Adapting nurse‐led cystoscopy experience to the United States: Tele‐cystoscopy a possible compromise?

Abstract

Urology workforce shortages in rural areas limit access to diagnostic cystoscopy for hematuria or surveillance cystoscopy for patients with bladder cancer. To address this, we developed a tele‐cystoscopy model in which urologic advanced practice professionals (APPs) perform cystoscopies that are interpreted in real‐time by board‐certified urologists at their home institution. This collaborative model allows the cystoscopic interpretation to be performed by a board‐certified urologist. This model may both improve access for patients in remote locations and may lead to greater acceptance of nurse‐led cystoscopy in the medical legal environment found in the United States.

Mapeamento dos serviços de saúde aos usuários de cateterismo urinário: desafios para a prática avançada de enfermagem

“…Diante dos avanços tecnológicos e do aumento da sobrevida crescente do número de crianças e adolescentes com doenças crônicas e/ou incapacitantes, assim como de comorbidades crônicas em adultos e idosos (16)(17)(18) , é fundamental a organização de ações e serviços de promoção, prevenção e reabilitação das pessoas em todos os níveis de atenção. A coordenação dos serviços de saúde pela RAS considera o território e a articulação dos diferentes saberes e tecnologias profissionais, para que o cidadão possa acessá-los de acordo com suas necessidades de saúde (15;6) .…”

“…A alta distribuição de materiais no município (Figuras 2 e 3) revela a prevalência dessa condição clínica. Dessa forma, a existência da PAE aumenta a autonomia do enfermeiro e contribui para a melhora do cuidado em saúde, visando uma qualidade de vida satisfatória a partir da recuperação ou manutenção da sua condição e prevenção do surgimento de novas comorbidades, com base na compreensão biopsicossocial do indivíduo (18) .…”

Mapping of health services to urinary catheter users: challenges for the advanced nursing practice

“…Considering technological advances and the increasing survival of children and adolescents with chronic and/or disabling diseases, as well as chronic comorbidities in adults and older people (16)(17)(18), , it is paramount to organize actions and services for the promotion, prevention, and rehabilitation of people at all levels of health care. The coordination of health services by the HCN considers the territory and connection of different professional knowledge and technologies, in such a way that the citizen can access them according to their health needs (15;6) .…”

“…The high distribution of materials in the municipality (Figures 2 and 3) demonstrates the prevalence of this clinical condition. In this way, the existence of the APN increases the autonomy of nurses and contributes to the improvement of the health care, aiming at a satisfactory quality of life from the recovery or maintenance of their condition and prevention of the emergence of new comorbidities, based on biopsychosocial understanding of the individual (18) .…”

Smart user experience medical app interface design based on mobile devices

“…The library and runtime environment layer provide a set of C libraries and a virtual machine. The C library mainly provides graphics processing, multimedia processing, database, network, browser and other services (Beller et al, 2019; Drake et al, 2017).…”