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575. Patients survey on the assistance from personal breast nurse navigator during their cancer journey
S178
ABSTRACTS
Poster Session: Nursing in Surgical Oncology 575. Patients survey on the assistance from personal breast nurse navigator during their cancer journey B. Szynglarewicz, D. Zierkiewicz, A. Maciejczyk, R. Matkowski Lower Silesian Oncology Centre e Regional Comprehensive Cancer Centre, Breast Unit, Wroclaw, Poland Background: The position of breast nurse who navigates the process of cancer diagnostics and therapy has been available in our institution since January 2014 in a newly formed breast unit. The aim of this study was to evaluate patients satisfaction from the assistance that they had obtained from their personal breast cancer nurse navigator (BCNN). Material and methods: One hundred and fifty-five patients were interviewed after the completion of oncological treatment (surgery, chemotherapy, radiation) or during postoperative hormonotherapy. We conducted a phone survey using a standardised set of three questions: 1 e was the assistance of your BCNN helpful? 2 e are you satisfied with this support? 3 e is the breast cancer patient navigation important? Patients were asked to answer these questions using a visual analogue scale scored 0e10 when 0 meant “absolutely not” and 10 meant “extremely yes”. Then the scores were calculated all together to evaluate the total perception of the navigation idea by the patients. Results: There were no lower scores than 8 considering each question. With regard to the question 1 the median score (mean, SD, range) was 10 (9.6, 0.64, 8e10), while regarding questions 2 and 3 median scores were: 10 (9.5, 0.69, 8e10) and 9 (9.3, 0.77, 8e10), respectively. The total score was as follows (median, mean, SD, range): 10, 9.5, 0.72, 8e10. Conclusions: Our results demonstrate the importance of BCNN in coordination of care for individuals affected by cancer. Navigation by the personal BCNN is regarded by cancer patients as very helpful and supportive during their cancer journey. They assess very highly the oncological nurse who offers individualised assistance to them. BCNN seems to be an important element of contemporary breast care service to optimise cancer management and minimise patient anxiety. Conflict of interest: No conflict of interest. http://dx.doi.org/10.1016/j.ejso.2016.06.315
576. The role of personal breast cancer nurse navigator in the process of cancer diagnosis and treatment B. Szynglarewicz, D. Zierkiewicz, A. Maciejczyk, R. Matkowski Lower Silesian Oncology Centre e Regional Comprehensive Cancer Centre, Breast Unit, Wroclaw, Poland Background: Professional oncology nurse is particularly well positioned to navigate the patients during their cancer journey. Coordination of cancer management by the personal breast cancer nurse navigator (BCNN) is a new element of breast care in our institution. The aim of this study was to investigate the specificity of service needed to be provided by BCNN during the process of breast cancer diagnosis and treatment. Material and methods: We review the details of BCNN activity during her navigation of the series of consecutive one hundred and seventy-two patients. Navigation got started with the histological diagnosis of primary breast cancer and being continued through the further diagnostics and disease staging, multidisciplinary team meeting, treatment planning, and all the process of therapy. Each patient had her own individually assigned BCNN who was available personally in her office or by dedicated mobile number. Results: There were 1,876 phone calls (average 8 per patient) to give emotional support as well as to provide the information about the nature of disease, techniques of further diagnostics and staging, or characteristics,
effectiveness and possible side effects of various methods of therapy. BCNN arranged 361 multidisciplinary team meetings (minimum 2 per patient: one preoperative and one postoperative; average 2.1 per patient), fixed 150 further diagnostic investigations (average 0.48 per patient), set 28 pathological re-assessments (0.16), and made 606 appointments with doctors (average 3.5 per patient, including pre-meeting gynaecologist and preoperative anaesthesiologist) while 162 (average 0.94 per patient) with clinical psychologist. She also arranged 143 meetings (average 0.83 per patient) with medical staff to choose and fit well the surgical compression bra. Conclusions: Our findings demonstrate all the spectrum of patient needs, which have to be met by BCNN. Breast cancer patients diagnosed and treated in our institution want to be supported emotionally, better informed, more involved in their care and better able to plan ahead. BCNN plays a complex role to improve breast service in the fragmented system of cancer care. Conflict of interest: No conflict of interest. http://dx.doi.org/10.1016/j.ejso.2016.06.316 577. Who benefits the most