Academic Journal
Implementation and evaluation of a nurse-led clinic for men referred with suspected prostate cancer.
| Τίτλος: | Implementation and evaluation of a nurse-led clinic for men referred with suspected prostate cancer. |
|---|---|
| Συγγραφείς: | Teodorowski P; at time of writing was Research Fellow, Faculty of Health Sciences and Sport, University of Stirling, Stirling., Thomson J; at time of writing was Advanced Clinical Nurse Specialist, NHS Fife., McInnes M; Honorary Research Fellow, Faculty of Health Sciences and Sport, University of Stirling, Stirling., Hibberd C; Lecturer, Faculty of Health Sciences and Sport, University of Stirling, Stirling., McFarland A; Senior Lecturer, Faculty of Health Sciences and Sport, University of Stirling, Stirling., Gadsby E; Associate Professor, Faculty of Health Sciences and Sport, University of Stirling, Stirling. |
| Πηγή: | British journal of nursing (Mark Allen Publishing) [Br J Nurs] 2026 Oct 08; Vol. 35 (18), pp. S6-S12. Date of Electronic Publication: 2026 Oct 08. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: MA Healthcare Country of Publication: England NLM ID: 9212059 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2052-2819 (Electronic) Linking ISSN: 09660461 NLM ISO Abbreviation: Br J Nurs Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : MA Healthcare Original Publication: London : Mark Allen Pub., c1992- |
| Ιατρικοί όροι (MeSH): | Prostatic Neoplasms*/nursing , Prostatic Neoplasms*/diagnosis , Referral and Consultation* , Practice Patterns, Nurses'*, Humans ; Male ; Patient Satisfaction ; Patient-Centered Care ; Aged ; United Kingdom |
| Περίληψη: | Background: Cancer diagnostic delays remain a challenge. Advanced nurse-led clinics represent an innovative approach to improving pathway efficiency while delivering person-centred care. Aims: To evaluate barriers and facilitators in establishing a nurse-led clinic for urgent suspected prostate cancer referrals and assess the impact on patient experience and services. Methods: A hybrid effectiveness-implementation design and naturalistic case-study design. Data included routine data (pre-implementation, n=150; implementation, n=293), patient surveys (n=162), patient interviews (n=10), staff interviews (n=12) and field notes. Data were analysed using thematic analysis, descriptive statistics and cost-consequence analysis. Findings: Collaboration between consultant and nurse facilitated service integration and multidisciplinary team engagement. Patients reported high satisfaction, valuing continuity of care and confidence in their nurse throughout the diagnostic pathway. The nurse-led clinic incurred lower costs than consultant-led clinics (£1049 vs £1417 per patient). Conclusion: Nurse-led clinics can improve diagnostic efficiency and deliver high-quality, person-centred care when underpinned by collaborative relationships between nurse and consultant, and with adequate administrative support. |
| Competing Interests: | Declaration of interest: None |
| Contributed Indexing: | Keywords: Advanced clinical practitioner; Advanced practice; Diagnosis; Evaluation; Prostate cancer |
| Entry Date(s): | Date Created: 20261008 Date Completed: 20261008 Latest Revision: 20261008 |
| Update Code: | 20261009 |
| DOI: | 10.12968/bjon.2026.0056 |
| PMID: | 42848699 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 2052-2819 |
|---|---|
| DOI: | 10.12968/bjon.2026.0056 |