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The NCCN Templates are peer reviewed statements of consensus of their authors derived from the NCCN Guidelines for the conditions the NCCN Templates address.

The NCCN Templates are not exhaustive and do not represent the full spectrum of care or treatment options described in the NCCN Guidelines or the NCCN Compendium or include all appropriate approaches or combinations of drugs or biologics for the treatment of cancer. Please note that the guidelines listed are Acrobat PDF files.

) are posted with the latest update date and version number. Register for a free account, then click on the cancer types below to display a drop down of options.

From critical care to professional development, it is important to read frequently.This cookie stores just a session ID; no other information is captured.Accepting the NEJM cookie is necessary to use the website.Fulfillment by Amazon (FBA) is a service we offer sellers that lets them store their products in Amazon's fulfillment centers, and we directly pack, ship, and provide customer service for these products.Something we hope you'll especially enjoy: if( window. == "undefined") else if (typeof document.webkit Hidden !To view these files the Acrobat Reader plug-in must be installed in your browser.Click here for further instructions and a link to the free download site if needed.Here you will find research, educational, and evidence-based practice materials carried out by nurses with extensive knowledge in the clinical setting and intended to address issues of interest in Adult Medical/Surgical Care.This collection will disseminate materials of specific importance to practicing nurses who are responsible for patients in a broad range of settings with diagnoses across all medical specialties.Design Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic regression models.Participants Survey data were collected from 13 077 nurses in 243 hospitals, and 18 828 patients in 182 of the same hospitals in the six countries.Health reforms have made it more so by reducing hospital length of stay and diverting discretionary admissions to outpatient settings, such that the remaining inpatients have more complex care needs.Medical advances and new technologies have been more likely to increase hospital nurse staffing requirements than to decrease them.4 The growing use of intensive care beds where professional nurse staffing is highest is but one example.Yet the notion persists in policy and management discussions that hospitals should be able to transition to a lower complement of high skilled workers like professional nurses to reduce costs following examples in other sectors of the economy.5 6 The premise is that fewer highly skilled/higher cost professional nurses supported by lower skilled and lower wage assistants would result in lower costs of care without adversely affecting patient outcomes, although evidence to support such contentions is lacking.Political leaders in England have recently introduced a category of hospital caregiver called ‘nursing associate’, akin to the enrolled nurse position which was phased out in the 1990s.7 10 and nursing skill mix in National Health Service (NHS) hospitals already being one of the lowest in Europe.11Policy debates in Europe about hospital skill mix are happening in a context where evidence is limited and there is substantial variation in skill mix between and within countries.3 12–15 Hospital nursing skill mix varies from a high of 82% professional nurses in Germany to a low of 57% professional nurses in England and 54% in Spain.16 Variation in hospital nurse skill mix within countries is great as illustrated in NHS hospitals in England where nursing skill mix varies from a high of 79% professional nurses in some hospitals to a low of 47% in others.17The quality of evidence about the outcomes of nursing skill mix in Europe is very limited as noted in a Cochrane Collaboration systematic review.4 19 research of English hospitals 15 years ago, remaining one of the few multihospital studies of the outcomes of nursing skill mix in Europe, found that higher proportions of auxiliary nurses (nurse assistants with limited training) were associated with higher hospital mortality.




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