Baumgartner, Eva; Giger, Roland; Spichiger, Elisabeth (2023). [Advanced nursing practice model for head and neck cancer: A practice development project]. Pflege - die wissenschaftliche Zeitschrift für Pflegeberufe, 36(1), pp. 48-55. H. Huber 10.1024/1012-5302/a000914
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Advanced nursing practice model for head and neck cancer: A practice development project Abstract. Background: Head and neck cancer confronts patients and their families with big challenges due to complex treatments as well as changes in vital functions and appearance. They require multifaceted support and benefit from coordinated, interprofessional collaboration and advanced nursing practice. Problem/aim: In a tertiary head and neck cancer center, a coordinating contact person was missing for patients, families and the care team. Therefore, a project was launched to develop an advanced nursing practice program. Methods: Methods included an advanced nursing practice concept, approaches for practice development, and action research. The project consisted of four phases: Stakeholder analysis and literature review were followed by the definition of the advanced nursing practice program, which was then tested during a pilot phase, and evaluated using structural/process data and stakeholder interviews. Results: Evidence-based, continuous, person-centered care was improved across the care continuum for patients/families. The nurses' expertise was supported and the collaboration with internal/external clinicians was facilitated. Patients/families valued the continuity offered by the advanced practice nurse. Discussion: The methodological approaches supported a goal-oriented approach; especially participatory practice development helped to address employees' concerns. Limitations/transfer: To date, a sustainable program cannot yet be warranted. For similar projects, an approach with stakeholder analysis, multidisciplinary focus, and early evaluation planning is recommended.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT) |
UniBE Contributor: |
Giger, Roland, Spichiger, Elisabeth |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1012-5302 |
Publisher: |
H. Huber |
Language: |
German |
Submitter: |
Pubmed Import |
Date Deposited: |
19 Oct 2022 13:14 |
Last Modified: |
25 Jan 2023 00:13 |
Publisher DOI: |
10.1024/1012-5302/a000914 |
PubMed ID: |
36255740 |
Uncontrolled Keywords: |
Advanced Nursing Practice Advanced practice nursing Kopf-Hals-Tumoren Praxisentwicklung Programmevaluation head and neck cancer interprofessionelles Betreuungsteam multidisciplinary health team practice development program evaluation |
BORIS DOI: |
10.48350/173891 |
URI: |
https://boris.unibe.ch/id/eprint/173891 |