Abstract
This article analyzes facilitating and hindering factors for the systematization of first appointment in clinical practice of nurses in antineoplastic chemotherapy in light of advanced practices. Descriptive study qualitative with 30 specialized clinical nurses. Data was produced in private online interviews and thematic analysis with the software Iramuteq. The appointment is marked by the plurality of actions. It is not standardized; it focuses on drug toxicities and their possible complications. The reception of patients, communication skills, empathy and technical-scientific mastery are facilitating factors; lack of physical space, work overload, scarcity of human resources and information overload are complicating factors. The first-time nursing appointment is a powerful instrument for quality and patient safety with treatment benefits. However, it is necessary to adopt a nursing assistance model that guides the systematization of the first-time nursing appointment, contributes to coordinating the care offered, and strengthens advanced practices in oncology nursing.
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