Filling the Gap: Development of the Oncology Nurse Practitioner Workforce

Nevidjon, Brenda; Rieger, Paula Trahan; Murphy, Cynthia Miller; Rosenzweig, Margaret; McCorkle, Michele; Baileys, Kristen

doi:10.1200/jop.091072

Cited by 46 publications

(27 citation statements)

References 13 publications

(5 reference statements)

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“…Although there is clear evidence that NPs are providing care in oncology 15, 16, 17, a thorough review of the literature describing that care has not been conducted. Initially, a systematic review of the literature was planned.…”

Section: Scoping Review Methodologymentioning

confidence: 99%

A scoping review of the nurse practitioner workforce in oncology

2016

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The quality of cancer care may be compromised in the near future because of work force issues. Several factors will impact the oncology health provider work force: an aging population, an increase in the number of cancer survivors, and expansion of health care coverage for the previously uninsured. Between October 2014 and March 2015, an electronic literature search of English language articles was conducted using PubMed®, the Cumulative Index to Nursing and Allied Health Sciences (CINAHL®), Web of Science, Journal Storage (JSTOR®), Google Scholar, and SCOPUS®. Using the scoping review criteria, the research question was identified “How much care in oncology is provided by nurse practitioners (NPs)?” Key search terms were kept broad and included: “NP” AND “oncology” AND “workforce”. The literature was searched between 2005 and 2015, using the inclusion and exclusion criteria, 29 studies were identified, further review resulted in 10 relevant studies that met all criteria. Results demonstrated that NPs are utilized in both inpatient and outpatient settings, across all malignancy types and in a variety of roles. Academic institutions were strongly represented in all relevant studies, a finding that may reflect the Accreditation Council for Graduate Medical Education (ACGME) duty work hour limitations. There was no pattern associated with state scope of practice and NP representation in this scoping review. Many of the studies reviewed relied on subjective information, or represented a very small number of NPs. There is an obvious need for an objective analysis of the amount of care provided by oncology NPs.

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Section: Scoping Review Methodologymentioning

confidence: 99%

A scoping review of the nurse practitioner workforce in oncology

2016

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“…The use of nurse practitioners alone or in collaboration with physicians has a long history of equivocal or superior patient outcomes in primary (Hayes, 2007), specialty (Hoffman, Tasota, Zullo, Scharfenberg, & Donahue, 2005; Rudy et al, 1998), and cancer care (Cunningham, 2004; Murphy-Ende, 2002; Nevidjon et al, 2010). Particular strengths of nurse practitioners are patient education, communication, and adherence to evidence-based practice guidelines (Bryant-Lukosius & Dicenso, 2004; Murphy-Ende, 2002).…”

Section: Evolution Of Nurse Practitionersmentioning

confidence: 99%

“…Particular strengths of nurse practitioners are patient education, communication, and adherence to evidence-based practice guidelines (Bryant-Lukosius & Dicenso, 2004; Murphy-Ende, 2002). Those attributes have led to increased use of nurse practitioners in oncology specialty practice, and those individuals have been designated as oncology nurse practitioners (ONPs) (Bishop, 2009; Nevidjon et al, 2010). In cancer care, improved outcomes in quality of life (Young, 2005), increased productivity (Akscin, Barr, & Towle, 2007), and high patient satisfaction (Towle et al, 2011) with ONPs and physician assistants have been documented in hematology/oncology practices.…”

Section: Evolution Of Nurse Practitionersmentioning

confidence: 99%

“…For nurse practitioners entering oncology, additional professional education is necessary for the provision of safe and appropriate care of the patient with cancer throughout the cancer care trajectory (Nevidjon et al, 2010; Rosenzweig & Roth, 2010). However, the specific educational needs of ONPs as they enter cancer care practice and potential sequela from lack of education have not been quantified.…”

Section: Evolution Of Nurse Practitionersmentioning

confidence: 99%

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Bridging the Gap: A Descriptive Study of Knowledge and Skill Needs in the First Year of Oncology Nurse Practitioner Practice

Rosenzweig

Giblin²,

Mickle³

et al. 2012

Oncology Nursing Forum

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“…Little data have been gathered on nurse practitioners (NPs) or physician assistants (PAs), despite evidence that they provide a significant portion of oncology care. [7][8][9] In this observational cross-sectional study, we describe the composition of the provider workforce who care for older adults with cancer and determine whether there are differences in patients who receive care from different providers (eg, NPs, Pas, and specialty physicians).…”

mentioning

confidence: 99%

Nurse Practitioners and Physician Assistants: An Underestimated Workforce for Older Adults with Cancer

Coombs

Max

Kolevska

et al. 2019

J American Geriatrics Society

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OBJECTIVES To describe the composition of the US provider workforce for adults with cancer older than 65 years and to determine whether there were differences in patients who received care from different providers (eg, nurse practitioners [NPs], physician assistants [PAs], and specialty physicians). DESIGN Observational, cross‐sectional study. SETTING Adults within the 2013 Surveillance, Epidemiology, and End Results cancer registries linked to the Medicare claims database. PARTICIPANTS Medicare beneficiaries who received ambulatory care for any solid or hematologic malignancies. MEASUREMENTS International Classification of Diseases, Ninth Revision (ICD‐9), diagnosis codes were used to identify Medicare patient claims for malignancies in older adults. Providers for those ambulatory claims were identified using taxonomy codes associated with their National Provider Identifier number. RESULTS A total of 2.5 million malignancy claims were identified for 201, 237 patients, with 15, 227 providers linked to claims. NPs comprised the largest group (31.5%; n = 4,806), followed by hematology/oncology physicians (27.7%; n = 4,222), PAs (24.7%; n = 3767), medical oncologists (10.9%; n = 661), gynecological oncologists (2.6%; n = 403), and hematologists (2.4%; n = 368). Rural cancer patients were more likely to receive care from NPs (odds ratio [OR] = 1.84; 95% confidence interval [CI] = 1.65‐2.05) or PAs (OR = 1.57; 95% CI = 1.40‐1.77) than from physicians. Patients in the South were more likely to receive care from NPs (OR = 1.36; 95% CI = 1.24‐1.49). CONCLUSIONS A large proportion of older adults with cancer receive care from NPs and PAs, particularly those who reside in rural settings and in the southern United States. Workforce strategies need to integrate these provider groups to effectively respond to the rising need for cancer care within the older adult population.

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Filling the Gap: Development of the Oncology Nurse Practitioner Workforce

Abstract: A new strategy for oncology care delivery that includes increasing the numbers and expanding the roles of nonphysician practitioners is critically important to meet the current and potential cancer care needs of the US population.

Cited by 46 publications

References 13 publications

A scoping review of the nurse practitioner workforce in oncology

A scoping review of the nurse practitioner workforce in oncology

Bridging the Gap: A Descriptive Study of Knowledge and Skill Needs in the First Year of Oncology Nurse Practitioner Practice

Nurse Practitioners and Physician Assistants: An Underestimated Workforce for Older Adults with Cancer

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