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Published on: July 25, 2020
Allocation of work activities in a comprehensive cancer genetics program
1Department of Internal Medicine and the School of Nursing, Saint Louis University, Missouri, USA. mahonsm@slu.edu
Hereditary cancer programs are growing. A time study shows genetics advanced practice nurses spend 41% of their time in direct patient care, with the rest on essential indirect activities like risk assessment and administration.
Area of Science:
- Oncology
- Genetics
- Healthcare Management
Background:
- Hereditary cancer programs are expanding to offer risk assessment, genetic education, and counseling.
- These programs are crucial for identifying individuals at high risk for inherited cancer syndromes.
Purpose of the Study:
- To describe a model for comprehensive cancer genetics care delivered by a credentialed genetics advanced practice nurse.
- To analyze the time allocation within such a program through a time study.
Main Methods:
- A descriptive approach detailing a cancer genetics program model.
- A time study to quantify work allocation across different program components.
Main Results:
- Direct clinical time with patients and families accounted for approximately 41% of the total work time.
- Indirect care activities, including previsit tasks, risk assessment, clinical trials enrollment, correspondence, teaching, and administration, comprised the remaining 59%.
Conclusions:
- Developing or expanding cancer genetics programs requires careful consideration of all direct and indirect care activities.
- Efficient allocation of time for both patient-facing and administrative tasks is vital for comprehensive cancer genetics care delivery.
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