Vaz Fiona, Small Sheila
Cancer and Palliative Care Services, Northwest London Hospitals, NHS Trust, London, UK.
J Nurs Manag. 2007 Mar;15(2):149-54. doi: 10.1111/j.1365-2834.2007.00666.x.
The Lead Cancer Nurse (LCN) role was developed following the publication of the NHS Cancer Plan [Department of Health (2000) The NHS Cancer Plan. A Plan for Investment. A Plan for Reform. HMSO, London]. In collaboration with the Lead Cancer Clinician and Cancer Manager the role of the LCN is to contribute to the planning and delivery of cancer services in line with government guidance. However, there are significant variations in the remit and authority of the role between organizations, and limited research has been undertaken to evaluate the effectiveness of this senior nursing post. This article explores the complex and often ill-defined remit of the LCN role and compares this with Nurse Consultant and Advanced Nurse Practitioner roles. It explores the challenges that this presents both to the postholders and the organizations within which they work. Recommendations include on-going monitoring and evaluation of these posts, the development of local supportive frameworks and a review of the educational needs of these postholders.
首席癌症护士(LCN)这一角色是在《国民健康服务体系癌症计划》[卫生部(2000年)《国民健康服务体系癌症计划:投资计划,改革计划》。英国皇家文书局,伦敦]发布后设立的。LCN与首席癌症临床医生和癌症管理人员合作,其职责是根据政府指导意见,为癌症服务的规划和提供做出贡献。然而,不同组织中该角色的职责范围和权力存在显著差异,并且为评估这一高级护理职位的有效性所开展的研究有限。本文探讨了LCN角色复杂且通常定义不明确的职责范围,并将其与护士顾问和高级护士从业者的角色进行比较。它探讨了这给任职者及其工作所在组织带来的挑战。建议包括对这些职位进行持续监测和评估、制定地方支持框架以及审查这些任职者的教育需求。