Cairo Jamie, Muzi Mary Ann, Ficke Deanna, Ford-Pierce Shaunta, Goetzke Katrina, Stumvoll Diane, Williams Laurie, Sanchez Federico A
From Aurora Cancer Care, Aurora Health Care, Milwaukee, WI.
Am Soc Clin Oncol Educ Book. 2017;37:40-43. doi: 10.1200/EDBK_175577.
According to ASCO, the number of practicing oncologists has remained stable despite growth demands, leading to an overall shortage in many areas of the country. Nurse practitioners and physician assistants are advanced practice providers (APPs) who can assist in the provision of support and care to patients with cancer, but the role of the APP in the oncology setting has not been well defined. There exists a variety of different practice patterns for APPs who work in oncology, and the lack of role definition and absence of an established practice model are considered leading causes of APP attrition. According to the American Academy of Nurse Practitioners, it has been well demonstrated that, when nurse practitioners are allowed to work to the full scope of their education and preparation, there are notable cost reductions and quality improvements in patient care. The focus of APP education and training is on health promotion, disease prevention, and primary care medical management, but most APPs have limited exposure to management of cancer in patients. With this in mind, Aurora Cancer Care developed a practice model for APPs who work in oncology. The goal of the model is to enhance the quality of care delivered to patients and provide a stimulating work environment that fosters excellent collaborative relationships with oncologist colleagues, supports professional growth, and allows APPs to practice to the full extent of their licensure.
根据美国临床肿瘤学会（ASCO）的数据，尽管对肿瘤学医生的需求不断增长，但执业肿瘤学家的数量一直保持稳定，导致该国许多地区普遍短缺。执业护士和医师助理是高级实践提供者（APPs），他们可以协助为癌症患者提供支持和护理，但APP在肿瘤学环境中的作用尚未得到明确界定。在肿瘤学领域工作的APPs存在多种不同的执业模式，而缺乏角色定义和既定的执业模式被认为是APP流失的主要原因。根据美国执业护士学会的说法，有充分证据表明，当允许执业护士充分发挥其教育和培训水平时，患者护理的成本会显著降低，质量会得到提高。APP教育和培训的重点是健康促进、疾病预防和初级保健医疗管理，但大多数APPs对癌症患者的管理接触有限。考虑到这一点，奥罗拉癌症护理中心为在肿瘤学领域工作的APPs开发了一种执业模式。该模式的目标是提高为患者提供的护理质量，并提供一个激励性的工作环境，促进与肿瘤学同事建立良好的合作关系，支持职业发展，并允许APPs在其执业许可范围内充分执业。
