- Email: [email protected]
Role of the advanced practice nurse (APN) in a functional unit for lung cancer at the Catalan Institute of Oncology
abstracts experiences that can be used for comparative purposes. We need to better clarify how disease characteristics and the number of new patients influence CNS staffing in our specific organizational care context, which obviously differs from that of other countries. Measuring CNS activities and outcomes would also help to optimize CNS core activities. Legal entity responsible for the study: Istituto Scientifico Romagnolo per lo Studio e per la Cura dei Tumori (IRST) IRCCS, Meldola, Italy. Funding: Has not received any funding. Disclosure: All authors have declared no conflicts of interest.
Role of the advanced practice nurse (APN) in a functional unit for lung cancer at the Catalan Institute of Oncology
I. Brao, M. Arellano, P. Fernandez Lung Functional Unit, Catalan Institute of Oncology, Hospital Duran i Reynals, Barcelona, Spain Background: The advanced practice nurse (APN), with ability to apply evidence in an integrated framework, assumes new roles and acts as benchmark for patient and other professionals. In the last two decades, nurses have developed new advanced roles. There is international experience of the implementation for new model, and organizational ways by integrating and integrate interventions for EPA. High positive results in coordinating services and multidisciplinary teams, facilitate continuity of care resulting better quality of life and greater satisfaction for patients. Methods: Descriptive study with patients treated in the functional unit of the Catalan Institute of Oncology in year 2018. After literature review on roles for nurses in lung cancer, we review number of interventions and activity carried out by EPA. Results: A total of 589 first cases lung cancer started their first treatment. Nurse visited 93.2% of them in the Lung Functional Unit (LFU). Type of treatment; surgical 26.41%, palliative chemotherapy 11.83%, concomitant chemoþ radiotherapy in 11.65%, immunotherapy 4.19%, TKis 3.1%, sequential chemoþradiotherapy 3.2%, neoadjuvant chemo 1.58%, chemoþimmunotherapy 0.27%, neoadjuvant chemoþradiotherapyþsurgery in 0.15% and the rest 37.62% with supportive or palliative treatment. A total of 2563 visits by nurse, 21.42% were first visits, 73.23% patients with active treatment and 4.7% that have completed the treatment but with some toxicity. A total of 3935 phone calls were attended by nurses, of which 81.19% were patients who made calls and 18.80% were nurses on phone for control. Derivation was resulting to emergency for 5.13% of patients. 87.79% cases presented in Lung tumors board needed coordination for visits and for complementary proves. Conclusions: Incorporate the EPA in the multidisciplinary care helps to minimize complications, to improve coordination and avoid deviations of the care process. Key activities were: health education to patient and family on care and self-care, improve the compression of the disease, the treatment and the process, strengthen information, minimize problems and improve resources for the care process. Legal entity responsible for the study: The authors. Funding: Has not received any funding. Disclosure: All authors have declared no conflicts of interest.
CN123
A bottom-up approach for prioritising the scientific activities of the Italian Association of Cancer Nurses (AIIAO): Rationale and topic identification
V. Biagioli1, R. Caruso2, F. Dellafiore2, S. Belloni3, C. Arrigoni4, A. Piredda5 Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy, 2Health Professions Research and Development Unit, IRCCS Policlinico San Donato, Milan, Italy, 3 Humanitas Cancer Center, IRCCS Humanitas, Rozzano, Italy, 4Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy, 5AIIAO, Italian Association of Cancer Nurses, Milan, Italy
1
Background: Oncology nurses are responsible to provide their patients with the evidence-based care. Clinical guidelines or recommendations can be developed by scientific associations as a guide for performing evidence-based practice. These guidelines are often taken into consideration for the assessment of professional responsibility, as well as to guide the practice. The Italian Institute of Health identified the Italian
v850 | Cancer Nursing: Translating Research into Practice
Association of Cancer Nurses (AIIAO) among the scientific societies authorised to produce, adapt and implement guidelines. However, it is important to identify which areas of oncology nursing warrant an action to facilitate AIIAO in setting the agenda. A specific prerequisite for developing high-quality guidelines is incorporating nurses’ views into priority-setting. The aim of this study is to use a bottom-up approach to empirically investigate which areas of oncology nursing require higher priority in the definition of evidence-based recommendations. Methods: This is a multi-phase study including a cross-sectional national survey. In order to develop the tool for the survey, a systematic search of the literature, a focus group, and content and face validity evaluation will be conducted. Results: Seven areas were identified by the literature review to develop the survey: (a) fatigue; (b) pain; (c) sleep disorders; (d) secondary symptoms; (e) cognitive impairment resulting from cancer and its treatment; (f) chemotherapy-induced peripheral neuropathy; and (g) psychological distress. This research is still ongoing. A panel of researchers are operationalising the identified areas in the items for the national survey. Cancer nurses will be asked to rate the priority of each area for the implementation, adaptation and development of AIIAO clinical guidelines. Conclusions: The results of this survey might raise awareness about oncology nurses’ opinions on which areas of clinical practice warrant an action. This will facilitate the associations and affiliated working groups in developing evidence-based recommendations. Moreover, a bottom-up mapping of the nurses’ priorities will inform the planning of AIIAO strategic activities targeted to strengthen cancer care. Legal entity responsible for the study: Italian Association of Cancer Nurses (AIIAO). Funding: Has not received any funding. Disclosure: All authors have declared no conflicts of interest.
