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[Advanced nursing practice model for head and neck cancer: A practice development project].

Eva Baumgartner1,2, Roland Giger1, Elisabeth Spichiger3

  • 1Universitätsklinik für Hals-, Nasen- und Ohrenkrankheiten, Kopf- und Halschirurgie, Inselspital, Universitätsspital Bern, Schweiz.

Pflege
|October 18, 2022
PubMed
Summary

A new advanced nursing practice model improved care for head and neck cancer patients and families. This project enhanced continuity and collaboration across the care continuum for better patient outcomes.

Keywords:
Advanced Nursing PracticeAdvanced practice nursingKopf-Hals-TumorenPraxisentwicklungProgrammevaluationhead and neck cancerinterprofessionelles Betreuungsteammultidisciplinary health teampractice developmentprogram evaluation

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Area of Science:

  • Oncology Nursing
  • Healthcare Management
  • Practice Development

Context:

  • Head and neck cancer presents complex challenges for patients and families, necessitating coordinated, interprofessional support.
  • A tertiary head and neck cancer center identified a gap in coordinated patient and family support, lacking a central contact person.
  • The need for advanced nursing practice was recognized to bridge this gap and improve care delivery.

Purpose:

  • To develop and implement an advanced nursing practice program for head and neck cancer care.
  • To establish a coordinating contact person for patients, families, and the multidisciplinary care team.
  • To enhance the continuity and quality of care throughout the patient's journey.

Summary:

  • The project utilized an advanced nursing practice concept, practice development, and action research over four phases.
  • Phases included stakeholder analysis, literature review, program definition, pilot testing, and evaluation.
  • Methods focused on evidence-based, person-centered care and facilitated interprofessional collaboration.

Impact:

  • Improved evidence-based, continuous, and person-centered care across the continuum for head and neck cancer patients and families.
  • Enhanced nurses' expertise and facilitated collaboration among internal and external clinicians.
  • Patients and families reported high value for the continuity of care provided by the advanced practice nurse.