Match!

Barriers to delivering advanced cancer nursing: A workload analysis of specialist nurse practice linked to the English National Lung Cancer Audit

Published on Oct 1, 2018in Ejso3.38
· DOI :10.1016/j.ejon.2018.07.006
Iain Stewart1
Estimated H-index: 1
(University of Nottingham),
Alison Leary9
Estimated H-index: 9
(LSBU: London South Bank University)
+ 5 AuthorsLaila J. Tata29
Estimated H-index: 29
(University of Nottingham)
Abstract
© 2018 Elsevier Ltd Purpose: Health services across the world utilise advanced practice in cancer care. In the UK, lung cancer nurse specialists (LCNS) are recognised as key components of quality care in national guidelines, yet access to LCNS contact is unequal and some responsibilities are reportedly left undone. We assess whether any variation in working practices of LCNS is attributable to factors of the lung cancer service at the hospital trust. Method: Nationwide workload analysis of LCNS working practices in England, linked at trust level to patient data from the National Lung Cancer Audit. Chi-squared tests were performed to assess whether patient contact, workload, involvement in multidisciplinary teams (MDT), and provision of key interventions were related to 1) the trust's lung cancer service size, 2) LCNS caseload, 3) anti-cancer treatment facilities and 4) lung cancer patient survival. Results: Unpaid overtime was substantial for over 60% of nurses and not associated with particular service factors assessed; lack of administrative support was associated with large caseloads and chemotherapy facilities. LCNS at trusts with no specialty were more likely to challenge all MDT members (80%) compared with those at surgical (53%) or chemotherapy (58%) trusts. The most frequent specialist nursing intervention to not be routinely offered was proactive case management. Conclusion: Working practices of LCNS vary according to service factors, most frequently associated with trust anti-cancer treatment facilities. High workload pressures and limited ability to provide key interventions should be addressed across all services to ensure patients have access to recommended standards of care.
  • References (25)
  • Citations (1)
References25
Newest
#1Mary K. Steinke (Indiana University Kokomo)H-Index: 1
#2Melanie Rogers (University of Huddersfield)H-Index: 4
Last.Kimberley Lamarche (Athabasca University)H-Index: 3
view all 4 authors...
#1Janelle Yorke (University of Manchester)H-Index: 19
#2Sam Prigmore (St. George's University)H-Index: 1
Last.Sheila Edwards Ma (British Thoracic Society)H-Index: 4
view all 8 authors...
#1Geoffrey Punshon (LSBU: London South Bank University)H-Index: 3
#2Ruth EndacottH-Index: 30
Last.Alison Leary (LSBU: London South Bank University)H-Index: 9
view all 11 authors...
#1Antoinette de Bont (EUR: Erasmus University Rotterdam)H-Index: 18
#2Job van Exel (EUR: Erasmus University Rotterdam)H-Index: 28
Last.Iris Wallenburg (EUR: Erasmus University Rotterdam)H-Index: 9
view all 11 authors...
#1A. Khakwani (University of Nottingham)H-Index: 8
#2Richard Hubbard (University of Nottingham)H-Index: 68
Last.Laila J. Tata (University of Nottingham)H-Index: 29
view all 8 authors...
#1Angela Tod (University of Sheffield)H-Index: 24
#2Judy Redman (SHU: Sheffield Hallam University)H-Index: 3
Last.John White (Leeds Teaching Hospitals NHS Trust)H-Index: 2
view all 5 authors...
#1Lisa Carter-Harris (IU: Indiana University)H-Index: 10
#2Carla P. Hermann (University of Louisville)H-Index: 12
Last.Claire Burke Draucker (IU: Indiana University)H-Index: 20
view all 3 authors...
View next paperThe work left undone. Understanding the challenge of providing holistic lung cancer nursing care in the UK.