Acceptance of the Advanced practice nurse in lung cancer role by healthcare professionals and patients : a qualitative exploration

Serena, Andrea (Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne, Department of Oncology, Lausanne University Hospotal, Lausanne ; School of Health Sciences, HES-SO Fribourg) ; Dwyer, Andrew A (Boston College, Connell School of Nursing, Chestnut Hill, MA, USA) ; Peters, Solange (Department of Oncology, Lausanne University Hospital, Lausanne, Switzerland) ; Eicher, Manuela (Institute of Higher Education and Research in Healthcare, Faculty of Biology and Medicine, University of Lausanne ; Department of Oncology, Lausanne University Hospital, Lausanne, Switzerland)

Purpose The purpose of this study was to explore the acceptance of a novel role, the advanced practice nurse in lung cancer (APNLC), from the perspective of patients and healthcare professionals in a country lacking a regulatory oversight for advanced practice nursing (APN) roles. Methods and Design This study utilized a qualitative methodology using focus groups and semistructured interviews. Participants were purposively sampled in a Swiss academic medical center. Two focus groups were conducted: the first included nurses (n = 5) and the social worker, while the second targeted physicians (n = 6). The APNLC and patients (n = 4) were interviewed using semistructured interviews. Data were analyzed using thematic content analysis. Findings Three main themes were identified: APNLC role identification, APNLC role‐specific contributions, and APNLC flexible service. Physicians and patients clearly recognized the APNLC role, noting contributions to continuity of care, psychosocial support, and enabling symptom self‐management. Nurses perceived the APNLC role as overlapping with the oncology nurse role. Flexibility in providing care was seen as the strength of the APNLC role, yet this also posed organizational challenges. Conclusions The new role appears to be well accepted by patients and physicians, yet barriers posed by nursing colleagues remain challenging. Clinical Relevance Based on existing literature and the present findings, we propose a model to guide future implementation and enhance acceptance of the APNLC role. This model comprises three actions: (a) formalizing nursing role expectations, (b) providing appropriate support and resources, and (c) promoting a national plan for APN regulation.


Article Type:
scientifique
Faculty:
Santé
School:
HEdS-FR
Institute:
Recherche appliquée et développement Santé HEDS-FR
Date:
2018-09
Pagination:
9 p.
Published in:
Journal of nursing scholarship
Numeration (vol. no.):
2018, vol.50, no. 5, pp. 540-548
DOI:
ISSN:
1547-5069
Appears in Collection:

Note: The status of this file is: restricted


 Record created 2020-03-12, last modified 2020-03-12

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