An autoethnographic study to explore 'meet the Lung CNS' as stated within The National Optimal Lung Cancer Pathway (NOLCP) guidance: recommendations for best practice
Bobat, A. Anderson, V. Barnett, N. Beattie, V. Bate, G. Bostock, Layla Clayton, K. Cole, T. Foreman, H. Holden, S.
Bobat, A.
Anderson, V.
Barnett, N.
Beattie, V.
Bate, G.
Bostock, Layla
Clayton, K.
Cole, T.
Foreman, H.
Holden, S.
Citations
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Abstract
Introduction: The LCNS is a core member of the MDT providing
expert knowledge, specialist assessment and advanced
communication. Acting as a patient advocate for patients on the
National Optimal Lung Cancer Pathway (NOLCP). The NOLCP
advocates a standardised care pathway to improve lung cancer care
to enable time to treatment within 49 days. At points throughout
the pathway it indicates the patient should “meet the Lung CNS”.
This project was to explore the Lung CNS’s experience of the “meet
the Lung CNS “ aspect of the NOLCP and publish recommendations
for best practice.
Methods: An autoethnographic study of 16 practicing Lung CNS’s
reflecting on the first meeting with two patients on the NOLCP.
Written reflections were subjected to thematic analysis. Gibbs
reflective model was used to complete reflections. The reflections
were coded by 4 coders who were able to compile a list of themes.
Themes were further condensed by a further 2 coders.
Results: 4 individual themes were identified across all 32
reflections, these were: 1) coordination of complex care; 2)
relationship building and advanced communication; 3) specialist
patient assessment and management; and 4) support and
management of emotions and expectations. There was one crosscutting
theme that was applicable in all identified themes which
was effective utilisation of resources
Conclusion: The ‘meet the Lung CNS’ aspect of the NOLCP is
pivotal in the delivery of high quality lung cancer care. Through the
provision of specialist and expert nursing care, Lung CNS co-ordinate
complex care, undertake holistic patient assessment and support
and management expectations. This is achieved through successful
relationship building and advanced communication skills and
appropriate and effective utilisation of resources. Recommendations
Clarification of the LCNS role is required both locally and nationally.
Implementation of the NOLCP will add increased demand on LCNS
services which are already under-resourced. Adequate provision
must be made to meet this requirement.
Description
Date
2020
Publisher
Collections
Keywords
Type
Meetings and Proceedings
Citation
Bobat A, Anderson V, Barnett N, Beattie V, Bate G, Bostock L, et al. An autoethnographic study to explore 'meet the Lung CNS' as stated within The National Optimal Lung Cancer Pathway (NOLCP) guidance: recommendations for best practice. Lung Cancer. 2020;139:S74-S