Outcome analysis and patient satisfaction following octant transrectal ultrasound-guided prostate biopsy: a prospective study comparing consultant urologist, specialist registrar and nurse practitioner in urology

Henderson, Alastair; Andrich, Daniela E.; Pietrasik, M.E.; Higgins, Donna; Montgomery, Βruce; Langley, Stephen

doi:10.1038/sj.pcan.4500696

Cited by 20 publications

(31 citation statements)

References 4 publications

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“…As the health care landscape continues to change, so does the role of NPs, and a growing body of literature has highlighted their role and functions [27][28][29][30][31]. In general, existing studies suggest that patient satisfaction with the quality of care provided by NPs is equal to or higher than patient satisfaction with quality of care provided by physicians [32][33][34][35]. Research on patient satisfaction among the elderly and NPs is relatively limited.…”

Section: Discussionmentioning

confidence: 98%

Nurse Practitioners in Physician Practices: Implications for Member Satisfaction

Guerard¹,

Omachonu²,

Harvey³

et al. 2016

J Hosp Med Manage

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Background: There is limited information about how Nurse Practitioners can affect patient satisfaction among elderly patients. This study considered the implications of assigning in-office Medicare Advantage (MA) plan Nurse Practitioners (NPs) in Primary Care Physician (PCP) practices which were affiliated with the (MA) plan. Specifically, this was a baseline study that explored whether the presence of an NP in the PCP practice was associated with improved satisfaction of members of the MA plan with their PCP, and whether member satisfaction with their PCP was associated with satisfaction with the MA plan.Methods: Self-reported, cross-sectional data previously collected by the MA organization from enrollees was linked to data on participating PCPs. Twentytwo percent of responding members had a PCP with an NP in the practice. Multivariate logistic regression models were estimated to find the association between presence of in-office NPs and a 'high' member rating of the PCP, and the association between 'high' rating of PCP and 'high' rating of MA plan. Findings:PCPs with in-office NPs were four percentage-points more likely to be rated highly by members (OR: 1.37, p<0.05, 95% CI: 1.06-1.78) than those without NPs. Members who rated PCPs highly were also 24 percentage-points more likely to give the MA plan a high rating (OR: 6.58, p<0.01, 95% CI: 5.64-7.35) than members who did not. Conclusion:These associative relationships support an intervention where the MA plan has started placing NPs in PCP practices. Follow-up analyses will help ascertain whether embedding NPs had a causal impact on improving patient satisfaction.

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Section: Discussionmentioning

confidence: 98%

Nurse Practitioners in Physician Practices: Implications for Member Satisfaction

Guerard¹,

Omachonu²,

Harvey³

et al. 2016

J Hosp Med Manage

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“…Rates of cancer detection and biopsy-related complications were similar for nurses and consultants performing prostate biopsy. 5,35,36 Improved continuity of care has also been identified as a positive outcome of nurses performing prostate biopsies. Furthermore, appropriately trained and experienced nurses would be suitable provi ders of prostate biopsy technique training for urology trainees.…”

Section: Competing Interestsmentioning

confidence: 98%

“…Patients receiving care as part of this programme are monitored closely by the nurse practitioner, who promotes healthy lifestyle behaviours, including dietary advice, e xercise, and smoking cessation. 34 Diagnostic testing by nurses In 2004, Henderson et al 5 performed a study in which patients were offered the choice of having a diagnostic procedure performed by a nurse rather than by a medical practitioner; when given this option, 18% preferred the nurse. An audit of a nurse-led clinic for suspected prostate cancer found that 84% of patients were happy for the nurse to give them the biopsy results.…”

Section: Competing Interestsmentioning

confidence: 99%

“…15 Urology nursing practices Advanced practice roles have been created within several areas of urology, many in response to an inability of existing urology teams to meet demands. 5 Activities commonly performed by nurses now include surveillance cystoscopy, assessment of lower urinary tract symptoms (LUTS), pros tate assessment, PSA testing, suprapubic catheterization, erectile dysfunction manage ment, intravesical chemotherapy administration, prostate biopsy, and urodynamic investigations. Many audits and reviews of these activities have been reported, with almost-universally positive findings for enhanced clinical outcomes, improved services efficiency and cost-effectiveness, a reduction in patient waiting times for clinic appointments and pro cedures, and high levels of patient satisfaction.…”

