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Evaluating Advanced Practice Nursing Implementation and Activity Indicators in Oncology and Haemato-Oncology
Valentin Precourt1, Eva Ester Molina Bertran2,3, Arnaud Crochet4
1Centre François Baclesse, Caen, France.
Journal of Clinical Nursing
|June 17, 2026
Summary
Advanced practice nurses in oncology manage high patient volumes, facing system barriers. Future indicators should include patient outcomes and automated data capture for better evaluation.
Area of Science:
- Oncology Nursing
- Healthcare Management
- Clinical Informatics
Background:
- Advanced practice nurses (APNs) are integral to modern oncology care.
- Evaluating the scope and impact of APN roles requires robust activity indicators.
- Current methods for collecting APN activity data are often fragmented and insufficient.
Purpose of the Study:
- To characterize the 2024 clinical activities of APNs in oncology and haemato-oncology.
- To identify barriers hindering the collection of standardized APN activity indicators.
- To propose improvements for evaluating APN roles nationally.
Main Methods:
- A national descriptive cross-sectional survey was conducted in February 2025.
- An anonymous electronic questionnaire targeted APNs in 20 comprehensive cancer centres.
- Data included 2024 activity volumes, indicator relevance, feasibility, and barriers, analyzed quantitatively and qualitatively.
Main Results:
- A 77% response rate (53/69 APNs) was achieved, with most nurses qualifying recently.
- APNs dedicated 68% of time to direct clinical care, managing a median of 266 patients.
- Barriers included heterogeneous systems and manual data collection; nurses advocated for patient-centered outcomes and automated data capture.
Conclusions:
- APN clinical activity in oncology has significantly expanded, with key roles in coordination and follow-up.
- Existing quantitative indicators are insufficient for assessing care quality.
- Enhancing indicators with patient-reported outcomes and automated data capture is crucial for robust evaluation and sustainability.
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