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  P3.07 - Nursing and Allied Professionals (Not CME Accredited Session) (ID 973)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/26/2018, 12:00 - 13:30, Exhibit Hall

  • 27542

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    P3.07-02 - Expectations, Standards and Performance Framework to Support the Lung Cancer Support Nurse in Lung Foundation Australia (ID 13067)

    12:00 - 13:30  |  Author(s): Claire Mulvihill
    • Abstract
    • Slides

    Background
    

    A project initiated by Lung Foundation Australia (LFA) in 2015 entitled, Nurse-Led Lung Cancer Support Service commenced with four key objectives and limited other structure. A Lung Cancer Support Nurse (LCSN) was appointed to implement the project. To succeed, the LCSN required role definition. Given the novelty of the LCSN role in LFA and the scarcity of practice guidelines relative to similar roles in other organisations, an Expectations, Standards and Performance Framework (the framework) was developed.

    The framework supports the LCSN role with a theoretically sound, contextually relevant, empirically informed, "living" document where activity is captured, evaluated and used to inform practice and improve consumer outcomes.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    Key questions directed an extensive literature search:

    1) What structural features are required in a practice framework to meet LCSN, consumer and organisation needs?

    2) How might a framework function to meet these needs in a real time and ongoing manner?

    Ritchie and Spencer’s (1994) concept of Framework, which dictates the use of a tool such as Excel spreadsheet, inspired the “physical” construction of this framework. The approach offers practical, analytical and visual utilities to the data corpus.

    Three dominant pillars within the framework represent LCSN practice expectations, standards and performance. Data entered relevant to these areas of practice directly relate to the four key objectives of the project and an additional six objectives, defined as the role has evolved due to increasing consumer demand. As descriptive data are entered into the framework, they are evaluated against key lung cancer nursing literature for appropriateness of scope and purpose of the role. As activity data are entered, they are evaluated against organisation, practitioner and consumer driven indicators to ensure needs are met and improvements made.

    4c3880bb027f159e801041b1021e88e8 Result
    

    The framework is contextualised to the role and setting and in doing so is intricately linked to the business of the organisation, LCSN practice and consumer outcomes. The framework offers the organisation an infrastructure, benchmarking and service development document. The framework provides the LCSN an ability to create a work environment that supports excellence in all aspects of practice, including scope of practice and decision-making, and capabilities development. In collaboration with consumers, the framework defines clear expectations about the engagement required by the LCSN to meet needs and improve outcomes.

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    The framework is an empowering tool for the LCSN, LFA leadership team and consumers. Its potential applicability to other roles and settings furthermore makes the framework a valuable body of work.

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