from the assistance of breast cancer nurse navigator? Analysis of patient-related factors B. Szynglarewicz, D. Zierkiewicz, A. Maciejczyk, R. Matkowski Lower Silesian Oncology Centre e Regional Comprehensive Cancer Centre, Breast Unit, Wroclaw, Poland Background: The position of breast nurse who navigates the patients during their cancer journey has been available in a newly formed breast unit in our institution since January 2014. The aim of this study was to investigate how patient-related factors influence benefits from the assistance provided by the personal breast cancer nurse navigator (BCNN). Material and methods: We conducted a phone survey using a standardised question: how beneficial to you was the BCNN assistance during your breast cancer journey? A series of consecutive one hundred and fifty-five patients was interviewed after the completion of oncological treatment (surgery, chemotherapy, radiation) or during postoperative hormonotherapy. Patients were asked to answer the question using a visual analogue scale scored 0e10 when 0 meant “absolutely not beneficial” and 10 meant “extremely beneficial”. Comparative analysis using Mann-Whitney U-test was done with regard to the patient age: 70 vs >70 years, social status (in patient self-perception): higher vs lower, and living area: urban vs rural. P-value less than 0.05 was considered statistically significant. Results: The overall assessment of the benefits from BCNN navigation was very high - there were no lower scores than 7. Median score was 10 while mean, SD and range: 9.1, 1.1 and 7e10, respectively. Evaluation scores did not significantly differ regarding the patient living area: urban vs rural (median, mean, SD, range) 9, 9.1, 1.1, 7e10 vs 10, 9.2, 1.2, 7e10, respectively (P 0.61). Older patients assessed the benefits significantly higher than younger ones (median, mean, SD, range): 9, 8.6, 1.2, 7e10 vs 10, 9.5, 0.8, 7e10 (P < 0.001). Navigation was significantly more beneficial to the patients with lower social status (median, mean, SD, range): 10, 9.4, 1.3, 8e10 vs 9, 8.6, 1.2, 7e10 (P < 0.001). Conclusions: Our findings demonstrate that in their own opinion all breast cancer patients benefit much from the BCNN assistance irrespectively of their age, living area or social status. However, older women and patients with lower social status assessed the benefits from navigation significantly higher. Thus, a special effort should be made to look after these subgroups of women. Conflict of interest: No conflict of interest. http://dx.doi.org/10.1016/j.ejso.2016.06.317
ABSTRACTS
Poster Session: Nursing in Surgical Oncology 575. Patients survey on the assistance from personal breast nurse navigator during their cancer journey B. Szynglarewicz, D. Zierkiewicz, A. Maciejczyk, R. Matkowski Lower Silesian Oncology Centre e Regional Comprehensive Cancer Centre, Breast Unit, Wroclaw, Poland Background: The position of breast nurse who navigates the process of cancer diagnostics and therapy has been available in our institution since January 2014 in a newly formed breast unit. The aim of this study was to evaluate patients satisfaction from the assistance that they had obtained from their personal breast cancer nurse navigator (BCNN). Material and methods: One hundred and fifty-five patients were interviewed after the completion of oncological treatment (surgery, chemotherapy, radiation) or during postoperative hormonotherapy. We conducted a phone survey using a standardised set of three questions: 1 e was the assistance of your BCNN helpful? 2 e are you satisfied with this support? 3 e is the breast cancer patient navigation important? Patients were asked to answer these questions using a visual analogue scale scored 0e10 when 0 meant “absolutely not” and 10 meant “extremely yes”. Then the scores were calculated all together to evaluate the total perception of the navigation idea by the patients. Results: There were no lower scores than 8 considering each question. With regard to the question 1 the median score (mean, SD, range) was 10 (9.6, 0.64, 8e10), while regarding questions 2 and 3 median scores were: 10 (9.5, 0.69, 8e10) and 9 (9.3, 0.77, 8e10), respectively. The total score was as follows (median, mean, SD, range): 10, 9.5, 0.72, 8e10. Conclusions: Our results demonstrate the importance of BCNN in coordination of care for individuals affected by cancer. Navigation by the personal BCNN is regarded by cancer patients as very helpful and supportive during their cancer journey. They assess very highly the oncological nurse who offers individualised assistance to them. BCNN seems to be an important element of contemporary breast care service to optimise cancer management and minimise patient anxiety. Conflict of interest: No conflict of interest. http://dx.doi.org/10.1016/j.ejso.2016.06.315
