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The Role of the Advanced Practitioner in a Comprehensive Lung Cancer Screening and Pulmonary Nodule Program.

Reid1 AE, Tanoue2 L, Detterbeck2 F, Michaud2 GC, McCorkle3 R - J Adv Pract Oncol (2014 Nov-Dec)

View Article: PubMed Central - PubMed

Affiliation: 1University of Texas MD Anderson Cancer Center, Houston, Texas; 2Yale University School of Medicine, New Haven, Connecticut; 3Yale University School of Nursing, New Haven, Connecticut.

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The focus of many cancer centers has been primarily on the diagnosis and treatment of disease... While advancing treatments is important, prevention and early detection of disease needs to be formally integrated into comprehensive cancer cancers... It is the mission of the American Cancer Society to prevent and detect cancer early... Screening is the essential modality in achieving this mission... Can the results of the NLST be generalized to people who do not smoke but have other lung cancer risk factors? How can individuals who would most likely benefit from screening be reached in the community? The components of an ideal screening program have been outlined by as well as by and include patient risk assessment, education, counseling, risk modification (i.e., smoking cessation), appropriate patient selection, and standardized LDCT screening interpretation... Additionally, having a detailed and standardized process for nodule management, maintaining effective communication and follow-up of results, carrying out research to further refine the screening process (i.e., patient registry), and establishing and tracking quality metrics are all paramount... A dedicated program encompassing all of these elements assures that lung screening is executed according to evidence-based practice and that the appropriate individuals benefit from the screening process with minimization of harm and without excessive cost... Outcome denotes the changes that occur in a patient’s physical, social, and psychological health status... The coordination of care delivered on this platform of structure, process, and outcome ultimately impacts the successful or unsuccessful delivery of quality care... They also recognized the value of integrating an AP into the team, understanding that APs meet patient needs across the continuum of care, from prevention and early detection of cancer to diagnosis and treatment, including guidance and counseling regarding lifestyle and risk modification... Other cancer programs have demonstrated that the AP navigator increases patient satisfaction, facilitates access to timely care, and improves treatment outcomes... Overall, the AP in the screening program allows the patient to receive maximum benefit from the screening process.

No MeSH data available.


The multidimensional role of the advanced practitioner in the Donabedian Model of Quality Health Care.
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Figure 2: The multidimensional role of the advanced practitioner in the Donabedian Model of Quality Health Care.

Mentions: The AP’s role in a dedicated lung cancer screening and pulmonary nodule program, such as Yale Lung SCAN, is multifaceted and distinct from the clinical focused role described by McCorkle et al. (2012), in which the majority of the time the AP is providing direct patient care in the inpatient and clinic-based setting. The AP is integrated throughout all aspects of the Donabedian Model of Quality Health Care, functioning as the program coordinator, system navigator, patient educator, research partner, and health practitioner (Figure 2). The Donabedian Model of Quality Health Care was selected because its components of structure, process, and outcome provide a framework for the AP to develop and implement a screening program.


The Role of the Advanced Practitioner in a Comprehensive Lung Cancer Screening and Pulmonary Nodule Program.

Reid1 AE, Tanoue2 L, Detterbeck2 F, Michaud2 GC, McCorkle3 R - J Adv Pract Oncol (2014 Nov-Dec)

The multidimensional role of the advanced practitioner in the Donabedian Model of Quality Health Care.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4530114&req=5

Figure 2: The multidimensional role of the advanced practitioner in the Donabedian Model of Quality Health Care.
Mentions: The AP’s role in a dedicated lung cancer screening and pulmonary nodule program, such as Yale Lung SCAN, is multifaceted and distinct from the clinical focused role described by McCorkle et al. (2012), in which the majority of the time the AP is providing direct patient care in the inpatient and clinic-based setting. The AP is integrated throughout all aspects of the Donabedian Model of Quality Health Care, functioning as the program coordinator, system navigator, patient educator, research partner, and health practitioner (Figure 2). The Donabedian Model of Quality Health Care was selected because its components of structure, process, and outcome provide a framework for the AP to develop and implement a screening program.

View Article: PubMed Central - PubMed

Affiliation: 1University of Texas MD Anderson Cancer Center, Houston, Texas; 2Yale University School of Medicine, New Haven, Connecticut; 3Yale University School of Nursing, New Haven, Connecticut.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The focus of many cancer centers has been primarily on the diagnosis and treatment of disease... While advancing treatments is important, prevention and early detection of disease needs to be formally integrated into comprehensive cancer cancers... It is the mission of the American Cancer Society to prevent and detect cancer early... Screening is the essential modality in achieving this mission... Can the results of the NLST be generalized to people who do not smoke but have other lung cancer risk factors? How can individuals who would most likely benefit from screening be reached in the community? The components of an ideal screening program have been outlined by as well as by and include patient risk assessment, education, counseling, risk modification (i.e., smoking cessation), appropriate patient selection, and standardized LDCT screening interpretation... Additionally, having a detailed and standardized process for nodule management, maintaining effective communication and follow-up of results, carrying out research to further refine the screening process (i.e., patient registry), and establishing and tracking quality metrics are all paramount... A dedicated program encompassing all of these elements assures that lung screening is executed according to evidence-based practice and that the appropriate individuals benefit from the screening process with minimization of harm and without excessive cost... Outcome denotes the changes that occur in a patient’s physical, social, and psychological health status... The coordination of care delivered on this platform of structure, process, and outcome ultimately impacts the successful or unsuccessful delivery of quality care... They also recognized the value of integrating an AP into the team, understanding that APs meet patient needs across the continuum of care, from prevention and early detection of cancer to diagnosis and treatment, including guidance and counseling regarding lifestyle and risk modification... Other cancer programs have demonstrated that the AP navigator increases patient satisfaction, facilitates access to timely care, and improves treatment outcomes... Overall, the AP in the screening program allows the patient to receive maximum benefit from the screening process.

No MeSH data available.