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

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    Authors
    Hanan, Terry
    Mullen, Louise
    Laffoy, Marie
    O'Toole, Eve
    Richmond, Janice
    Wynne, Mary
    Issue Date
    2014-08
    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
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    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
    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
    ISSN
    1462-4753
    ae974a485f413a2113503eed53cd6c53
    10.12968/bjcn.2014.19.8.382
    Scopus Count
    Collections
    Cancer (incl. National Cancer Control Programme & Cancer Screening Service)

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