The colorectal cancer multidisciplinary team and the interlinked role of the clinical nurse specialist

Kelly, Michael J.; Masterman, Jacquette

doi:10.1016/j.mpsur.2010.10.002

Cited by 2 publications

(1 citation statement)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…From a patient perspective, the role of the CNS in the MDT is important because it provides recognition that the impact of cancer and treatment can have lasting effects which are social and psychological as well as physical (Ouwens et al, 2010, Macmillan Cancer Support, 2014. CNSs often spend longer periods of time with patients than other members of the MDT, for example during extended consultations or regular visits on inpatient wards (Sweeney andTapper, 2006, Kelly andMasterman, 2011). As a result they are more likely to hold patient centred information, and may be better placed to identify patients' unique circumstances or concerns during discussion than other members of the MDT (Amir et al, 2004.…”

Section: Introductionmentioning

confidence: 99%

The impact of Clinical Nurse Specialists on the decision making process in cancer multidisciplinary team meetings: A qualitative study

Wallace

Barratt

Harvey

et al. 2019

European Journal of Oncology Nursing

View full text Add to dashboard Cite

Purpose: There are well-documented barriers to nurse participation in cancer multidisciplinary team (MDT) meetings. This paper aims to identify the approaches used by Clinical Nurse Specialists (CNSs) in this setting to contribute during discussion, and to consider the impact of these approaches on the decision making process. In doing so it aims to highlight ways that CNSs can increase their influence, and enhance multidisciplinary engagement. Methods: This study is based on analysis of observation data from 122 MDT meetings in gynaecology, haematology and skin cancer MDTs. Field notes were reviewed, identifying 58 cases where CNSs contributed to MDT discussion. Audio recordings of the relevant sections were then transcribed and analysed thematically. Results: Five approaches were used by CNSs to contribute in MDT meetings: sharing information, asking questions, providing practical suggestions, framing and using humour. These approaches influenced three key intermediary processes identified during the analysis ('successful contributions'): prompting discussion, influencing a treatment plan and facilitating teamwork. CNSs contributed successfully in cases where medical factors (such as relapsed disease or complex comorbidities) or non-medical factors (such as strong patient preference), had the potential to impact on the ability of teams to deliver treatment. Conclusions: CNSs have an important role in cancer MDT meetings. By focusing on a subset of cases where CNSs contributed during MDT discussion, this study has provided an insight into approaches that can be adopted by CNSs to increase their influence on the decision making process, enabling teams to capitalise on their knowledge and expertise in MDT meetings.

show abstract

Section: Introductionmentioning

confidence: 99%

The impact of Clinical Nurse Specialists on the decision making process in cancer multidisciplinary team meetings: A qualitative study

Wallace

Barratt

Harvey

et al. 2019

European Journal of Oncology Nursing

View full text Add to dashboard Cite

show abstract

Clinical nurse specialists in nutrition: A systematic review of roles and clinical experiences

Mancin,

Pipitone,

Testori

et al. 2023

International Nursing Review

View full text Add to dashboard Cite

Background/scopeThe Clinical Nurse Specialist in Nutrition is a professional capable of providing specialist clinical assistance and leadership‐related clinical nutrition. To date, although their role has already been identified, there is still uncertainty about how this figure can actually fit into the various global health systems. The purpose of this review is to clarify and define the role of this professional aimed at analysing clinical experiences and data from nutrition scientific societies.MethodologyA systematic literature review was conducted using the Prisma Statement in the Cochrane Library databases and subsequently in PubMed, Embase, CINAHL, Scopus and Web of Science. In addition, a manual search of studies published in Google Scholar was conducted for the analysis of ‘grey literature’. Out of 2,348 identified records, 21 studies were included in the present review.ResultsThe development of specific training, certification and qualification protection courses is contributing to the development of this professional in various hospital and community clinical contexts. The clinical experiences identified have shown that this figure is able to provide specialist assistance by offering high levels of safety, efficacy and quality of the care provided.Conclusions/ implications for nursingThe implementation of nurse nutrition specialist, to date, is still limited at the global level, and training programmes coordinated between scientific societies and nursing universities could be the basis for the development of this specialization in countries where today this figure is not yet present.

show abstract

The colorectal cancer multidisciplinary team and the interlinked role of the clinical nurse specialist

Cited by 2 publications

References 1 publication

The impact of Clinical Nurse Specialists on the decision making process in cancer multidisciplinary team meetings: A qualitative study

The impact of Clinical Nurse Specialists on the decision making process in cancer multidisciplinary team meetings: A qualitative study

Clinical nurse specialists in nutrition: A systematic review of roles and clinical experiences

Contact Info

Product

Resources

About