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dc.contributor.authorBobat, A.
dc.contributor.authorAnderson, V.
dc.contributor.authorBarnett, N.
dc.contributor.authorBeattie, V.
dc.contributor.authorBate, G.
dc.contributor.authorBostock, Layla
dc.contributor.authorClayton, K.
dc.contributor.authorCole, T.
dc.contributor.authorForeman, H.
dc.contributor.authorHolden, S.
dc.contributor.authorJones, S.
dc.contributor.authorKefyalew, S.
dc.contributor.authorOverton, G.
dc.contributor.authorRoberts, J.
dc.contributor.authorRoss, J.
dc.contributor.authorShepherd, P.
dc.contributor.authorSmerdon, E.
dc.contributor.authorWard, M.
dc.date.accessioned2021-01-06T11:15:16Z
dc.date.available2021-01-06T11:15:16Z
dc.date.issued2020en
dc.identifier.citationBobat 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-Sen
dc.identifier.urihttp://hdl.handle.net/10541/623582
dc.description.abstractIntroduction: 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.en
dc.language.isoenen
dc.titleAn autoethnographic study to explore 'meet the Lung CNS' as stated within The National Optimal Lung Cancer Pathway (NOLCP) guidance: recommendations for best practiceen
dc.typeMeetings and Proceedingsen
dc.contributor.departmentHarrogate District Foundation Hospital, Harrogate, United Kingdomen
dc.identifier.journalLung Canceren
dc.description.noteen]


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