The Role of Specialist Nurses in Lung Cancer Jenny Mitchell Advanced Nurse Practitioner Thoracic Surgery

Specialist Nurses  Specialist nurses play a hugely important role in delivering safe, effective and patient-centred care for people with lung cancer.  They are good value for money  They reduce the: o Number of emergency admissions o Length of hospital stay o Number of follow-up appointments o Number of medical consultations  They provide support to enable people to be cared for and die in their place of choice Jenny Mitchell, ANP Thoracic Surgery

 25 years experience in cardiothoracic nursing  Developed and ran a pre-admission nursing service  Specialist qualifications  New ANP service  In post for 5 years  Chair of the Thoracic Surgical Group, NLCFN ANP Thoracic Surgery Jenny Mitchell, ANP Thoracic Surgery

Advanced Nurse Practitioner Service needs analysis MDT support Service development Nurse led clinicsIn-patient care Telephone support Lung MDT Teaching and Research Advanced practice skills Jenny Mitchell, ANP Thoracic Surgery

Service Needs Analysis Jenny Mitchell, ANP Thoracic Surgery

Meet with Stakeholders Senior staff with an involvement in the service Members of the medical and nursing teams Patients using the service Identify themes New service, not taking on other peoples work Gaps in the service Improvements in care Implementation Key priorities Support network Baseline data How do you demonstrate the need for the role Demonstrating effectiveness Service Needs Analysis Jenny Mitchell, ANP Thoracic Surgery

MDT Support Jenny Mitchell, ANP Thoracic Surgery

 Vital for role to work  Identifiable role within the MDT Jenny Mitchell, ANP Thoracic Surgery MDT Support

Advanced Practice Skills Jenny Mitchell, ANP Thoracic Surgery

Physical assessment and history taking Non-medical prescribing Radiology requesting and interpreting Advanced communication skills Specialist skills Chest drain management, suturing Chemotherapy Advanced Practice Skills Jenny Mitchell, ANP Thoracic Surgery

In-Patient Care Jenny Mitchell, ANP Thoracic Surgery

In-patient care Advanced clinical practice Patient support Expert nursing input Jenny Mitchell, ANP Thoracic Surgery

Nurse Led Clinics Jenny Mitchell, ANP Thoracic Surgery

Clearly identified groups of patientsProtocols if appropriateSupport for the independent nursing roleAdministrative support Nurse Led Clinics Jenny Mitchell, ANP Thoracic Surgery

Lung MDT Jenny Mitchell, ANP Thoracic Surgery

 Presentation of patients  Responsible for patient pathway  Skills acknowledged by MDT Jenny Mitchell, ANP Thoracic Surgery Lung MDT

Telephone Support Jenny Mitchell, ANP Thoracic Surgery

Patients Health care professionals Telephone support Jenny Mitchell, ANP Thoracic Surgery

Service Development Jenny Mitchell, ANP Thoracic Surgery

“Keep moving forward”  Enhanced recovery programme  Virtual clinics Jenny Mitchell, ANP Thoracic Surgery Service Development

Teaching and Research Jenny Mitchell, ANP Thoracic Surgery

Undergraduate nursing students Postgraduate nursing students In-house courses and teaching External courses Teaching Data from practice Collaborative work with medical colleagues Nursing research Research and Audit

Advanced Nurse Practitioner Service needs analysis MDT support Service development Nurse led clinicsIn-patient care Telephone support Lung MDT Teaching and Research Advanced practice skills Jenny Mitchell, ANP Thoracic Surgery

Outcome Measures

 Facts and figures o Length of stay o Smoking cessation o Early detection of reoccurrence  Patient satisfaction o Access to services o Psychological support o Identifiable contact Jenny Mitchell, ANP Thoracic Surgery Outcome Measures

 Roy Castle Lung Cancer Foundation – Understanding the value of lung Cancer nurses  National Lung Cancer Forum for Nurses (NLCFN) – UK based organisation for lung cancer nurses  International Thoracic Oncology Nursing Forum (ITONF) Jenny Mitchell, ANP Thoracic Surgery Resources

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