Role of the clinical nurse specialist as a non-medical prescriber in managing the palliative care needs of individuals with advanced lung cancer

Osborne, Jenny; Kerr, Helen

doi:10.12968/ijpn.2021.27.4.205

Cited by 7 publications

(6 citation statements)

References 30 publications

(36 reference statements)

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“…It has been reported also that cancer patients who had CNS involvement experienced decrease in the intensity of their symptoms including pain, fatigue, and anxiety, as well as increase in health-related quality of life, and other outcomes, compared to patients who had no CNS involvement. [15] Palliative care CNSs are core members of the palliative care MDT weekly meeting. Their role is to update and discuss patients' conditions, advocate for patient and family needs, and fulfill their wishes by focusing on patient and familycentered care approaches.…”

Section: The Role Of Palliative Care Cns In Patient Carementioning

confidence: 99%

“…In this report, the rates of education and support elements do not reflect the duration needed to deliver these elements, as well as the challenges encountered, and the high quality of care delivered. An integrative literature review by Kerr and colleagues (2021) [15] found that providing psychological support for cancer patients was a key component of the CNS role. They reported CNS went through challenging communication when providing emo-tional support and reassurance for cancer patients, and their families.…”

Section: The Role Of Palliative Care Cns In Patient Carementioning

confidence: 99%

“…Palliative care CNSs act as champions for continuity of care and ensure a smooth transition from cancer treatment to palliative and supportive care. The CNS role in cancer care was reported in an integrative literature review by Kerr and colleagues (2021) [15] as making a positive impact on improving service delivery. This was significant in the continuity of care, increased access to health care services, and timely delivery of services; resulting in improved cancer patients' experiences.…”

Section: Cns Work Liaison and Continuity Of Carementioning

confidence: 99%

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The practice of palliative care clinical nurse specialists in the care of cancer patients in the State of Qatar

Al-Keldi

Ibrahim²,

Idris³

et al. 2022

JNEP

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Background and objective: There is an annual increase in the number of metastatic advanced cancer patients who require palliative care; this is paralleled by the necessary increase in the workload of palliative care Clinical Nurse Specialist (CNS). Palliative care CNSs are crucial members in the palliative care multidisciplinary team. The aim of this paper is to describe the role of clinical nurse specialists by clarifying the ambiguity of their responsibilities in advanced cancer patients' care in the state of Qatar.Methods: Data used in this descriptive study were extracted from a shared Excel data registry system that has been created by palliative care CNSs. Data were retrieved from the 1st of January 2021 till the 31st of December 2021 and translated into numbers and percentages. Results: A total of 3,571 patients' encounters were captured starting from the 1st of January 2021 till the 31st of December 2021. National Center for Cancer Care and Research (NCCCR) inpatient's encounters (33%), followed by telephone consultations (32%) were the highest two approaches to palliative care services delivered by CNSs. Pain and non-pain symptoms management, early introduction to palliative care, patient and family education and support, end-of-life care, and coordination of care with other health care professionals are few examples of the other services offered by palliative care CNSs for cancer patients at Hamad Medical Corporation (HMC).Conclusions: Palliative care CNSs’ roles are multidimensional and highly needed. Some of their clinical activities are unnoticed, especially due to the high number of patients’ encounters and the different geographic locations at HMC that CNSs cover. Future research is highly needed to describe the role of palliative care CNSs in areas, such as research, education, and leadership.

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Section: The Role Of Palliative Care Cns In Patient Carementioning

confidence: 99%

Section: The Role Of Palliative Care Cns In Patient Carementioning

confidence: 99%

Section: Cns Work Liaison and Continuity Of Carementioning

confidence: 99%

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The practice of palliative care clinical nurse specialists in the care of cancer patients in the State of Qatar

Al-Keldi

Ibrahim²,

Idris³

et al. 2022

JNEP

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“…The included studies also showed that patients in Britain were more willing to trust the guidance provided by clinical nursing experts. Previous studies have also confirmed the irreplaceable role of clinical nursing experts in addressing patients' needs(Osborne & Kerr, 2021). At the same time, multidisciplinary team care can provide comprehensive scientific guidance, speeding up the patient's recovery process by reducing inappropriate postoperative recommendations(O'Neill et al, 2020).…”

mentioning

confidence: 91%

Survival experience of patients undergoing oesophagectomy during the recovery period: A meta‐synthesis of qualitative studies

