Establishing nurse-led active surveillance for men with localised prostate cancer: development and formative evaluation of a model of care in the ProtecT trial. Issue 9 (18th September 2015)

• Record Type: Journal Article
• Authors: Wade, Julia; Holding, Peter N; Bonnington, Susan; Rooshenas, Leila; Lane, J Athene; Salter, C Elizabeth; Tilling, Kate; Speakman, Mark J; Brewster, Simon F; Evans, Simon; Neal, David E; Hamdy, Freddie C; Donovan, Jenny L
• Other Names: author non-byline.; Bradshaw Lynne author non-byline.; Cooper Debbie author non-byline.; Elliott Emma author non-byline.; Herbert Pippa author non-byline.; Howson Joanne author non-byline.; Jones Mandy author non-byline.; Lennon Teresa author non-byline.; Lyons Norma author non-byline.; Moody Hilary author non-byline.; Plumb Claire author non-byline.; O'Sullivan Tricia author non-byline.; Salter Liz author non-byline.; Tidball Sarah author non-byline.; Thompson Pauline author non-byline.; Adam Tonia author non-byline.; Askew Sarah author non-byline.; Atkinson Sharon author non-byline.; Baynes Tim author non-byline.; Blaikie Jan author non-byline.; Brain Carole author non-byline.; Breen Viv author non-byline.; Brunt Sarah author non-byline.; Byrne Sean author non-byline.; Bytham Jo author non-byline.; Clarke Jenny author non-byline.; Cloete Jenny author non-byline.; Dark Susan author non-byline.; Davis Gill author non-byline.; De La Rue Rachael author non-byline.; Dewhurst Elspeth author non-byline.; Dimes Anna author non-byline.; Dixon Nicola author non-byline.; Ebbs Penny author non-byline.; Emmerson Ingrid author non-byline.; Ferguson Jill author non-byline.; Gadd Ali author non-byline.; Geoghegan Lisa author non-byline.; Grant Alison author non-byline.; Grant Collette author non-byline.; Gray Catherine author non-byline.; Godfrey Rosemary author non-byline.; Goodwin Louise author non-byline.; Hall Susie author non-byline.; Hart Liz author non-byline.; Harvey Andrew author non-byline.; Hoult Chloe author non-byline.; Hawkins Sarah author non-byline.; Holling Sharon author non-byline.; Innes Alasdair author non-byline.; Kilner Sue author non-byline.; Marshall Fiona author non-byline.; Mellen Louise author non-byline.; Moore Andrea author non-byline.; Napier Sally author non-byline.; Needham Julie author non-byline.; Pearse Kevin author non-byline.; Pisa Anna author non-byline.; Rees Mark author non-byline.; Richards Elliw author non-byline.; Robson Lindsay author non-byline.; Roxburgh Janet author non-byline.; Samuel Nikki author non-byline.; Sharkey Irene author non-byline.; Slater Michael author non-byline.; Smith Donna author non-byline.; Tagart Pippa author non-byline.; Taylor Helen author non-byline.; Taylor Vicky author non-byline.; Thomas Ayesha author non-byline.; Tomkies Briony author non-byline.; Trewick Nicola author non-byline.; Ward Claire author non-byline.; Walker Christy author non-byline.; Williams Ayesha author non-byline.; Woodhouse Colin author non-byline.; Wyber Elizabeth author non-byline.; Aning John author non-byline.; Bollina Prasad author non-byline.; Catto Jim author non-byline.; Doble Andrew author non-byline.; Doherty Alan author non-byline.; Durkan Garett author non-byline.; Gillatt David author non-byline.; Hughes Owen author non-byline.; Kockelbergh Roger author non-byline.; Kynaston Howard author non-byline.; Leung Hing author non-byline.; Paez Edgar author non-byline.; Paul Alan author non-byline.; Persad Raj author non-byline.; Powell Philip author non-byline.; Prescott Stephen author non-byline.; Rosario Derek author non-byline.; Schwaibold Hartwig author non-byline.; Tulloch David author non-byline.; Wallace Mike author non-byline.;
• Is Part Of: BMJ open. Volume 5:Issue 9(2015)
• Publication Date: 2015-09-18
• Subjects: UROLOGY; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2015-008953
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Objectives: To develop a nurse-led, urologist-supported model of care for men managed by active surveillance or active monitoring (AS/AM) for localised prostate cancer and provide a formative evaluation of its acceptability to patients, clinicians and nurses. Nurse-led care, comprising an explicit nurse-led protocol with support from urologists, was developed as part of the AM arm of the Prostate testing for cancer and Treatment (ProtecT) trial. Design: Interviews and questionnaire surveys of clinicians, nurses and patients assessed acceptability. Setting: Nurse-led clinics were established in 9 centres in the ProtecT trial and compared with 3 non-ProtecT urology centres elsewhere in UK. Participants: Within ProtecT, 22 men receiving AM nurse-led care were interviewed about experiences of care; 11 urologists and 23 research nurses delivering ProtecT trial care completed a questionnaire about its acceptability; 20 men managed in urology clinics elsewhere in the UK were interviewed about models of AS/AM care; 12 urologists and three specialist nurses working in these clinics were also interviewed about management of AS/AM. Results: Nurse-led care was commended by ProtecT trial participants, who valued the flexibility, accessibility and continuity of the service and felt confident about the quality of care. ProtecT consultant urologists and nurses also rated it highly, identifying continuity of care and resource savings as key attributes. Clinicians and patients outside the ProtecT trial believed that nurse-led care could relieve pressure on urology clinics without compromising patient care. Conclusions: The ProtecT AM nurse-led model of care was acceptable to men with localised prostate cancer and clinical specialists in urology. The protocol is available for implementation; we aim to evaluate its impact on routine clinical practice. Trial registration numbers: NCT02044172; ISRCTN20141297 .