Patient-reported perceptions of care after the introduction of a new advanced cancer nursing role in Sweden.
Eur J Oncol Nurs
; 41: 41-48, 2019 Aug.
Article
em En
| MEDLINE
| ID: mdl-31358256
ABSTRACT
PURPOSE:
Extensive research results show quality improvements associated with advanced cancer nursing roles. Despite this, these roles are not implemented in many countries. The aim of this cross-sectional, population-based study was to compare patients' perception of care, before and after the introduction of a new advanced nursing role, the coordination contact nurse (CCN), in a region in Sweden.METHOD:
All patients (with gynaecological, haematological, Head & Neck, upper gastrointestinal cancers) diagnosed in the region the year prior and one-year post introducing the new CCN role were identified from the Swedish Cancer Register. Data were collected using the European Organization of Research and Treatment of Cancer [EORTC] Quality of Life Questionnaire (QLQ-C30 and QLQ-INFO25) and a study specific questionnaire.RESULT:
The results, based on baseline (nâ¯=â¯869) and follow-up data (nâ¯=â¯1003), show statistically significant patient-reported improvements after the introduction of the CCN role, regarding health-related patient information (EORTC QLQ- INFO25 global mean score increased from 41.23 to 44.16, pâ¯=â¯0.0006). We found statistically significant improvements related to availability of supportive care resources, e.g. increased reported access to contact nurse (from 53% to 66%, pâ¯≤â¯0.0001) and individual written care plans (from 40% to 54%, pâ¯<â¯0.0001). We also found some improvements related to patient involvement and care coordination, but also room for further developments.CONCLUSION:
The implementation of the new advanced cancer nursing role may have contributed to important improvements, but it has also identified areas in need of development. Further research with long-term evaluations of CCN roles in other contexts, are both needed and on-going.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Enfermagem Oncológica
/
Qualidade de Vida
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Satisfação do Paciente
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Papel do Profissional de Enfermagem
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Prática Avançada de Enfermagem
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Medidas de Resultados Relatados pelo Paciente
/
Neoplasias
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Patient_preference
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Europa
Idioma:
En
Revista:
Eur J Oncol Nurs
Assunto da revista:
ENFERMAGEM
/
NEOPLASIAS
Ano de publicação:
2019
Tipo de documento:
Article