title: Advanced breast cancer clinical nursing curriculum: review and recommendations.
abstract: OBJECTIVE
  The needs and concerns of patients with advanced breast cancer are changing at every phase of the care intervention. Management and coordination of hospital resources and services are also steadily evolving. The objective of the present expert report is to define a new oncology nursing role specialising in advanced breast cancer, to help guide patients throughout the whole healthcare itinerary.
  
  
  METHODS
  A group of eight experts in oncology nursing and medical oncology defined the content index of the curriculum document. A systematic review of bibliography was carried out, and the relevant contents were extracted. Based on these contents and the participants' experience, recommendations were formulated and validated through a Delphi questionnaire and a participative meeting.
  
  
  RESULTS
  The advanced breast cancer clinical nurse (ABCCN) should develop a clinical, psychosocial role focused on coordinating patients in the healthcare network. The nurse would be in charge of evaluating and supervising the care administered and the healthcare resources used. The ABCCN should be aware and participate in the protocols and available resources, be able to solve conflicts, deal with burn-out signs and have clinical, coaching and team-working abilities. The proposed curriculum provides a specific process for the care of patients, as well as an implementation process.
  
  
  CONCLUSIONS
  The ABCCN's role is crucial to assume the best care and the optimisation of available resources. This review and consensus document provides the required tools for the implementation in hospitals.
authors.affiliation: Oncology Department, Hospital Clínico San Carlos, Madrid, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Vila
authors.affiliation: UME-UCPAL-HADO, Complejo Hospitalario Universitario, Santiago de Compostela, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Reñones
authors.affiliation: Direction of Nursing, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain.
authors.forename: T
authors.initials: T
authors.lastname: Ferro
authors.affiliation: Medical Oncology Department, Hospital Universitario de la Vall d'Hebrón, Barcelona, Spain.
authors.forename: Mª Á
authors.initials: MÁ
authors.lastname: Peñuelas
authors.affiliation: Oncology Clinical Management Unit (UGC), Hospital de Jaén, Jaén, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Del Mar Jiménez
authors.affiliation: Medical Oncology Department, Hospital General de Elche, Alicante, Spain.
authors.forename: Á
authors.initials: Á
authors.lastname: Rodríguez-Lescure
authors.affiliation: Medical Oncology Department, IDIBAPS, Hospital Clínic de Barcelona, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Muñoz
authors.affiliation: Medical Oncology Department, Hospital Universitario de la Princesa, Madrid, Spain. rcolomer@seom.org.
authors.forename: R
authors.initials: R
authors.lastname: Colomer
mesh_terms: D001943:Breast Neoplasms / Q000451:nursing* / Q000628:therapy; D003479:Curriculum; D019468:Disease Management; D005260:Female; D006801:Humans; D020380:Needs Assessment; D009859:Oncology Nursing / Q000193:education*; D017410:Practice Guidelines as Topic / Q000592:standards*
keywords: Breast neoplasms; Case management; Consensus; Counselling; Oncology nursing; Patient navigation