice.<\/p>\n\n\n\n<p>La nivel global, este recunoscut\u0103 necesitatea de formare profesional\u0103 specific\u0103 a asisten\u021bilor medicali din oncologie. Cu toate acestea, \u00een Rom\u00e2nia, aceast\u0103 specializare nu este implementat\u0103, \u00eengrijirile medicale fiind furnizate de asisten\u021bi medicali generali\u0219ti care au \u00eenv\u0103\u021bat la locul de munc\u0103 proceduri specifice acestui domeniu clinic. Recent, \u00een 2022 a fost aprobat\u0103 o astfel de specializare, \u00eens\u0103, p\u00e2n\u0103 \u00een acest moment nu exist\u0103 demersuri concrete \u00een acest sens.<\/p>\n\n\n\n<p><strong>Scopul principal<\/strong> al acestui studiu a fost de a proiecta un <em>Cadru general de competen\u021be pentru asisten\u021bii medicali din oncologie<\/em>, \u021bin\u00e2nd cont de stadiul actual al cunoa\u0219terii \u0219i de contextul socio-cultural din Romania.<\/p>\n\n\n\n<h2><strong>Material \u0219i metod\u0103<\/strong><\/h2>\n\n\n\n<p>\u00cen noiembrie 2023 a fost efectuat\u0103 o revizie rapid\u0103 a literaturii \u00een principalele baze de date (<em>N-Lex, JBI, Cochrane Library, Medline, CINAHL, SCOPUS) <\/em>cu scopul de a identifica: (1) principalele norme legislative europene \u0219i norme legislative na\u021bionale cu privire la profesia de asistent medical, (2) cel mai recent standard ocupa\u021bional pentru asistentul medical, (3) cele mai recente Cadre de competen\u021b\u0103 elaborate de principalele asocia\u021bii profesionale interna\u021bionale de oncologie.<\/p>\n\n\n\n<h2><strong>Rezultate si discu\u021bii<\/strong><\/h2>\n\n\n\n<p>\u201e<em>\u00cembun\u0103t\u0103\u021birea s\u0103n\u0103t\u0103\u021bii \u0219i bun\u0103st\u0103rii popula\u021biei \u0219i reducerea inegalit\u0103\u021bii \u00een s\u0103n\u0103tate<\/em>\u201d reprezint\u0103 Obiectivul global al Organiza\u021biei Mondiale a S\u0103n\u0103t\u0103\u021bii formulat \u00een <em>Health 2020 Policy Framework<\/em>. \u00cen acest context, prioritatea principal\u0103 o reprezint\u0103 \u00eembun\u0103t\u0103\u021birea capacit\u0103\u021bii profesionale a asisten\u021bilor medicali \u0219i moa\u0219elor \u00een vederea \u00eendeplinirii obiectivelor de \u00eengrijire centrat\u0103 pe persoane, promovarea calit\u0103\u021bii \u0219i siguran\u021bei, promovarea \u00eengrijirilor bazate pe dovezi \u0219i a inova\u021biei.<\/p>\n\n\n\n<p>\u00cen bazele de date au fost identificate urm\u0103toarele documente care au stat la baza proiect\u0103rii <em><strong>Cadrului na\u021bional de competen\u021be de baz\u0103 pentru asisten\u021bii medicali din oncologie<\/strong><\/em>: (1) Ordinul 144 din 2008 de exercitare a profesiei de asistent medical generalist, moa\u0219\u0103 \u0219i asistent medical in Romania, (2) Standardul ocupa\u021bional al Asistentului medical generalist (2008), (3) Ordinul ministrului s\u0103n\u0103t\u0103\u021bii 1.775 din 2020 pentru aprobarea Normelor de organizare \u0219i desf\u0103\u0219urare a programelor de specializare, (4) Health 2020 policy framework \u2013 Organiza\u021bia Mondial\u0103 a S\u0103n\u0103t\u0103\u021bii, (5) Practice Standards and Competencies for the Specialized Oncology Nurse &#8211; Canadian Association of Nurses In Oncology, (6) Cancer Nursing Education Framework &#8211; The European Oncology Nursing Society (EONS), (7) Masterclass in Oncology Nursing &#8211; European School of Oncology-European Oncology Nursing Society, (8) Core Curriculum for Oncology Nursing &#8211; Oncology Nursing Society, and (9) Career Pathway and Education Framework for Cancer Nursing &#8211; Royal College of Nursing.