Nurse and pharmacist systemic anti‐cancer therapy review clinics and their impact on patient experience and care: A systematic review

Abstract

Aim To review the evidence of how nurse and pharmacist roles have been incorporated into the management of patients undergoing systemic anti‐cancer therapy (SACT) services and their impact on patient experience and care provision. Design Systematic Review. Data Sources Seven databases were searched on 10 April 2022. Review Methods Research studies that met defined inclusion criteria were included. Quantitative findings were converted into textual descriptions and combined with qualitative results for thematic analysis. Data were categorized and aggregated into themes. Heterogeneity of studies meant meta‐analysis was not possible. Results Fifteen papers were included. Three main themes were identified: advanced clinical practice (ACP) SACT service development; ACP skills and qualifications; and the impact of ACP SACT services on patient care and outcomes. There is a variation in tasks undertaken by nurses and pharmacists and role integration is restricted by limited physician engagement. Role titles used and skills and qualifications acquired differ and professional autonomy is variable. Qualitative studies were limited. Conclusion Evidence of how nursing and pharmacist ACP roles are implemented, what skills are essential and how roles are impacting patient experience and outcomes is limited. More research is required to explore patient and physician experience of, and satisfaction with multi‐professional care, alongside further evaluation of clinical delivery models.

A contribuição do farmacêutico clínico hospitalar na experiência do paciente: uma revisão narrativa

“…Fonte: Shiamptanis et al, 2022;Solano et al, 2023;Barrott et al, 2023;Barrott et al, 2023 Abordagens integrativas em Ciências da Saúde e comportamento humano | 102 A complexidade crescente dos tratamentos e a variedade de condições de saúde demandam uma abordagem e um cuidado centrado no paciente. O termo experiência medicamentosa descreve como a experiência do paciente com seus medicamentos influenciam suas atitudes, crenças e preferências em relação ao tratamento farmacológico, impactando assim o seu comportamento na administração dos medicamentos e melhora clínica (Solano et al, 2023).…”

“…O estudo relata o impacto do papel do farmacêuticos clínicos oncológico na experiência e no cuidado do paciente através do aumento de intervenções sobre a adesão dos pacientes ao tratamento oral oncológico, através da identificação de desafios psicológicos ou socioculturais enfrentados por esses pacientes, impactando também na monitorização laboratorial desses pacientes. Além disso, demonstra que o farmacêutico clínico hospitalar influencia no manejo da toxicidade da quimioterapia oral em 90% dos casos, com elevado grau de contentamento dos pacientes com um programa de terapia oncológica sistêmica oral coordenado por um farmacêutico (Barrott et al, 2023) Outro estudo complementa que a experiência medicamentosa (MedExp) depende da capacidade do indivíduo de processar dados e assimilar informações, e também é influenciada pela interação com o ambiente sociocultural e político no qual o indivíduo está inserido (Machuca, 2014).…”

A global perspective of advanced practice nursing research: A review of systematic reviews

“…Prescribing identified in 24 reviews [ 34 , 36 , 42 , 46 , 48 , 51 , 61 , 62 , 69 , 81 , 85 , 88 – 90 , 92 , 112 – 115 , 117 , 124 – 127 ]. APNs, NPs and CNSs in acute care and APNs and NPs in primary care were studied.…”