1. Structured consultation for prostate cancer patients
Group 4
Heidrun Gattinger , Tuija Ylitörmänen, Liesbeth Van Humbeeck,
Lorna Lawther, Ulla Riis Madsen, Mari S. Berge

2. The European Academy of Nursing Science
Background
“Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.”
WHO 2002
The European Academy of Nursing Science

3. The European Academy of Nursing Science
Background
Type of need
Definition
Examples
Normative need
Need that is defined by experts. Normative needs are not absolute and there may be different standards laid down by different experts.
Vaccinations, a decision by a surgeon that a patient needs an operation
Felt need
Need perceived by an individual. Felt needs are limited by individual perceptions and knowledge of services.
Having a headache, feeling knee pain
Expressed need (Demanded need)
Felt needs turned into action. Help seeking.
Going to the dentist for a toothache
Comparative need
Individuals with similar characteristics to those receiving help.
Screening for breast cancer make other groups at risk demand screening
Bradshaw 1972
The European Academy of Nursing Science

4. The European Academy of Nursing Science
Aims
To develop nurse led consultation in a urological outpatient setting based on a screening tool to improve palliative care for prostate cancer patients in Denmark
The European Academy of Nursing Science

5. Feasibility/piloting The European Academy of Nursing Science
The MRC framework
Feasibility/piloting
Testing procedures
Estimating recruitment / retention
Determining sample size
Evaluation
Assessing effectiveness
Understanding change process
Assessing cost-effectiveness
Development
Identifying the evidence base
Identifying/developing theory
Modelling process and outcomes
Implementation
Dissemination
Surveillance and monitoring
Long term follow-up
The European Academy of Nursing Science

6. Feasibility/piloting The European Academy of Nursing Science
The MRC framework
Feasibility/piloting
Testing procedures
Estimating recruitment / retention
Determining sample size
Development
Identifying the evidence base
Identifying/developing theory
Modelling process and outcomes
Evaluation
Assessing effectiveness
Understanding change process
Assessing cost-effectiveness
Implementation
Dissemination
Surveillance and monitoring
Long term follow-up
The European Academy of Nursing Science

7. The European Academy of Nursing Science
Methods
Identifying Evidence
Developing the intervention
Piloting
The European Academy of Nursing Science

8. The European Academy of Nursing Science
Identifying evidence
Evidence based practice
Best research evidence
Clinical expertise
Patient values & preferences
Observations Focus groups
Nurses
Physicians
Systematic reviews
Observations
Individual interviews
Nurse led Consultation
Urological outpatient ward
Context
The European Academy of Nursing Science

9. Developing the intervention
Individuals
Team
Organisations
Systems
The European Academy of Nursing Science

10. The European Academy of Nursing Science
Piloting
Purpose: To assess the feasibility of the nurse led structured consultation and to gather information prior to the actual study.
Setting: An urologic outpatient setting in a hospital in Denmark.
Sample: Patients diagnosed with prostate cancer, nurses, and physicians employed at the setting.
Methods: Mixed methods
The European Academy of Nursing Science

11. The European Academy of Nursing Science
Project plan
100% PhD student
REPORT
REPORT
REPORT
35% Research assistant
10% Professor
I EVIDENCE BASE 10 months
II DEVELOPING 4 months
IV REFINING 4 months INTERVENTION
III PILOTING 6 months
2 years
The European Academy of Nursing Science