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Intervention patterns of pivot nurses in oncology.
Myriam Skrutkowski1, Andréanne Saucier, Judith A Ritchie
1McGill University Health Centre (MUHC), 1650 Cedar Avenue, Room T6.212, Montreal, QC H3G 1A4. myriam.skrutkowski@muhc.mcgill.ca
Summary
Pivot Nurses in Oncology (PNO) provide consistent supportive care for cancer patients. Analysis of 43,906 interventions revealed care coordination and symptom assessment as their primary roles in cancer navigation.
Area of Science:
- Oncology Nursing
- Cancer Care Coordination
- Healthcare Professional Roles
Background:
- The Pivot Nurse in Oncology (PNO) role is crucial for continuous supportive care in cancer patients and families.
- Understanding the scope and frequency of PNO interventions is essential for optimizing cancer care delivery.
Purpose of the Study:
- To delineate the variation and frequency of nursing interventions performed by Pivot Nurses in Oncology.
- To analyze the dominant practice domains within the PNO role.
Main Methods:
- An administrative analysis of nursing interventions was conducted over a three-year period.
- A total of 43,906 interventions were recorded and categorized.
- Interventions were grouped into 10 categories and subsequently collapsed into four PNO role functions.
Main Results:
- A comprehensive dataset of 43,906 nursing interventions was analyzed.
- Coordination/continuity of care emerged as a dominant practice domain.
- Assessment of patient needs and symptoms was identified as another key area of PNO practice.
Conclusions:
- The Pivot Nurse in Oncology plays a vital role in managing the cancer care trajectory.
- Care coordination and patient needs/symptom assessment are the most frequent and significant PNO intervention domains.
- This study highlights the critical functions of PNOs in professional cancer navigation.
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