Impact of advanced nursing practice through nurse‐led clinics in the care of cancer patients: A scoping review

Molassiotis, Alex; Liu, Xianliang; Kwok, Stephen Wai Hang

doi:10.1111/ecc.13358

Cited by 29 publications

(23 citation statements)

References 46 publications

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“…58,59 Systematic reviews of RCTs and quasi-experimental studies show that the involvement of oncologists and expert nurses in the provision of information, education and supportive counselling has beneficial effects on physical, psychological and QoL outcomes across the continuum of cancer care. [60][61][62][63] These nursing roles are well aligned to act on PROM data to improve patient outcomes.…”

Section: Responding To Proms Data and Remote Monitoring Alertsmentioning

confidence: 99%

The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO Clinical Practice Guideline

et al. 2022

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Section: Responding To Proms Data and Remote Monitoring Alertsmentioning

confidence: 99%

The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO Clinical Practice Guideline

et al. 2022

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“…These ndings also add to the evidence base of the effectiveness of nurse-led clinics and programs. [23][24][25] Our study elucidates the integral role the PCL-NP had in easing the COVID-19 patients' anxiety and enhancing their capabilities in managing their care at home by providing emotional support and the holistic, compassionate care. Referring to the PCL-NP as 'a rock' and 'a life line' are powerful metaphors that our study participants shared to describe how appreciative they were in being provided information and answers to their questions to help them monitor their symptoms, manage their care, and understand triggers for seeking acute care services.…”

Section: Discussionmentioning

confidence: 85%

Patients’ Perceptions and Experiences of the COVIDCare@Home Program: Insights from a Mixed Methods Study

Jeffs¹,

Zeng²,

Agnew³

et al. 2022

Preprint

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Background Virtual models of health service delivery are being offered to patients diagnosed and recovering from COVID-19 as a key strategy to minimize the spread of the variants. Although evidence is growing in this area, more is needed to understand the experiences and perceptions of patients and their care partners associated with virtual and telehealth care to inform future care delivery efforts beyond our current pandemic. In this context, a study was undertaken to explore a virtual primary home care program led by a nurse practitioner developed for acute and post-acute COVID-19 patients and their care partners. Methods The study employed a mixed methods design that included a cross-sectional patient survey and semi-structured interviews with a sample of COVID-19 patients. Results The CC@H program was reported by study participants to have several positive benefits including needs being met and better able to manage their care at home. Qualitative results further elucidated three key themes easing anxiety by providing emotional support and checking in; 2) providing holistic compassionate care to enable self-management; and 3) viewing virtual care as efficient and convenient. Conclusions Our study provides interesting insights into the experiences and perceptions of COVID-19 patients receiving care through a primary health care nurse practitioner-lead virtual care program that may be useful to other organizational efforts.

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“…This is an example of a successful nurse-led clinic. Nurse-led clinics have emerged internationally as an ideal means to achieve improved organisation and efficiency in health services (Randall et al, 2017, House of the Oireachtas, 2018; Torrens et al, 2020), with associated high levels of patient satisfaction (Molassiotis et al, 2020, Linedale et al, 2020), and potential cost-savings (Thompson & McNamara, 2021).…”

Section: Introductionmentioning

confidence: 99%

A community-based ANP-led integrated oncology care model for adults receiving oral anticancer medication-protocol for a pilot study

Richmond

Johnston

Kelly

et al. 2022

Preprint

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Oncology has been undergoing a profound transition in the last ten years or more with the increased usage in oral anti-cancer medication (OAM). Approximately 25% of all anti-cancer medication is now designed for oral use and this is likely to increase prospectively. Oral anti-cancer medications have the potential to alleviate capacity issues in cancer treating units as patients receive their treatment at home. There remains however a requirement for safe and efficient assessment and monitoring but this does not necessarily require them to repeatedly attend a hospital day unit. Therefore the opportunity exists to transition this cohort to a community-based setting to be assessed by a specialist such as an Advanced Nurse Practitioner (ANP) in nurse-led clinics. Having an OAM assessment closer to their home would be more convenient to the patient. Furthermore, this could help alleviate hospital capacity issues which were brought into sharp focus with the onset of the COVID-19 pandemic and the use of nurse-led clinics are promoted in the aims of the current healthcare system reform process in Ireland. Within the context of the Irish healthcare system reform and the COVID-19 pandemic this protocol will outline a collaboration between an Oncology Department in Letterkenny University Hospital in Ireland and the National University of Ireland, Galway aimed to develop and pilot a community-based Advanced Nurse Practitioner-led integrated oncology care model for adults receiving OAM. Phase 1 of this two-phase study commenced in September 2020 and comprised a scoping review, a benchmarking exercise and a qualitative analysis of relevant stakeholders. This protocol paper presents a pilot to be undertaken in phase 2 as OAM care is transitioned to an ANP-led community-based model, which is a radical shift for oncology care in Ireland. The pilot outlined will provide data that will identify potential refinements to the model and address specific uncertainties about a definitive trial.

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Impact of advanced nursing practice through nurse‐led clinics in the care of cancer patients: A scoping review

Cited by 29 publications

References 46 publications

The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO Clinical Practice Guideline

The role of patient-reported outcome measures in the continuum of cancer clinical care: ESMO Clinical Practice Guideline

Patients’ Perceptions and Experiences of the COVIDCare@Home Program: Insights from a Mixed Methods Study

A community-based ANP-led integrated oncology care model for adults receiving oral anticancer medication-protocol for a pilot study

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