Colleen Campbell1, Allyson Nowell2, Karen Karagheusian3, Janet Giroux4, Catherine Kiteley5, Lorraine Martelli6, Maurene McQuestion7, Maureen Quinn8, Yvonne P Rowe Samadhin9, Melissa Touw10, Lesley Moody11. 1. Nurse Practitioner, Stronach Regional Cancer Centre, 596 Davis Dr., Newmarket, ON L3Y 2P9, C2Campbell@southlakeregional.org. 2. Advanced Practice Nurse, Palliative Care Consult Service, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, H337, Toronto, ON, M4N 3M5, allyson.nowell@sunnybrook.ca. 3. Senior Specialist, Cancer Care Ontario, 620 University Ave., Toronto, ON M5G 2L7, karen.karagheusian@cancercare.on.ca. 4. de Souza APN, Nurse Practitioner-Adult, Gynecology Oncology, Oncology Sexual Health Clinic-NP, Kingston Health Sciences Centre, Kingston General Hospital, Cancer Centre of Southeastern Ontario, janet.giroux@kingstonhsc.ca. 5. Advance Practice Nurse Consultant, ckiteley@aol.com. 6. Provincial Head of Cancer-Nursing, Ontario, Cancer Care Ontario, 620 University Ave., Toronto, ON M5G 2L7, lorraine.martelli@cancercare.on.ca. 7. Clinical Nurse Specialist/Advanced Practice Nurse, Radiation Medicine Program, Princess Margaret Cancer Centre, University Health Network, maurene.mcquestion@rmp.uhn.ca. 8. Nurse Practitioner-Adult, London Health Sciences Centre, 800 Commissioners Road East, PO Box 5010, Stn B, maureen.quinn@lhsc.on.ca. 9. Nurse Practitioner-Hospice Palliative Care Team, Waterloo Wellington Local Health Integration Network, 73 Water Street North, Cambridge, ON N1R 7L6, yvonne.rowesamadhin@lhins.on.ca. 10. Clinical Nurse Specialist - Palliative Care, Kingston Health Sciences Centre - KGH site, Melissa.Touw@Kingstonhsc.ca. 11. Director, Person-Centred Care, 620 University Ave., Toronto, ON M5G 2L7, lesley.moody@cancercare.on.ca.
Abstract
OBJECTIVES: The objectives of this study were to gather emerging practice evidence, through consultation with Advance Practice Nurses (APN), to fill the evidence gaps in the published guidelines, Effective Use of Advanced Practice Nurses in the Delivery of Adult Cancer Services in Ontario, and to provide a set of expert panel recommendations to build a research agenda to promote the collection and publication of Level 1 and 2 evidence. METHOD: A three-step RAND/UCLA Appropriateness Methodology (RAM) modified Delphi process was used to solicit expert opinion on the use of APNs in adult cancer care in Ontario. RESULTS: Thirty-four (34) case examples of APN use were gathered. The modified Delphi process concluded with the endorsement of 30 APN role statements that were used to develop nine (9) additional recommendations regarding the use of APNs in the delivery of adult cancer care. CONCLUSION: The recommendations from this study provide direction for future research to close the current evidence gap regarding the role of APNs in cancer care delivery in Canada.
OBJECTIVES: The objectives of this study were to gather emerging practice evidence, through consultation with Advance Practice Nurses (APN), to fill the evidence gaps in the published guidelines, Effective Use of Advanced Practice Nurses in the Delivery of Adult Cancer Services in Ontario, and to provide a set of expert panel recommendations to build a research agenda to promote the collection and publication of Level 1 and 2 evidence. METHOD: A three-step RAND/UCLA Appropriateness Methodology (RAM) modified Delphi process was used to solicit expert opinion on the use of APNs in adult cancer care in Ontario. RESULTS: Thirty-four (34) case examples of APN use were gathered. The modified Delphi process concluded with the endorsement of 30 APN role statements that were used to develop nine (9) additional recommendations regarding the use of APNs in the delivery of adult cancer care. CONCLUSION: The recommendations from this study provide direction for future research to close the current evidence gap regarding the role of APNs in cancer care delivery in Canada.
Authors: Robin P Newhouse; Julie Stanik-Hutt; Kathleen M White; Meg Johantgen; Eric B Bass; George Zangaro; Renee F Wilson; Lily Fountain; Donald M Steinwachs; Lou Heindel; Jonathan P Weiner Journal: Nurs Econ Date: 2011 Sep-Oct Impact factor: 1.085