<\/p>\n\n\n\n<h2><strong>Concluzii<\/strong><\/h2>\n\n\n\n<p>Efortul de a dezvolta competen\u021bele asisten\u021bilor medicali din oncologie cuprinde proiectarea unui cadru de competen\u021be \u0219i derularea mai multor focus grupuri la nivel na\u021bional cu participarea asisten\u021bilor medicali din oncologie.<\/p>\n\n\n\n<p><strong>Cuvinte cheie:<\/strong> Formarea profesional\u0103 a asisten\u021bilor medicali din oncologie, cadru de competen\u021be de baz\u0103, asocia\u021bii de asisten\u021b\u0103 medical\u0103 oncologic\u0103, context de asisten\u021b\u0103 medical\u0103, Health 2020, reglement\u0103ri legislative, standarde profesionale<\/p>\n\n\n\n<p><strong>Bibliografie selectiv\u0103<\/strong><\/p>\n\n\n\n<ol><li>An Bord Atranais (2005) Requirements and Standards for Nurse Registration Education Programmes, 3rd edn. An Bord Altranais, Dublin<\/li><li>College of Nursing Ontario (1999) http:\/\/www.cno.org\/Global\/docs\/reg\/41037_EntryToPracitic_final.pdf<\/li><li>Corner J. (2002) Nurses\u2019 experiences of cancer. European Journal of Cancer Care 11,193-9.<\/li><li>Department of Health UK (2000a) The NHS Cancer Plan. A Plan for Investment, a Plan for Reform. Department of Health, London<\/li><li>Drury A, Sulosaari V, Sharp L, Ullgren H, de Munter J, Oldenmenger W. The future of cancer nursing in Europe: Addressing professional issues in education, research, policy and practice. European Journal of Oncology Nursing. 2023 Apr 1;63:102271.<\/li><li>World Health Organization. European strategic directions for strengthening nursing and midwifery towards Health 2020 goals. World Health Organization. Regional Office for Europe; 2015.<\/li><li>International Agency for Research on Cancer. WHO, 2020.<\/li><li>The EONS Cancer Nursing Education Framework. 2022; <a href=\"https:\/\/cancernurse.eu\/wp-content\/uploads\/2021\/07\/EONSCancerNursingFramework2018-1.pdf\">https:\/\/cancernurse.eu\/wp-content\/uploads\/2021\/07\/EONSCancerNursingFramework2018-1.pdf<\/a><\/li><li>Ulgren H. 2018. Does the EONS Cancer Nursing Education Framework, mirror Swedish Cancer Nurses competences? -A Delphi analysis<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Mariana Zazu1,2 , Doina Carmen Mazilu1,2, Viorica Nedelcu1,2, Claudia Elena Dobre1,2, Corina Gagiu1,2,3, Daniela Stan1,2,4, Ana Mare\u02191,5, Florentina Ligia Furtunescu2,6 1OAMGMAMR Bucure\u0219ti; Centrul Rom\u00e2n de Cercetare \u00een \u00cengrijiri de S\u0103n\u0103tate: Centru de Excelen\u021b\u0103 JBI; 2 UMFCD Carol Davila; 3Spitalul Clinic de Psihiatrie \u201eProf. Dr. Alexandru Obregia\u201d, Bucure\u0219ti; 4Spitalul Clinic de Obstetric\u0103-Ginecologie \u201eProf. Dr. Panait S\u00e2rbu\u201d, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":8903,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,155],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8880"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8880"}],"version-history":[{"count":3,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8880\/revisions"}],"predecessor-version":[{"id":8912,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/8880\/revisions\/8912"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/8903"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8880"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8880"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8880"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}