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Implementing a continuity of cancer care nursing role into a New Zealand Primary Health Care organisation-The patients' perspective


Scrymgeour, G and Forrest, R and Marshall, B, Implementing a continuity of cancer care nursing role into a New Zealand Primary Health Care organisation-The patients' perspective, Journal of Primary Health Care, 5, (4) pp. 322-329. ISSN 1172-6156 (2013) [Refereed Article]


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Copyright 2013 Journal of Primary Health Care

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DOI: doi:10.1071/hc13322


INTRODUCTION: A Continuity of Cancer Care pilot project was established in two urban general practices, with the goal of improving cancer care and patient access to services. Practice nurses were engaged as coordinators to implement a model of care and patient navigation to offer continued and consistent care, and to assist the patient to navigate their cancer experience. AIM: The aim was to evaluate the effectiveness of the Continuity of Cancer Care pilot project. METHODS: Patients enrolled in the pilot project were invited to participate. Each participant completed a Patient Satisfaction Questionnaire and SF-12 Health Survey, and was then invited to take part in an interview. The evaluation framework utilised concepts of informational, management and relational continuity. RESULTS: The SF-12 subcategories of physical functioning, role physical, bodily pain and role emotional were lower than other results from cancer patients in the literature. The Patient Satisfaction Questionnaire and interviews indicated patients were satisfied with the relational continuity components of the project, but that gaps existed within the management and informational continuity aspects of care. DISCUSSION: Overall, the participants were satisfied with the Continuity of Cancer Care programme and valued the support, clarification and listening aspects of the programme. However, when evaluated in relation to a more comprehensive definition of continuity of care, there were distinct gaps. While the relational aspects of continuity of care were mostly achieved, the management and informational aspects appeared to be limited primarily to nurses acting to interpret hospital and general practitioner comments for patients.

Item Details

Item Type:Refereed Article
Keywords:continuity, cancer, evaluation, primary health care, nursing
Research Division:Health Sciences
Research Group:Nursing
Research Field:Acute care
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Scrymgeour, G (Mrs Gillian Scrymgeour)
ID Code:87582
Year Published:2013
Deposited By:Health Sciences B
Deposited On:2013-11-25
Last Modified:2014-08-12
Downloads:244 View Download Statistics

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