Section: Competing Interestsmentioning

confidence: 99%

“…These factors, combined with an anticipated global shortage of urologists, have meant that other health professionals are taking responsibility for some aspects of patient care previously provided by medical practitioners. [1][2][3][4][5][6] In many countries, inpatient care is now being offered in the outpatient setting to reduce costs. Common surgical procedures in urology, such as radical prostatectomy and the surgical treatment of BPH, are now increasingly performed using minimally invasive technology.…”

Section: Introductionmentioning

confidence: 99%

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Advanced urology nursing practice

Crowe¹

2014

Nat Rev Urol

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Urology nursing has developed as a specialty over the past few decades in response to several factors, workload demands being a prime reason. Nurses are taking on additional roles and activities including procedures such as cystoscopy and prostate biopsy, and running nurse-led clinics for a variety of urological conditions. Audits of advanced urological nursing practice have shown this care to be of a high standard and investigative procedures performed by these nurses match the diagnostic quality of existing services. Professional urological nursing organizations support the professional needs of these nurses, but the provision of education and training for advanced practice activities remains an unaddressed need. A range of confusing advanced urology nursing titles exists, and uncertainty regarding the roles and scope of practice for these nurses remains a concern. Acceptance and support from medical colleagues is required for the success of advanced urological nursing practice, but opinions on these roles remain divided.

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Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients

Madaan

Kuusk

Hamdoon³

et al. 2021

BJUI Compass

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Objectives Objective of this study is to report the results of nurse led hematuria clinic service outcome of 2,714 patients. Subjects and methods We conducted a retrospective, single center review of 2714 patients with visible and nonvisible hematuria managed by a well‐trained nurse specialist in a rapid access clinic (RAC) between 2014 and 2020. All patients received a full review, flexible cystoscopy performed by a nurse, and ultrasound of urinary tracts. After investigations, patients were reassured and discharged or referred for rigid cystoscopy, TURBT, and CT urography. Results In total, 2714 patients attended the RAC between October 2014 and March 2020. Of these, 1684 (62%) were males and 1030 (38%) females. The median age of patients was 68.3 (IQR 58‐79). Of the 1030 females, 500 (48.5%) presented with nonvisible hematuria (NVH), and 530 (51.5%) presented with visible hematuria (VH). The median age was 66 (IQR 56‐76). The number of females diagnosed with any form of malignancy was 72 (7% of all females). Of the 1684 males, 288 (17.1%) presented with NVH, and 1396 (82.9%) presented with VH. The median age was 72 (IQR 59‐81). The number of males diagnosed with some form of malignancy was 258 (15.3% of all males). Overall, 1926 patients presented with VH and 788 patients presented with NVH. After investigations, 290 patients (15.1%) with VH and 40 (5.1%) patients with NVH had some form of malignancy. The highest number of malignancies found in VH was bladder cancer (n = 222, 11.5%), followed by prostate (n = 28, 1%), renal (n = 23, 0.8%), UT urothelial (n = 17, 0.6%), gynaecological (n = 7, 0.3%), and gastrointestinal (n = 5, 0.2%) cancer. The highest number of pathologies found in NVH was infection (n = 44, 5.6%). Cancer detection rate for symptomatic NVH was more than double that of asymptomatic NVH, 6.5% versus 3.1%, respectively. Conclusion Overall, 15.1% with VH and 5.1% with NVH present with malignancy. Nurse‐led rapid access hematuria clinic and flexible cystoscopy investigation by trained nurse is safe and feasible.

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Outcome analysis and patient satisfaction following octant transrectal ultrasound-guided prostate biopsy: a prospective study comparing consultant urologist, specialist registrar and nurse practitioner in urology

Cited by 20 publications

References 4 publications

Nurse Practitioners in Physician Practices: Implications for Member Satisfaction

Nurse Practitioners in Physician Practices: Implications for Member Satisfaction

Advanced urology nursing practice

Nurse‐led one stop hematuria clinic: Outcomes from 2,714 patients

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