CN124
Investigating quality of care for people with cancer and dementia
N. Farrington1, A. Richardson1, J. Bridges2 Cancer Care, Southampton University Hospitals NHS Trust & University of Southampton, Southampton, UK, 2School of Health Sciences, University of Southampton, Southampton, UK
1
Background: People with dementia have poorer cancer outcomes than those without. Little information exists concerning implications of comorbid cancerdementia for people having cancer treatment in an ambulatory care setting. The purpose of this focused ethnography is to characterise the environment, behaviour and processes that comprise the setting, and to explore what constitutes ‘good care’ in this context. Trial design: The aim of this focused ethnography is to establish an empirically-based conceptual foundation to inform development of innovations to improve the way treatment and support is offered to people with dementia having cancer treatment. Objectives include: Understanding the physical fabric of the ambulatory care environment, and how this shapes patterns of behaviour and processes; Understanding the actions of those involved in the receipt or provision of care for people with dementia having cancer treatment, through exploration of interactions, perceptions, and language. Understanding the processes involved in care delivery, and how these shape treatment and support offered to patients. Identify characteristics that constitute ‘good care’ and gain an understanding of barriers and facilitators. Identify which aspects of the ambulatory care setting are amenable to modification to meet the needs of this complex population. This project will allow formation of a rich picture of the cultural context in which behaviour, environment and processes are situated, and identify ways in which the organisation of care might be structured to provide a person-centred service for people with dementia. Participants: Participation will be invited from people with dementia having cancer treatment (n 10), informal carers (n 10), and staff members (oncologists, nurses, radiographers, support workers, administrative staff, and allied health professionals) (n 30). Methods: Data will be collected via observations, interviews and document analysis. Data will be analysed using constant comparison, informed by the analytic tradition of grounded theory (Glaser & Strauss 1967), to allow the researchers to establish an empirically-based conceptual and theoretical foundation that is grounded in the original data. Legal entity responsible for the study: Naomi Farrington. Funding: National Institute for Health Research, United Kingdom. Disclosure: All authors have declared no conflicts of interest.
Volume 30 | Supplement 5 | October 2019
Downloaded from https://academic.oup.com/annonc/article-abstract/30/Supplement_5/mdz277.015/5576854 by guest on 24 October 2019
CN122
Annals of Oncology
Role of the advanced practice nurse (APN) in a functional unit for lung cancer at the Catalan Institute of Oncology
I. Brao, M. Arellano, P. Fernandez Lung Functional Unit, Catalan Institute of Oncology, Hospital Duran i Reynals, Barcelona, Spain Background: The advanced practice nurse (APN), with ability to apply evidence in an integrated framework, assumes new roles and acts as benchmark for patient and other professionals. In the last two decades, nurses have developed new advanced roles. There is international experience of the implementation for new model, and organizational ways by integrating and integrate interventions for EPA. High positive results in coordinating services and multidisciplinary teams, facilitate continuity of care resulting better quality of life and greater satisfaction for patients. Methods: Descriptive study with patients treated in the functional unit of the Catalan Institute of Oncology in year 2018. After literature review on roles for nurses in lung cancer, we review number of interventions and activity carried out by EPA. Results: A total of 589 first cases lung cancer started their first treatment. Nurse visited 93.2% of them in the Lung Functional Unit (LFU). Type of treatment; surgical 26.41%, palliative chemotherapy 11.83%, concomitant chemoþ radiotherapy in 11.65%, immunotherapy 4.19%, TKis 3.1%, sequential chemoþradiotherapy 3.2%, neoadjuvant chemo 1.58%, chemoþimmunotherapy 0.27%, neoadjuvant chemoþradiotherapyþsurgery in 0.15% and the rest 37.62% with supportive or palliative treatment. A total of 2563 visits by nurse, 21.42% were first visits, 73.23% patients with active treatment and 4.7% that have completed the treatment but with some toxicity. A total of 3935 phone calls were attended by nurses, of which 81.19% were patients who made calls and 18.80% were nurses on phone for control. Derivation was resulting to emergency for 5.13% of patients. 87.79% cases presented in Lung tumors board needed coordination for visits and for complementary proves. Conclusions: Incorporate the EPA in the multidisciplinary care helps to minimize complications, to improve coordination and avoid deviations of the care process. Key activities were: health education to patient and family on care and self-care, improve the compression of the disease, the treatment and the process, strengthen information, minimize problems and improve resources for the care process. Legal entity responsible for the study: The authors. Funding: Has not received any funding. Disclosure: All authors have declared no conflicts of interest.
