Delivering care to oncology patients in the community: an innovative integrated approach.

Hdl Handle:
http://hdl.handle.net/10147/583479
Title:
Delivering care to oncology patients in the community: an innovative integrated approach.
Authors:
Hanan, Terry; Mullen, Louise; Laffoy, Marie; O'Toole, Eve; Richmond, Janice; Wynne, Mary
Citation:
Delivering care to oncology patients in the community: an innovative integrated approach. 2014, 19 (8):382-7 Br J Community Nurs
Publisher:
British Journal of Community Nursing
Journal:
British journal of community nursing
Issue Date:
Aug-2014
URI:
http://hdl.handle.net/10147/583479
DOI:
10.12968/bjcn.2014.19.8.382
PubMed ID:
25089749
Abstract:
A community oncology nursing programme was developed in Ireland between the hospital and community health services for patients receiving systemic cancer therapy, in response to a service need. A robust evaluation of the pilot programme was undertaken, which found that defined clinical procedures traditionally undertaken in hospitals were safely undertaken in the patient's home with no adverse effects. There was a dramatic decrease in hospital attendances for these defined clinical procedures, and hospital capacity was consequently freed up. Patients valued having aspects of their care delivered at home and reported that it improved their quality of life, including reduced hospital visits and travel time. Community nurses expanded their scope of practice and became partners with oncology day-ward nurses in caring for these patients. Community nurses developed the competence and confidence to safely deliver cancer care in the community. This initiative shows that defined elements of acute cancer care can be safely delivered in the community so long as the training and support are provided. The findings and recommendations of the evaluation resulted in university accreditation and approval for national roll-out of the programme. Integration of services between primary and secondary care is a key priority. This innovative programme is a good example of shared integrated care that benefits both patients and health-care providers.
Item Type:
Article
Language:
en
Description:
A community oncology nursing programme was developed in Ireland between the hospital and community health services for patients receiving systemic cancer therapy, in response to a service need. A robust evaluation of the pilot programme was undertaken, which found that defined clinical procedures traditionally undertaken in hospitals were safely undertaken in the patient's home with no adverse effects. There was a dramatic decrease in hospital attendances for these defined clinical procedures, and hospital capacity was consequently freed up. Patients valued having aspects of their care delivered at home and reported that it improved their quality of life, including reduced hospital visits and travel time. Community nurses expanded their scope of practice and became partners with oncology day-ward nurses in caring for these patients. Community nurses developed the competence and confidence to safely deliver cancer care in the community. This initiative shows that defined elements of acute cancer care can be safely delivered in the community so long as the training and support are provided. The findings and recommendations of the evaluation resulted in university accreditation and approval for national roll-out of the programme. Integration of services between primary and secondary care is a key priority. This innovative programme is a good example of shared integrated care that benefits both patients and health-care providers.
Keywords:
CANCER; COMMUNITY CARE
MeSH:
Community Health Nursing; Community-Institutional Relations; Delivery of Health Care, Integrated; Diffusion of Innovation; Education, Nursing, Continuing; Humans; Ireland; Neoplasms; Oncology Nursing; Program Development; Program Evaluation; Quality of Health Care; Quality of Life
ISSN:
1462-4753

Full metadata record

DC FieldValue Language
dc.contributor.authorHanan, Terryen
dc.contributor.authorMullen, Louiseen
dc.contributor.authorLaffoy, Marieen
dc.contributor.authorO'Toole, Eveen
dc.contributor.authorRichmond, Janiceen
dc.contributor.authorWynne, Maryen
dc.date.accessioned2015-12-09T12:49:11Zen
dc.date.available2015-12-09T12:49:11Zen
dc.date.issued2014-08en
dc.identifier.citationDelivering care to oncology patients in the community: an innovative integrated approach. 2014, 19 (8):382-7 Br J Community Nursen
dc.identifier.issn1462-4753en
dc.identifier.pmid25089749en
dc.identifier.doi10.12968/bjcn.2014.19.8.382en
dc.identifier.urihttp://hdl.handle.net/10147/583479en
dc.descriptionA community oncology nursing programme was developed in Ireland between the hospital and community health services for patients receiving systemic cancer therapy, in response to a service need. A robust evaluation of the pilot programme was undertaken, which found that defined clinical procedures traditionally undertaken in hospitals were safely undertaken in the patient's home with no adverse effects. There was a dramatic decrease in hospital attendances for these defined clinical procedures, and hospital capacity was consequently freed up. Patients valued having aspects of their care delivered at home and reported that it improved their quality of life, including reduced hospital visits and travel time. Community nurses expanded their scope of practice and became partners with oncology day-ward nurses in caring for these patients. Community nurses developed the competence and confidence to safely deliver cancer care in the community. This initiative shows that defined elements of acute cancer care can be safely delivered in the community so long as the training and support are provided. The findings and recommendations of the evaluation resulted in university accreditation and approval for national roll-out of the programme. Integration of services between primary and secondary care is a key priority. This innovative programme is a good example of shared integrated care that benefits both patients and health-care providers.en
dc.description.abstractA community oncology nursing programme was developed in Ireland between the hospital and community health services for patients receiving systemic cancer therapy, in response to a service need. A robust evaluation of the pilot programme was undertaken, which found that defined clinical procedures traditionally undertaken in hospitals were safely undertaken in the patient's home with no adverse effects. There was a dramatic decrease in hospital attendances for these defined clinical procedures, and hospital capacity was consequently freed up. Patients valued having aspects of their care delivered at home and reported that it improved their quality of life, including reduced hospital visits and travel time. Community nurses expanded their scope of practice and became partners with oncology day-ward nurses in caring for these patients. Community nurses developed the competence and confidence to safely deliver cancer care in the community. This initiative shows that defined elements of acute cancer care can be safely delivered in the community so long as the training and support are provided. The findings and recommendations of the evaluation resulted in university accreditation and approval for national roll-out of the programme. Integration of services between primary and secondary care is a key priority. This innovative programme is a good example of shared integrated care that benefits both patients and health-care providers.en
dc.language.isoenen
dc.publisherBritish Journal of Community Nursingen
dc.rightsArchived with thanks to British journal of community nursingen
dc.subjectCANCERen
dc.subjectCOMMUNITY CAREen
dc.subject.meshCommunity Health Nursingen
dc.subject.meshCommunity-Institutional Relationsen
dc.subject.meshDelivery of Health Care, Integrateden
dc.subject.meshDiffusion of Innovationen
dc.subject.meshEducation, Nursing, Continuingen
dc.subject.meshHumansen
dc.subject.meshIrelanden
dc.subject.meshNeoplasmsen
dc.subject.meshOncology Nursingen
dc.subject.meshProgram Developmenten
dc.subject.meshProgram Evaluationen
dc.subject.meshQuality of Health Careen
dc.subject.meshQuality of Lifeen
dc.titleDelivering care to oncology patients in the community: an innovative integrated approach.en
dc.typeArticleen
dc.identifier.journalBritish journal of community nursingen
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.