O'Rourke Tammy, Smigorowsky Marcie, Moch Danielle, Hoffman Tara, Rawson Krista, Ruston Teresa, Beranek Julia, Railton Cindy, Kennett Cecilia Joy, Kruger Calvin P, Lu Shuang, Cox-Kennett Nanette, Pituskin Edith
Faculty of Health Disciplines, Athabasca University, Athabasca, AB T9S 3A3, Canada.
College of Registered Nurses of Alberta, Edmonton, AB T5S 1P2, Canada.
Curr Oncol. 2025 Sep 2;32(9):492. doi: 10.3390/curroncol32090492.
Half of all Canadians will develop cancer at some point in their lifetimes. These rates have increased substantially over the last decade alongside increasing effectiveness and complexity of treatment options. Therefore, the need for patients to receive both an early diagnosis and ongoing care has never been so important. In Alberta, referrals to oncology specialty care have increased 18% in the last 7 years with no commensurate increase in the number of oncology health care professionals. Challenges with oncologic care access and provider recruitment are not unique to Alberta. In 2004, Cancer Care Alberta, specifically the Cross Cancer Institute (CCI), embarked on an initiative focusing on nurse practitioner (NP) care provision, aiming to address these gaps. The purpose of this article is a description of four distinct NP care models: the Assigned model, Consultative model, Partner model, and Most Responsible Provider (MRP model) significantly contributing to enhanced and expanded cancer care delivery at CCI. To the best of our knowledge, we are the first to demonstrate how NPs can significantly address the rapidly expanding demands for specialist oncology care. This work highlights roles and exemplars of NP care to meet the evolving needs of cancer patients, the multidisciplinary care team and the health system.
所有加拿大人中有一半会在人生的某个阶段患上癌症。在过去十年中，随着治疗方案有效性的提高和复杂性的增加，这些发病率大幅上升。因此，患者获得早期诊断和持续护理的需求从未如此重要。在艾伯塔省，过去7年中转诊至肿瘤专科护理的人数增加了18%，而肿瘤医疗保健专业人员的数量却没有相应增加。肿瘤护理获取和医护人员招聘方面的挑战并非艾伯塔省独有。2004年，艾伯塔省癌症护理中心，特别是十字癌症研究所（CCI），发起了一项专注于执业护士（NP）护理提供的倡议，旨在解决这些差距。本文的目的是描述四种不同的NP护理模式：指定模式、咨询模式、合作模式和最主要责任提供者（MRP模式），这些模式对CCI加强和扩大癌症护理服务做出了重大贡献。据我们所知，我们是第一个展示NP如何能够显著满足对专科肿瘤护理迅速增长的需求的。这项工作突出了NP护理的作用和范例，以满足癌症患者、多学科护理团队和卫生系统不断变化的需求。
