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The effect of ambulatory oncology nursing practice models on health resource utilization. Part 1, Collaboration or
1Faculty of Nursing, University of Western Ontario, London, Canada.
Abstract:
The role of the nurse in ambulatory oncology care varies widely based on the setting and the philosophy of its practitioners and administrators. In an era of steadily decreasing monetary resources, assessing the effect of the activities of the ambulatory oncology nurse on economic outcomes related to cancer patients is imperative. A retrospective comparative study identified differences between two basic economic concepts--complement (compliance) and substitute (collaboration). Based on these concepts and the study results, Part 1 discusses two models of ambulatory oncology nursing practice delineated: the Nurse Complement Model, and the Nurse Substitute Model. Part 2 will present the direct but differing impact of these models on the effectiveness and efficiency of oncology patient care.