576. The role of personal breast cancer nurse navigator in the process of cancer diagnosis and treatment B. Szynglarewicz, D. Zierkiewicz, A. Maciejczyk, R. Matkowski Lower Silesian Oncology Centre e Regional Comprehensive Cancer Centre, Breast Unit, Wroclaw, Poland Background: Professional oncology nurse is particularly well positioned to navigate the patients during their cancer journey. Coordination of cancer management by the personal breast cancer nurse navigator (BCNN) is a new element of breast care in our institution. The aim of this study was to investigate the specificity of service needed to be provided by BCNN during the process of breast cancer diagnosis and treatment. Material and methods: We review the details of BCNN activity during her navigation of the series of consecutive one hundred and seventy-two patients. Navigation got started with the histological diagnosis of primary breast cancer and being continued through the further diagnostics and disease staging, multidisciplinary team meeting, treatment planning, and all the process of therapy. Each patient had her own individually assigned BCNN who was available personally in her office or by dedicated mobile number. Results: There were 1,876 phone calls (average 8 per patient) to give emotional support as well as to provide the information about the nature of disease, techniques of further diagnostics and staging, or characteristics,
effectiveness and possible side effects of various methods of therapy. BCNN arranged 361 multidisciplinary team meetings (minimum 2 per patient: one preoperative and one postoperative; average 2.1 per patient), fixed 150 further diagnostic investigations (average 0.48 per patient), set 28 pathological re-assessments (0.16), and made 606 appointments with doctors (average 3.5 per patient, including pre-meeting gynaecologist and preoperative anaesthesiologist) while 162 (average 0.94 per patient) with clinical psychologist. She also arranged 143 meetings (average 0.83 per patient) with medical staff to choose and fit well the surgical compression bra. Conclusions: Our findings demonstrate all the spectrum of patient needs, which have to be met by BCNN. Breast cancer patients diagnosed and treated in our institution want to be supported emotionally, better informed, more involved in their care and better able to plan ahead. BCNN plays a complex role to improve breast service in the fragmented system of cancer care. Conflict of interest: No conflict of interest. http://dx.doi.org/10.1016/j.ejso.2016.06.316 577. Who benefits the most from the assistance of breast cancer nurse navigator? Analysis of patient-related factors B. Szynglarewicz, D. Zierkiewicz, A. Maciejczyk, R. Matkowski Lower Silesian Oncology Centre e Regional Comprehensive Cancer Centre, Breast Unit, Wroclaw, Poland Background: The position of breast nurse who navigates the patients during their cancer journey has been available in a newly formed breast unit in our institution since January 2014. The aim of this study was to investigate how patient-related factors influence benefits from the assistance provided by the personal breast cancer nurse navigator (BCNN). Material and methods: We conducted a phone survey using a standardised question: how beneficial to you was the BCNN assistance during your breast cancer journey? A series of consecutive one hundred and fifty-five patients was interviewed after the completion of oncological treatment (surgery, chemotherapy, radiation) or during postoperative hormonotherapy. Patients were asked to answer the question using a visual analogue scale scored 0e10 when 0 meant “absolutely not beneficial” and 10 meant “extremely beneficial”. Comparative analysis using Mann-Whitney U-test was done with regard to the patient age: 70 vs >70 years, social status (in patient self-perception): higher vs lower, and living area: urban vs rural. P-value less than 0.05 was considered statistically significant. Results: The overall assessment of the benefits from BCNN navigation was very high - there were no lower scores than 7. Median score was 10 while mean, SD and range: 9.1, 1.1 and 7e10, respectively. Evaluation scores did not significantly differ regarding the patient living area: urban vs rural (median, mean, SD, range) 9, 9.1, 1.1, 7e10 vs 10, 9.2, 1.2, 7e10, respectively (P 0.61). Older patients assessed the benefits significantly higher than younger ones (median, mean, SD, range): 9, 8.6, 1.2, 7e10 vs 10, 9.5, 0.8, 7e10 (P < 0.001). Navigation was significantly more beneficial to the patients with lower social status (median, mean, SD, range): 10, 9.4, 1.3, 8e10 vs 9, 8.6, 1.2, 7e10 (P < 0.001). Conclusions: Our findings demonstrate that in their own opinion all breast cancer patients benefit much from the BCNN assistance irrespectively of their age, living area or social status. However, older women and patients with lower social status assessed the benefits from navigation significantly higher. Thus, a special effort should be made to look after these subgroups of women. Conflict of interest: No conflict of interest. http://dx.doi.org/10.1016/j.ejso.2016.06.317