A153: Combing a Clinical Nurse Specialist and Research Nurse role to provide integrated care for patients with prostate cancer.
1Poole Hospital NHS Foundation Trust, Poole, Dorset, UK
The initiative built upon experience from a research nurse-led clinic set-up for the increasing number of men with prostate cancer consenting to take part in clinic trials. Because of the contact time the nurse had with the patient we decided to combine a clinical nurse specialist role with those of a research nurse to provide a fully integrated seamless service. Trials were managed to GCP/IHC guidelines and patients seen at appropriate time points whilst enhancing the patient care pathway experience, allowing the oncology consultant more time to see newly diagnosed patients and patients with complex disease/treatments.
PCUK funded the project for 18 months. Acting as key worker and core member of the Urology MDT, set-up of a clinic was made so that it ran parallel with the oncology consultant's clinic allowing immediate referral/discussion about a patient that the nurse had any concerns about. Clinic appointment were for 20 minutes which allow for history taking, review of blood results and give an opportunity for the patient to ask any questions and raise any concerns that they may have.
The combined role delivers high quality care which improves the patient's care pathway experience but enhances their overall satisfaction with the service they receive. Issues of over-booked clinics have been resolved and reduced patient waiting times. Initial feedback from patients and clinicians has proved positive. The role has released a considerable amount of time from the consultant's clinic, whilst allowing patients an opportunity to discuss matters of concern in more depth whilst offering dedicated support.
Preliminary findings are positive, reduced operational costs. The clinic also enhances the patient's care pathway, patients found this new service fits in well with their overall expectations and enhancing the experience of care they receive thus helping the clinical team help meet the needs of their patient group.