title: Patients' experiences of receiving chemotherapy in outpatient clinic and/or onboard a unique nurse-led mobile chemotherapy unit: a qualitative study.
abstract: There is a drive in the UK to revise chemotherapy provision for people living in rural communities. Using a different model of treatment delivery might impact positively upon the experience of receiving chemotherapy. In 2007 the first nurse-led mobile chemotherapy unit (MCU) in the UK was launched in the South West of England with the intention of providing treatment closer to home. The aim of the research was to explore experiences of people with cancer who received chemotherapy treatment in outpatient clinic and/or onboard the MCU using an interpretive phenomenological approach. Interviews were conducted with 20 people and data were interpreted using thematic analysis. The cancer and chemotherapy journey was described as being undertaken by the participant and their significant other. Available car parking and travelling impacted upon quality of life, as did the environment and accessibility of nurses to discuss issues with participants. The most important, distinguishing feature between receiving chemotherapy in outpatient clinic and the MCU was the amount of time spent waiting. Having treatment on the MCU was perceived to be less formal and therefore less stressful. Participants reported significant savings in time spent travelling, waiting and having treatment, expenditure on fuel and companion costs.
authors.affiliation: University of the West of England, Gloucester, UK. theresa.mitchell@uwe.ac.uk
authors.forename: T
authors.initials: T
authors.lastname: Mitchell
mesh_terms: D000368:Aged; D000553:Ambulatory Care; D000970:Antineoplastic Agents / Q000627:therapeutic use*; D017281:Cost of Illness; D005260:Female; D006297:Health Services Accessibility / Q000592:standards; D006801:Humans; D008297:Male; D008875:Middle Aged; D008952:Mobile Health Units; D009369:Neoplasms / Q000188:drug therapy* / Q000451:nursing; D017060:Patient Satisfaction; D057184:Practice Patterns, Nurses'; D036301:Qualitative Research; D011788:Quality of Life; D012424:Rural Population; D011795:Surveys and Questionnaires; D006113:United Kingdom
chemical_list: D000970:Antineoplastic Agents