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Is a larger specialist nurse workforce in cancer care associated with better patient experience? Cross-sectional study

Griffiths, Peter, Simon, Michael, Richardson, Alison and Corner, Jessica (2013) Is a larger specialist nurse workforce in cancer care associated with better patient experience? Cross-sectional study [in special issue: UK Health Services Research Network Annual Symposium 2012] Journal of Health Services Research and Policy, 18, (S1), pp. 39-46. (doi:10.1177/1355819612473451).

Record type: Article


Objectives: To assess whether variation in the provision of cancer specialist nurses in England is associated with variation in positive experiences of care by patients undergoing treatment for cancer.

Design: Cross sectional study using routinely collected national survey data.

Setting: English acute hospital NHS trusts.

Participants: Patients with a primary diagnosis of cancer who attended hospital as an inpatient or outpatient day case in the first three months of 2010in 158 NHS trusts who responded to a national survey (n=67,713, response rate 67%).

Main Outcome Measures: Patient perceptions of coordination of care, quality of information provision, emotional support and support for symptom management.

Results: Patients of trusts that had the fewest patients per specialist nurse were more likely to report that people treating and caring for them worked well together (adjusted odds ratio 1.08, 95% Confidence Interval 1.01 - 1.15 p=0.02), and enough emotional support during ambulatory treatment (1.15, 1.01 - 1.32 p=0.04) but were no more likely to report being given the right amount of information (0.96, 0.88 –to 1.05 p=0.38) when compared to patients in trusts with the most patients per specialist nurse. Breast cancer patients undergoing chemotherapy in the trusts with fewer patients per specialist nurse were more likely to report good support for control of side effects from chemotherapy (1.34, 1.02 to1.75, p=0.03).

Conclusions: Cancer patients’ experiences of care coordination and emotional support are better in trusts with more specialist nurses. The absolute differences are small and further research must investigate whether particular roles or service configurations are associated with better experience.

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Published date: April 2013
Keywords: nurse specialist, workforce, cancer
Organisations: Faculty of Health Sciences


Local EPrints ID: 350058
ISSN: 1355-8196
PURE UUID: 45ab2326-334e-477b-bb06-c4e56af1a5c8
ORCID for Peter Griffiths: ORCID iD
ORCID for Alison Richardson: ORCID iD

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Date deposited: 19 Mar 2013 11:09
Last modified: 18 Jul 2017 04:37

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Author: Peter Griffiths ORCID iD
Author: Michael Simon
Author: Jessica Corner

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