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An evidence-based specialist breast nurse role in practice: a multicentre implementation study.
Barbara Liebert1, Michael Parle, Celia Roberts
1National Breast Cancer Centre, PO Box 572, Kings Cross, NSW 1340, Australia.
European Journal of Cancer Care
|March 19, 2003
Summary
The specialist breast care nurse (SBN) model is feasible and acceptable in Australian cancer centers. This evidence-based approach improved patient care, information access, and support, influencing hospital choice.
Area of Science:
- Oncology Nursing
- Healthcare Delivery Models
- Patient Support Services
Background:
- The implementation of evidence-based models of care is crucial for improving patient outcomes in oncology.
- Specialist Breast Care Nurses (SBNs) can play a vital role in managing the complex needs of breast cancer patients.
- Evaluating the feasibility and impact of new nursing roles is essential for healthcare system optimization.
Purpose of the Study:
- To assess the feasibility, implementation, acceptability, and impact of an evidence-based Specialist Breast Care Nurse (SBN) model in Australian breast cancer treatment centers.
- To gather data on patient and health professional experiences with the SBN intervention.
- To determine the influence of SBN availability on patient treatment choices and hospital selection.
Main Methods:
- A multicentre demonstration project conducted across four diverse Australian breast cancer treatment centers over 12 months.
- Prospective logs collected data on care provision and patient needs.
- Structured interviews with breast cancer patients (n=167 intervention, n=133 control) and health professionals (n=47) evaluated the SBN model.
Main Results:
- High patient engagement with SBNs, with most receiving scheduled consultations and many requesting additional support.
- Intervention group patients were more likely to receive informational resources and be informed about clinical trials.
- Over 98% of patients reported SBN availability would influence their hospital choice, with 48% preferring facilities with an SBN.
- Health professionals reported improved continuity of care, enhanced patient support, and more efficient team resource utilization.
Conclusions:
- The Specialist Breast Care Nurse (SBN) model is a feasible and acceptable addition to diverse Australian breast cancer care settings.
- The SBN model demonstrates positive impacts on patient care, including improved information delivery, support, and clinical trial participation.
- The findings suggest that SBNs enhance the quality of care and patient experience, potentially influencing healthcare seeking behaviors.