A mixed-method evaluation of nurse-led community-based supportive cancer care.
OBJECTIVE
The study purpose was to evaluate a nurse-led supportive care clinical case management program in the community using multi-methods to delineate care processes prior to outcome evaluation.


METHODS
Multiple data sources including program service records, chart reviews and interviews with nurses and key interdisciplinary informants were used to identify population served (coverage and reach), processes of care (implementation), and providers' perceptions of the effectiveness of the nurse-led program (reaction).


RESULTS
The program provided care to over 700 cancer patients in a 1-year period. Nurse-led support interventions were focused on direct care inclusive of teaching/coaching for symptom management, counseling and support, and mobilization of services through system navigation based on an initial comprehensive assessment of supportive care needs.


CONCLUSIONS
Nurse-led models of supportive care have the potential to reduce unmet supportive care needs, improve continuity of care, and overall health-related quality of life that should be tested in future trials.
Howell
D M
DM
Princess Margaret Hospital, 610 University Ave. (Room 15-617), Toronto, ON, M5G 2M9, Canada. doris.howell@uhn.on.ca
Sussman
J
J
Wiernikowski
J
J
Pyette
N
N
Bainbridge
D
D
O'Brien
M
M
Whelan
T
T
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management; D003153:Community Health Services; D003266:Continuity of Patient Care; D005260:Female; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy*; D009720:Nurse Clinicians; D010347:Patient Care Planning; D012944:Social Support; D055815:Young Adult