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Nursing Diagnosis & Midwifery 2018
S e p t e m b e r 1 0 - 1 1 , 2 0 1 8
P r a g u e , C z e c h R e p u b l i c
Page 91
Journal of Nursing and Health Studies
ISSN: 2574-2825
E u r o S c i C o n E v e n t o n
Nursing Diagnosis &
Midwifery
Statement of the problem:
In a rapidly changing healthcare landscape with continually growing financial pressure to deliver timely and
effective healthcare, a multi-professional approach to urological cancer care has therefore become of paramount importance. The utilisation
of highly skilled, competent urology nurses has demonstrated that nurse led approaches, deliver safe and clinically effective care, with high
patient satisfaction and improved patient outcomes. However to date, no studies have presented the outcomes of a nurse led approach
for suspected urological cancers. We therefore present our 3-year experience of a urology nurse practitioner (UNP) led approach, for the
assessment and management of men referred with suspected prostate cancer.
Methodology & Theoretical Orientation:
A patient questionnaire was sent to the first 100 referrals. To assess the clinical management plans,
a modified Delphi analysis technique was employed based on 60 randomly chosen patient cases, then assessed by 3 independent urologists.
A cost analysis was based on the new assessment pathway.
Findings:
Delphi analysis reported an 86.7% agreement regarding the management plan outlined by the UNP. There was a 52% overall
reduction in waiting times with the introduction of the UNP led service. Cost-reduction potential of £36,828 was observed by reducing follow-
up clinic appointments and a modest initial cost-reduction of £9,398.48 by using a UNP.63 questionnaires were completed, 90% reported
being satisfied with seeing a UNP instead of a doctor for their first appointment. 95% reported that following the initial hospital visit that they
had a clear understanding of their assessment management plan. Overall 86% were “very satisfied” with the nurse-led service.
Conclusions & Significance:
The service is safe, cost and time efficient. Through a supported training programme, urology nurses can deliver
a high standard service, in line with our medical colleagues.
ldrudge-coates@nhs.netA nurse led clinic for suspected prostate cancer
referrals can be safe, cost and time efficient
Lawrence Drudge-Coates
King’s College Hospital NHS Foundation Trust, London, UK
J Nurs Health Stud 2018 Volume: 3
DOI: 10.21767/2574-2825-C4-012