CN123
A bottom-up approach for prioritising the scientific activities of the Italian Association of Cancer Nurses (AIIAO): Rationale and topic identification
V. Biagioli1, R. Caruso2, F. Dellafiore2, S. Belloni3, C. Arrigoni4, A. Piredda5 Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy, 2Health Professions Research and Development Unit, IRCCS Policlinico San Donato, Milan, Italy, 3 Humanitas Cancer Center, IRCCS Humanitas, Rozzano, Italy, 4Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy, 5AIIAO, Italian Association of Cancer Nurses, Milan, Italy
1
Background: Oncology nurses are responsible to provide their patients with the evidence-based care. Clinical guidelines or recommendations can be developed by scientific associations as a guide for performing evidence-based practice. These guidelines are often taken into consideration for the assessment of professional responsibility, as well as to guide the practice. The Italian Institute of Health identified the Italian
v850 | Cancer Nursing: Translating Research into Practice
Association of Cancer Nurses (AIIAO) among the scientific societies authorised to produce, adapt and implement guidelines. However, it is important to identify which areas of oncology nursing warrant an action to facilitate AIIAO in setting the agenda. A specific prerequisite for developing high-quality guidelines is incorporating nurses’ views into priority-setting. The aim of this study is to use a bottom-up approach to empirically investigate which areas of oncology nursing require higher priority in the definition of evidence-based recommendations. Methods: This is a multi-phase study including a cross-sectional national survey. In order to develop the tool for the survey, a systematic search of the literature, a focus group, and content and face validity evaluation will be conducted. Results: Seven areas were identified by the literature review to develop the survey: (a) fatigue; (b) pain; (c) sleep disorders; (d) secondary symptoms; (e) cognitive impairment resulting from cancer and its treatment; (f) chemotherapy-induced peripheral neuropathy; and (g) psychological distress. This research is still ongoing. A panel of researchers are operationalising the identified areas in the items for the national survey. Cancer nurses will be asked to rate the priority of each area for the implementation, adaptation and development of AIIAO clinical guidelines. Conclusions: The results of this survey might raise awareness about oncology nurses’ opinions on which areas of clinical practice warrant an action. This will facilitate the associations and affiliated working groups in developing evidence-based recommendations. Moreover, a bottom-up mapping of the nurses’ priorities will inform the planning of AIIAO strategic activities targeted to strengthen cancer care. Legal entity responsible for the study: Italian Association of Cancer Nurses (AIIAO). Funding: Has not received any funding. Disclosure: All authors have declared no conflicts of interest.
CN124
Investigating quality of care for people with cancer and dementia
N. Farrington1, A. Richardson1, J. Bridges2 Cancer Care, Southampton University Hospitals NHS Trust & University of Southampton, Southampton, UK, 2School of Health Sciences, University of Southampton, Southampton, UK
1
Background: People with dementia have poorer cancer outcomes than those without. Little information exists concerning implications of comorbid cancerdementia for people having cancer treatment in an ambulatory care setting. The purpose of this focused ethnography is to characterise the environment, behaviour and processes that comprise the setting, and to explore what constitutes ‘good care’ in this context. Trial design: The aim of this focused ethnography is to establish an empirically-based conceptual foundation to inform development of innovations to improve the way treatment and support is offered to people with dementia having cancer treatment. Objectives include: Understanding the physical fabric of the ambulatory care environment, and how this shapes patterns of behaviour and processes; Understanding the actions of those involved in the receipt or provision of care for people with dementia having cancer treatment, through exploration of interactions, perceptions, and language. Understanding the processes involved in care delivery, and how these shape treatment and support offered to patients. Identify characteristics that constitute ‘good care’ and gain an understanding of barriers and facilitators. Identify which aspects of the ambulatory care setting are amenable to modification to meet the needs of this complex population. This project will allow formation of a rich picture of the cultural context in which behaviour, environment and processes are situated, and identify ways in which the organisation of care might be structured to provide a person-centred service for people with dementia. Participants: Participation will be invited from people with dementia having cancer treatment (n 10), informal carers (n 10), and staff members (oncologists, nurses, radiographers, support workers, administrative staff, and allied health professionals) (n 30). Methods: Data will be collected via observations, interviews and document analysis. Data will be analysed using constant comparison, informed by the analytic tradition of grounded theory (Glaser & Strauss 1967), to allow the researchers to establish an empirically-based conceptual and theoretical foundation that is grounded in the original data. Legal entity responsible for the study: Naomi Farrington. Funding: National Institute for Health Research, United Kingdom. Disclosure: All authors have declared no conflicts of interest.
Volume 30 | Supplement 5 | October 2019
Downloaded from https://academic.oup.com/annonc/article-abstract/30/Supplement_5/mdz277.015/5576854 by guest on 24 October 2019
CN122
Annals of Oncology