A mixed-method evaluation of nurse-led community-based supportive cancer care |
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| Authors: | D M Howell J Sussman J Wiernikowski N Pyette D Bainbridge M O’Brien T Whelan |
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| Institution: | (1) Princess Margaret Hospital, 610 University Ave. (Room 15-617), Toronto, ON, M5G 2M9, Canada;(2) Supportive Cancer Care Research Unit, Juravinski Cancer Center, 699 Concession St., Hamilton, ON, L8V 5C2, Canada;(3) Juravinski Cancer Center, 699 Concession St., Hamilton, ON, L8V 5C2, Canada |
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| Abstract: | Goals of work The study purpose was to evaluate a nurse-led supportive care clinical case management program in the community using multi-methods
to delineate care processes prior to outcome evaluation.
Materials and methods Multiple data sources including program service records, chart reviews and interviews with nurses and key interdisciplinary
informants were used to identify population served (coverage and reach), processes of care (implementation), and providers’
perceptions of the effectiveness of the nurse-led program (reaction).
Main results The program provided care to over 700 cancer patients in a 1-year period. Nurse-led support interventions were focused on
direct care inclusive of teaching/coaching for symptom management, counseling and support, and mobilization of services through
system navigation based on an initial comprehensive assessment of supportive care needs.
Conclusions Nurse-led models of supportive care have the potential to reduce unmet supportive care needs, improve continuity of care,
and overall health-related quality of life that should be tested in future trials. |
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| Keywords: | Supportive care Community Evaluation Nursing Case management |
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