Workflow Analysis in one community oncology outpatient setting: Advanced Practice Nurse (APN) vs. Physicians

2.50
Hdl Handle:
http://hdl.handle.net/10755/164808
Category:
Abstract
Type:
Presentation
Title:
Workflow Analysis in one community oncology outpatient setting: Advanced Practice Nurse (APN) vs. Physicians
Author(s):
Slater, Ashleigh; Rosenzweig, Margaret; Steele, Cheryl
Author Details:
Ashleigh Slater, RN, BSN, OCN, Enrolled in ACNP program specialty heme/onc, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA, email: pittnurse2004@yahoo.com; Margaret Rosenzweig, PhD, APN-BC, AOCNP; Cheryl Steele, RN, MSN
Abstract:
Research Study: Use of APN alone or in collaboration with physicians has a long history related to patient outcomes in medical care, but has not been well analyzed in oncology. Work time analysis helps to define elements of the oncology APN role, delineating unique outcomes for analysis. Purpose: 1) Define the major role of the APN in oncology through time analysis. 2) Compare specific elements of oncology practice (time reviewing records/patient, time with patient, talking to patient and family, talking to other nurses/physicians re: patients, co-coordinating patient and office issues) of APN vs. collaborating physicians in one community outpatient setting. The Participatory, Evidence-Based, Patient-Focused Process for APN (PEPPA) framework defines two critical components of the APN role as coordinated patient care and collaboration with health professionals. These serve as primary study outcomes. Comparative, two arm study of one APN and two physicians with independent schedules (new and returning patients) at one community outpatient oncology center for three days. Daily activities recorded in minutes by trained third party observer. Data analysis of six major focus areas using SPSS v.14, 2 group independent t tests. Significantly more time spent by APN vs. MD for five of six categories 1) review of records (APN: 5.5 minutes, SD5.9 vs. MD: 1.9 minutes SD 2.1; p=.000), 2) total time of patient visit (APN 33.3 minutes/visit, SD 11.0 vs. MD: 17.7 minutes/visit, SD 9.9; p=.000), 3) physical exam APN: 6.5 minutes/visit, SD 2.2 vs. MD 2.9 minutes/visit, SD 1.4, p=.000), 4) talking with patient and family, APN: 21.0 minutes/visit, SD 11.5 vs. MD 7.7 minutes/ visit, SD 7.7 , p=.004) 5) coordinating care with nursing/physicians (APN 6.1 minutes/conversation, SD 6.2 vs. MD 4.2 minutes/ conversation, SD 3.6, p=.108: and 6) co-coordinating patient and office issues APN: 63.3 minutes/day, SD 33.1 vs. MD 0 minutes/ day, SD 00, p=.03. These results are the first time analysis of APN vs. MD in cancer care. Time measurement does not measure patient outcomes but delineates critical role elements for further research in measurement of specific, unique oncology APN patient outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleWorkflow Analysis in one community oncology outpatient setting: Advanced Practice Nurse (APN) vs. Physiciansen_GB
dc.contributor.authorSlater, Ashleighen_US
dc.contributor.authorRosenzweig, Margareten_US
dc.contributor.authorSteele, Cherylen_US
dc.author.detailsAshleigh Slater, RN, BSN, OCN, Enrolled in ACNP program specialty heme/onc, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA, email: pittnurse2004@yahoo.com; Margaret Rosenzweig, PhD, APN-BC, AOCNP; Cheryl Steele, RN, MSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164808-
dc.description.abstractResearch Study: Use of APN alone or in collaboration with physicians has a long history related to patient outcomes in medical care, but has not been well analyzed in oncology. Work time analysis helps to define elements of the oncology APN role, delineating unique outcomes for analysis. Purpose: 1) Define the major role of the APN in oncology through time analysis. 2) Compare specific elements of oncology practice (time reviewing records/patient, time with patient, talking to patient and family, talking to other nurses/physicians re: patients, co-coordinating patient and office issues) of APN vs. collaborating physicians in one community outpatient setting. The Participatory, Evidence-Based, Patient-Focused Process for APN (PEPPA) framework defines two critical components of the APN role as coordinated patient care and collaboration with health professionals. These serve as primary study outcomes. Comparative, two arm study of one APN and two physicians with independent schedules (new and returning patients) at one community outpatient oncology center for three days. Daily activities recorded in minutes by trained third party observer. Data analysis of six major focus areas using SPSS v.14, 2 group independent t tests. Significantly more time spent by APN vs. MD for five of six categories 1) review of records (APN: 5.5 minutes, SD5.9 vs. MD: 1.9 minutes SD 2.1; p=.000), 2) total time of patient visit (APN 33.3 minutes/visit, SD 11.0 vs. MD: 17.7 minutes/visit, SD 9.9; p=.000), 3) physical exam APN: 6.5 minutes/visit, SD 2.2 vs. MD 2.9 minutes/visit, SD 1.4, p=.000), 4) talking with patient and family, APN: 21.0 minutes/visit, SD 11.5 vs. MD 7.7 minutes/ visit, SD 7.7 , p=.004) 5) coordinating care with nursing/physicians (APN 6.1 minutes/conversation, SD 6.2 vs. MD 4.2 minutes/ conversation, SD 3.6, p=.108: and 6) co-coordinating patient and office issues APN: 63.3 minutes/day, SD 33.1 vs. MD 0 minutes/ day, SD 00, p=.03. These results are the first time analysis of APN vs. MD in cancer care. Time measurement does not measure patient outcomes but delineates critical role elements for further research in measurement of specific, unique oncology APN patient outcomes.en_GB
dc.date.available2011-10-27T12:07:23Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:23Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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