Document Title: Literature Review: Nurse Practitioners & Advanced Practice Nurses impact on cancer patient outcomes.
Document type: PDF
Clinical Nurse Consultant/ Cancer Care Coordinator
Capital Region Cancer Service, ACT Health
I am married, with three adult children and am a 5th generation born and bred Canberran.
I graduated with my undergraduate degree in 2006 from University of Canberra, having previously worked in the aged care sector, as a contractor for a company providing internet security and website development services and a cinema manager prior to that.
My current position is as an advanced practice nurse providing clinical assessment, symptom management and care coordination for patients with malignant brain tumours, malignant melanoma, gynaecological cancers, sarcoma and cancer of unknown primary. My substantive position is CNC, chemotherapy day therapy unit at TCH, and last year I also worked on an e-health project to implement the CHARM Oncology Management System.
I am studying my Masters Nurse Practitioner, specialising in Oncology, at the University of Sydney and hope to finish this in June 2013. I am passionate about evidence-based practice and providing patient-centred care.
My ultimate goal this year: to survive the study semester and get @impactednurse to follow me on twitter.
My ultimate goal next year: finish Masters and become endorsed as a Nurse Practitioner
Copyright: This work is licensed under a Creative Commons Attribution 3.0 Unported License.
Studies have shown that patients are highly satisfied with nurse-led care and follow-up and there is no significant difference when comparing outcomes and diagnosis of disease progression or recurrence to that of patients receiving conventional medical care.
NPs and APNs may be uniquely qualified to fill the gap between supply and demand in providing excellent care to the cancer population; however more rigorous research in a range of Australian health care settings is required to unequivocally evaluate cost benefit and assess the long-term impact on patient outcomes.
While several of the studies have claimed a cost benefit of nurse-led care, this needs to be explored further and cannot be generalised to the Australian population where the cost of service provision (rent, wages and equipment), Medicare and pharmaceutical benefits schemes are different.
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