The Evolution of a Malignant Hematology 
Nurse Practitioner Service

Abstract

Nurse practitioners (NPs) have been suggested as one possible solution to the predicted oncologist shortage. Although NPs are in a unique position to positively affect the care of patients with hematologic malignancies who are hospitalized, little information exists regarding the inpatient role of the NP in hematology and oncology. The purpose of this article is to describe the successful implementation and evolution of a highly functioning inpatient malignant hematology NP service.

Review of advanced practice nurse role in infection throughout the hematopoietic stem cell transplant journey

“…While we have highlighted the important role of the APN in delivering comprehensive patient and family education throughout the HSCT process, the education and mentorship provided to the MDT from the APN group is an integral component of specialist nursing roles and well evidenced throughout our review 20,38 …”

“…A striking finding from this novel model of care, was the high level of job satisfaction reported by the APN group due to their positive impact on patient care and effective collaboration with the MDT. 20 This was also demonstrated by Nargiso (2021) where a core component of the APP role included the delivery of structured education to students, residents and fellow, and Chaney (2016) publication where the evolution of the NP in the liver transplant cohort was examined. for oncological and hematological diagnoses, noted a marked increase in communication with their allocated NP for clinical advice during this period.…”

“…18 The NP role was originally developed to meet clinical demands as a result of medical shortages, however, with improved patient satisfaction rates and development of collaborative practice models, these roles are now expanding to a number of clinical specialties and developing their own unique roll, skillset and position within complex care teams. 20 To achieve endorsement as a NP in Australia, NPs are required to have completed a master's level degree and undertake a minimum of 5000 h of clinical experience in an advanced clinical nursing role, receiving mentorship within their clinical practice. NPs in Australia practice within the Nurse Practitioner Standards for Practice, under the national law.…”

“…While we have highlighted the important role of the APN in delivering comprehensive patient and family education throughout the HSCT process, the education and mentorship provided to the MDT from the APN group is an integral component of specialist nursing roles and well evidenced throughout our review. 20,38 A notable theme in the mentioned McNally et al publication, highlighted team comradery and specific mentorship provided to junior doctors and medical students by the NP group in the hematology service. A striking finding from this novel model of care, was the high level of job satisfaction reported by the APN group due to their positive impact on patient care and effective collaboration with the MDT.…”

“…The NP role was originally developed to meet clinical demands as a result of medical shortages, however, with improved patient satisfaction rates and development of collaborative practice models, these roles are now expanding to a number of clinical specialties and developing their own unique roll, skillset and position within complex care teams 20 …”