title: The role of advanced nursing in lung cancer: A framework based development.
abstract: OBJECTIVE
  Advanced Practice Lung Cancer Nurses (APLCN) are well-established in several countries but their role has yet to be established in Switzerland. Developing an innovative nursing role requires a structured approach to guide successful implementation and to meet the overarching goal of improved nursing sensitive patient outcomes. The "Participatory, Evidence-based, Patient-focused process, for guiding the development, implementation, and evaluation of advanced practice nursing" (PEPPA framework) is one approach that was developed in the context of the Canadian health system. The purpose of this article is to describe the development of an APLCN model at a Swiss Academic Medical Center as part of a specialized Thoracic Cancer Center and to evaluate the applicability of PEPPA framework in this process.
  
  
  METHODS
  In order to develop and implement the APLCN role, we applied the first seven phases of the PEPPA framework.
  
  
  RESULTS
  This article spreads the applicability of the PEPPA framework for an APLCN development. This framework allowed us to i) identify key components of an APLCN model responsive to lung cancer patients' health needs, ii) identify role facilitators and barriers, iii) implement the APLCN role and iv) design a feasibility study of this new role.
  
  
  CONCLUSIONS
  The PEPPA framework provides a structured process for implementing novel Advanced Practice Nursing roles in a local context, particularly where such roles are in their infancy. Two key points in the process include assessing patients' health needs and involving key stakeholders.
authors.affiliation: Institute of Higher Education and Research in Health Care, University of Lausanne, Switzerland; University Hospital Center of Lausanne, Switzerland; University of Applied Arts and Sciences Western Switzerland, School of Health Fribourg, Switzerland. Electronic address: andrea.serena@unil.ch.
authors.forename: A
authors.initials: A
authors.lastname: Serena
authors.affiliation: University Hospital Center of Lausanne, Switzerland. Electronic address: pascale.castellani@chuv.ch.
authors.forename: P
authors.initials: P
authors.lastname: Castellani
authors.affiliation: University Hospital Center of Lausanne, Switzerland. Electronic address: nadia.fucina@chuv.ch.
authors.forename: N
authors.initials: N
authors.lastname: Fucina
authors.affiliation: University Hospital Center of Lausanne, Switzerland. Electronic address: anne-claude.griesser@chuv.ch.
authors.forename: A-C
authors.initials: AC
authors.lastname: Griesser
authors.affiliation: University Hospital Center of Lausanne, Switzerland. Electronic address: jacqueline.jeanmonod@chuv.ch.
authors.forename: J
authors.initials: J
authors.lastname: Jeanmonod
authors.affiliation: University Hospital Center of Lausanne, Switzerland. Electronic address: solange.peters@chuv.ch.
authors.forename: S
authors.initials: S
authors.lastname: Peters
authors.affiliation: Institute of Higher Education and Research in Health Care, University of Lausanne, Switzerland; University of Applied Arts and Sciences Western Switzerland, School of Health Fribourg, Switzerland. Electronic address: manuela.eicher@hefr.ch.
authors.forename: M
authors.initials: M
authors.lastname: Eicher
mesh_terms: D000328:Adult; D057179:Advanced Practice Nursing / Q000458:organization & administration*; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D008175:Lung Neoplasms / Q000175:diagnosis / Q000451:nursing*; D008297:Male; D008875:Middle Aged; D009859:Oncology Nursing / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration; D016730:Program Development; D015397:Program Evaluation; D013557:Switzerland
keywords: Advanced practice nursing; Lung cancer nurse; Lung neoplasm; Supportive care