Oncology Nursing Society 2007 Advanced Practice Nursing Conference Poster Abstracts
The abstracts appear exactly as they were submitted and have not undergone editing or the
Oncology Nursing Forum
review process. If any errors or omissions have been made, please accept our apologies. Abstracts that are not being presented do not appear.
DEVELOPING A MULTIDISCIPLINARY PROSTATE CANCER CLINIC
FOR THE NEWLY DIAGNOSED PROSTATE CANCER POPULATION—
DEFINING THE ROLE OF AN ONCOLOGY APN
Clinical/Evidence Based Practice
Lydia Madsen, RN, MSN, OCN
, University of Texas
MD Anderson Cancer Center, Houston, TX; Jane Williams, RN, MSN, FNP,
University of Texas MD Anderson Cancer Center, Houston, TX; Catherine
Craig, RN, MPH, University of Texas MD Anderson Cancer Center, Hous-
ton, TX; and Deborah Kuban, MD, University of Texas MD Anderson Cancer
Center, Houston, TX.
A multidisciplinary Prostate cancer clinic (mPcc) provides
opportunity to present multiple treatment options for newly-diagnosed
prostate cancer patients in a single setting.
A mPcc was started in 2003 at this nci designated comprehensive
cancer center. The primary objective was to provide patients with a
setting where all appropriate treatment choices related to their prostate
cancer diagnosis were presented. The first year of operation, 203 patients
were evaluated by physicians from radiation Oncology and urology
in a common clinical setting. The second year of operation, the clinic
expanded and developed more specific guidelines for patient inclusion.
An Oncology APn was recruited at the end of the second year, to ad-
dress the following objectives: 1) Provide a coordinated experience for
each patient, including comprehensive assessment, diagnostic testing,
ancillary services, summary of treatment recommendations, and follow-
up during the decision-making process; 2) Provide patient education
regarding treatment choices and available clinical trials; 3) Assess clinic
performance by compiling treatment statistics and incorporating relevant
survey instruments; 4) increase utilization of the mPcc by patients for
information, decision-making and treatment.
in the third year of operation, 419 newly-diagnosed prostate cancer
patients were seen in the mPcc. The APn has compiled a database
with demographic and clinical data of the 1050 patients seen to date and
assisted in the development of a QOl protocol to compare the various
treatment decisions. A letter, designating treatment recommendations
and corresponding educational information, is provided by the APn at
the conclusion of each patient visit. The APn routinely provides patient
follow-up to address questions and give additional treatment-specific
information. communication between the multidisciplinary team mem-
bers during clinic and subsequent follow-up disposition is facilitated
by the APn.
The addition of an APn has created opportunity for detailed patient
education at the initial visit and follow-up as the patient moves toward a
treatment decision. Formal evaluation of the mPcc has been conducted
by an outside agency; patient experience mapping results demonstrate
patient satisfaction with the clinic and the role of the oncology APn
during the complex decision making process in this newly diagnosed
cancer patient population.
cago, IL; Amy Davidson, RN, BSN, OCN
, Hope Center for Cancer Care,
Youngstown, OH; Martha Griffis, RN, BSN, OCN
, South Georgia Medical
Center, Pearlman Cancer Center, Valdosta, GA; Robin Sommers, RN,
APRN, BC, AOCNP
, Dana Farber Cancer Institute, Boston, MA; Pamela
Hallquist Viale RN, MS, CS, ANP, AOCNP
, University of California at San
Francisco, San Francisco, CA; and Linda Smith, MSN, RN, CNN, Meniscus
Health Care Communications, West Conshohocken, PA.
Oncology APns caring for patients with colorectal cancer
(crc) are challenged to gather current, evidence-based information to
guide patient care. However, information from textbooks and journal
articles is often outdated and difficult to access, and learning needs indi-
cate a lack of alternative information sources for APns and staff nurses
in clinic, office, and academic settings.
The purpose of this project was to provide current, evidence-based
support for nurses caring for crc patients in various treatment settings
by developing a dynamic, informational, open-access Web site.
An Expert Panel of crc nursing leaders representing the continuum
of care was recruited to develop and maintain the Web content, includ-
ing evidence-based, peer-reviewed information on patient manage-
ment and links to validated resources, such as treatment guidelines,
assessment and teaching tools, and current journal articles. currency
is ensured through a weekly news feature alerting nurses to new find-
ings. interactivity allows users to submit questions to the Panel with
metrics have assessed trends in use of the Web site since its launch in
march 2006. individual page views have reached an average of 1,400/
month. new users represent 89% of daily visitors, averaging 1.74 page
views/visit; returning users average 3.23 page views/visit. Over 50% of
the visitors are outside the united states. Oncology nurses use this site
for professional and patient education.
Oncology APns must promote dynamic and contemporary learning
and provide clinical support for staff and clinic nurses. The learning
needs for APns and staff nurses on crc nursing prompted development
of an interactive, open-access Web site. The content is revised through
regular monitoring of the literature, and posted text is revised every 6
months. metrics are monitored monthly as to number of users (new and
repeat); number of unique page views; duration of page visit; and top
content. The metrics suggest that this informational Web site, focusing on
a specific disease type and oncology nursing implications, is a cost- and
time-efficient way to increase exposure to evidence-based practice. The
success of this model supports recommendations for similar Web sites
featuring other diseases.
SUPPORTING EVIDENCE-BASED PRACTICE VIA AN INTERACTIVE
WEBSITE FOR NURSES CARING FOR PATIENTS WITH COLORECTAL
Susan Moore, RN, MSN, ANP, AOCN
, CancerExpertise, Chi-
SO YOU FOUND A BREAST MASS
Ashley Towler, RNC, WHNP, University of Texas MD Anderson
Cancer Center, Houston, TX; and Mary Ann Zalewski, ANP, University of
Texas MD Anderson Cancer Center, Houston, TX.
in 2004, an estimated 216,000 women were diagnosed
with breast cancer. Women’s Health nurse Practitioners assess count-
less numbers of these women. Therefore, it is imperative that the nurse
practitioner be adequately prepared and informed when dealing with the
unique issues of breast health and awareness, especially in this time of
our ever-aging population.
OncOlOgy nursing FOrum – vOl 34, nO 6, 2007