Zhang

et al. 2023

Journal of Clinical Nursing

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Aims and ObjectiveTo systematically review and synthesise existing qualitative research evidence describing the survival experience of patients undergoing oesophagectomy during recovery.BackgroundPatients with oesophageal cancer undergoing surgical treatment have severe physical and psychological burdens during the recovery period. Qualitative studies on the survival experience of patients undergoing oesophagectomy are increasing annually, but there is no integration of qualitative evidence.DesignA systematic review and synthesis of qualitative studies were conducted following the ENTREQ.MethodsFive English (CINAHL, Embase, PubMed, Web of Science and Cochrane Library) and three Chinese (Wanfang, CNKI and VIP) databases were searched for literature on the survival of patients undergoing oesophagectomy during the recovery period from its establishment in April 2022. The quality of the literature was evaluated by the ‘Qualitative Research Quality Evaluation Criteria for the JBI Evidence‐Based Health Care Centre in Australia’, and the data were synthesised by the thematic synthesis method of Thomas and Harden.ResultsA total of 18 studies were included, and four themes were identified: physical and mental dual challenges, impaired social functioning, efforts to return to normal life, lack of knowledge and skills in post‐discharge care, and thirst for external support.ConclusionsFuture research should focus on the problem of reduced social interaction during the recovery of patients with oesophageal cancer, formulating individualised exercise intervention programs and establishing a sound social support system.Relevance to Clinical PracticeThe results of this study provide evidence‐based support for nurses to carry out targeted interventions and reference methods for patients with oesophageal cancer to rebuild their lives.No Patient or Public ContributionThe report was a systematic review and did not involve a population study.

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“…Patients with lung cancer experience significant physical symptom burden, social challenges, fear of death, psychological distress, and so on. 3 …”

Section: Introductionmentioning

confidence: 99%

Learned Helplessness and Associated Factors Among Patients with Lung Cancer

Huang,

Shi,

Ding

et al. 2024

PPA

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Purpose Learned helplessness (LH) is the psychological state in which an individual experiences multiple failures and setbacks and experiences a sense of loss when facing the current situation. It is a significant burden for lung cancer patients that can impair quality of life and lead to physical, social, and psychological difficulties. Thus, this study aimed to determine the level of LH among patients with lung cancer and identify factors associated with LH. Patients and Methods From August 2022 to March 2023, 237 patients with lung cancer from Chongqing University Cancer Hospital were selected for this study. A general information questionnaire, the LH scale, the Brief Illness Perception questionnaire, the Strategies Used by People to Promote Health questionnaire, the Medical Coping Modes questionnaire, and the Self-esteem scale were used for the investigation. Multiple linear regression was employed to identify influencing factors for LH in patients with lung cancer. Results The total LH score of patients with lung cancer was 52.19±11.20. Multiple linear regression analysis showed that illness perception (β=0.249, P =0.001), self-efficacy (β=−0.194, P =0.017), and resignation coping mode (β=0.267, P <0.001) were the main influencing factors of LH ( P <0.05), which explained 42.0% of the total variance. Conclusion The score of LH in patients with lung cancer was at a moderate level in this study. Illness perception, self-efficacy, and resignation coping mode have been found to impact LH among patients with lung cancer. Healthcare professionals should implement effective interventions, such as promoting self-efficacy, encouraging positive coping, and reducing illness perception, to alleviate LH.

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Role of the clinical nurse specialist as a non-medical prescriber in managing the palliative care needs of individuals with advanced lung cancer

Cited by 7 publications

References 30 publications

The practice of palliative care clinical nurse specialists in the care of cancer patients in the State of Qatar

The practice of palliative care clinical nurse specialists in the care of cancer patients in the State of Qatar

Survival experience of patients undergoing oesophagectomy during the recovery period: A meta‐synthesis of qualitative studies

Learned Helplessness and Associated Factors Among Patients with Lung Cancer

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