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Crilly E, Harrison C, Maahs J, Beijlevelt M, Ramsay B, Githinji C, Sisdelli M, Dsouza A. Riding the wave of change: Providing solid ground to support nursing with patient transitions to novel haemophilia therapies. Haemophilia 2024; 30 Suppl 3:135-139. [PMID: 38549492 DOI: 10.1111/hae.15003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 03/05/2024] [Accepted: 03/06/2024] [Indexed: 04/22/2024]
Abstract
INTRODUCTION Haemophilia nursing practice has experienced a shift in the past decade, as the historic chief focus on factor infusions shifted to extended half-life products, bispecific antibody therapies and other non-replacement therapies. This evolution has driven a need for changes in nursing practice in many haemophilia treatment centres. AIM This article intends to provide insights to the haemophilia nurse to champion practice changes at their haemophilia treatment centres. METHODS Two popular change theories, Lewin's three-step change model and Kotter's eight-step change model are discussed as a framework for haemophilia nurses to think, structure and be leaders in change. CONCLUSION Examples of these models in practice could give guidance and examples to reflect on for haemophilia nurses needing to make changes in their practice settings. These models of change, alongside existing haemophilia nurse competencies and tools such as the shared decision-making tool from the World Federation of Hemophilia, can assist the nurse to be a capable change agent to usher in these new innovations.
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Affiliation(s)
- Erica Crilly
- Division of Paediatric Hematology/Oncology/BMT, Vancouver, British Columbia, Canada
| | - Cathy Harrison
- Sheffield Haemophilia & Thrombosis Centre, Royal Hallamshire Hospital, Sheffield, UK
| | - Jennifer Maahs
- Indiana Hemophilia and Thrombosis Center, Indianapolis, Indiana, USA
| | - Marlene Beijlevelt
- Hemophilia Treatment Centre, Amsterdam University Medical Centre, Amsterdam, Amsterdam, Netherlands
| | - Brian Ramsay
- Wellington Blood and Cancer Centre, Wellington Regional Hospital, Wellington, New Zealand
| | - Cyrus Githinji
- Moi Teaching & Referral Hospital, AMPATH Programs, Eldoret, Kenya
| | - Marcela Sisdelli
- Fundação Hemocentro de Ribeirão Preto, Ribeirão Preto-SP, Brazil
| | - Anjalin Dsouza
- Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India
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Geoghegan C, Horan M, Crilly E, Kelly A, Lyons R, Geoghegan L, Duke D, Sweeney L, McCartan D, O'Keeffe S. A multicentre review of the direct-access mammography programme in Ireland for women with breast pain. Clin Radiol 2024; 79:e227-e231. [PMID: 38007335 DOI: 10.1016/j.crad.2023.10.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 10/17/2023] [Accepted: 10/22/2023] [Indexed: 11/27/2023]
Abstract
AIM To assess the current use of the direct access mammography pathway for breast pain and the rate of breast cancer detection in this patient cohort. MATERIALS AND METHODS A retrospective review of general practitioner (GP)-referred mammograms performed during a 12-month period from January to December 2022 across four tertiary referral centres. With the use of medical records and GP referrals, patient demographics, presenting symptoms, family history, and clinical outcomes were recorded. RESULTS The present study comprised 2,046 patients of which 21.6% did not report breast pain at the time of referral. Thirty-five per cent had a positive family history with 40% of these patients having no breast pain. Twelve per cent were recalled with 30% of these patients requiring biopsy. An overall cancer detection rate (CDR) of 7 per 1000 was determined for women with mastalgia. A CDR of 0 per 1,000 was determined for women <50 years with mastalgia alone and no additional risk factors for malignancy. Fisher's exact test showed no statistically significant association between breast pain and breast cancer. CONCLUSION There was no statistically significant relationship found between breast pain and breast cancer. This review suggests a low cancer detection rate in women <50 years. In women <50 years with mastalgia without additional symptoms or family history, breast imaging is not required.
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Affiliation(s)
- C Geoghegan
- Radiology Department, St. James's Hospital, Dublin 8, Ireland; University of Galway, Galway, Ireland.
| | - M Horan
- Radiology Department, St. James's Hospital, Dublin 8, Ireland
| | - E Crilly
- Beaumont Breast Centre, Beaumont Hospital, Dublin 9, Ireland
| | - A Kelly
- Radiology Department, University Hospital Waterford, Waterford, Ireland
| | - R Lyons
- Breast Surgery Department, St. Vincent's Hospital, Dublin 4, Ireland
| | - L Geoghegan
- Radiology Department, St. James's Hospital, Dublin 8, Ireland
| | - D Duke
- Beaumont Breast Centre, Beaumont Hospital, Dublin 9, Ireland
| | - L Sweeney
- Radiology Department, University Hospital Waterford, Waterford, Ireland
| | - D McCartan
- Breast Surgery Department, St. Vincent's Hospital, Dublin 4, Ireland
| | - S O'Keeffe
- Radiology Department, St. James's Hospital, Dublin 8, Ireland
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Sun HL, McIntosh K, Woo C, Crilly E, Bartholomew C, Gue D, De Marchi L, Squire S, Silva A, Yang M, Wu JK, Jackson S. Prevalence and predictors of loss to follow-up in young adults with mild haemophilia. Haemophilia 2016; 23:e36-e39. [PMID: 27928848 DOI: 10.1111/hae.13114] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/12/2016] [Indexed: 11/29/2022]
Affiliation(s)
- H L Sun
- Division of Hematology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.,British Columbia/Yukon Adult Hemophilia Program, Vancouver, BC, Canada
| | - K McIntosh
- British Columbia/Yukon Adult Hemophilia Program, Vancouver, BC, Canada
| | - C Woo
- British Columbia/Yukon Pediatric Hemophilia Program, Vancouver, BC, Canada.,University of British Columbia School of Nursing, Vancouver, BC, Canada
| | - E Crilly
- British Columbia/Yukon Pediatric Hemophilia Program, Vancouver, BC, Canada
| | - C Bartholomew
- British Columbia/Yukon Adult Hemophilia Program, Vancouver, BC, Canada
| | - D Gue
- British Columbia/Yukon Adult Hemophilia Program, Vancouver, BC, Canada
| | - L De Marchi
- British Columbia/Yukon Pediatric Hemophilia Program, Vancouver, BC, Canada
| | - S Squire
- British Columbia/Yukon Adult Hemophilia Program, Vancouver, BC, Canada
| | - A Silva
- British Columbia/Yukon Pediatric Hemophilia Program, Vancouver, BC, Canada
| | - M Yang
- British Columbia/Yukon Adult Hemophilia Program, Vancouver, BC, Canada
| | - J K Wu
- British Columbia/Yukon Pediatric Hemophilia Program, Vancouver, BC, Canada.,Division of Hematology, Oncology and Bone Marrow Transplant, Department of Pediatrics, University of British Columbia School of Nursing, Vancouver, BC, Canada
| | - S Jackson
- Division of Hematology, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.,British Columbia/Yukon Adult Hemophilia Program, Vancouver, BC, Canada
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