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The Modern Role of the Clinical Nurse Specialist in Colorectal Cancer in a District General Hospital

  • Localized Colorectal Cancer (R Glynne-Jones, Section Editor)
  • Published:
Current Colorectal Cancer Reports

Abstract

Clinical nurse specialists play an important part in the provision of care to patients with a diagnosis of colorectal cancer and their families. This article aims to explore the role of the colorectal cancer clinical nurse specialist throughout the patient’s journey from diagnosis, through treatment, and into survivorship.

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References

Papers of particular interest, published recently, have been highlighted as: •• Of major importance

  1. National Institute for Health and Care Excellence. Colorectal cancer: the diagnosis and management of colorectal cancer. Clinical guideline CG131. http://guidance.nice.org.uk/CG131 (2011). Accessed 12 Oct 2013.

  2. Knowles G, Sherwood L, Dunlop M, Dean G, Jodrell D, McLean C, et al. Developing and piloting a nurse-led model of follow-up in the multidisciplinary management of colorectal cancer. Eur J Oncol Nurs. 2007;11:212–23.

    Article  PubMed  Google Scholar 

  3. Foskett K. The role of the colorectal and stoma clinical nurse specialist. J Community Nurs. 2012;26(6):11–2.

    Google Scholar 

  4. Cornish JA, Tilney HS, Heriot AG, Lavery IC, Fazio VW, Tekkis PP. A meta-analysis of quality of life for abdomino-perineal excision of rectum versus anterior resection for rectal cancer. Ann Surg Oncol. 2007;14(7):2056–68.

    Article  PubMed  Google Scholar 

  5. Department of Health. Equity and excellence: liberating the NHS. 2010. https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213818/dh_118610.pdf. Accessed 10 Oct 2013.

  6. Bossema E, Stiggelbout A, Baas-Thijssen M, van de Veld C, Marijnen C. Patients’ preferences for low rectal cancer surgery. Eur J Surg Oncol. 2008;34(1):42–8.

    Article  CAS  PubMed  Google Scholar 

  7. Cook S, Fillion L, Fitch M, et al. Core areas of practice and associated competencies for nurses working as professional cancer navigators. Can Oncol Nurs J. 2013;23(1):44–62.

    Article  PubMed  Google Scholar 

  8. Castledine G. The development of the role of the clinical nurse specialist in the UK. Br J Nurs. 2002;11(7):506–8.

    Article  PubMed  Google Scholar 

  9. Swan E. The role of the colorectal nurse specialist. In: Swan E, editor. Colorectal cancer. London: Whurr; 2005. p. 1–12.

    Google Scholar 

  10. Farrell C, Molassiotis A, Beaver K, Heaven C. Exploring the scope of oncology specialist nurses’ practice in the UK. Eur J Oncol Nurs. 2011;15(2):160–6.

    Article  PubMed  Google Scholar 

  11. Royal College of Nursing. Clinical nurse specialists: adding value to care. An executive summary. London: Royal College of Nursing; 2010.

  12. Oliver S, Leary A. Return of investment: workload, complexity and value of the CNS. Br J Nurs. 2012;21(1):32–7.

    Article  PubMed  Google Scholar 

  13. Hamric AB, Spross JA. The clinical nurse specialist in theory and practice. 2nd ed. Philadelphia: Saunders; 1989.

    Google Scholar 

  14. Ball J. Maxi nurses: advanced and specialist nursing roles. Results from a survey of RCN members in advanced and specialist nursing roles. Royal College of Nursing. 2005. http://www.rcn.org.uk/__data/assets/pdf_file/0007/194713/maxi_nurses_advanced.pdf. Accessed 10 Oct 2013.

  15. Leary A, Crouch H, Lezard A, Rawcliffe C, Boden L, Richardson A. Dimensions of clinical nurse specialist work in the UK. Nurs Stand. 2009;23(15–17):40–4.

    Google Scholar 

  16. Department of Health. Cancer reform strategy. 2007. http://www.nhs.uk/NHSEngland/NSF/Documents/Cancer%20Reform%20Strategy.pdf. Accessed 16 Nov 2013.

  17. Vidall C, Barlow H, Crowe M, Harrison I, Young A. Clinical nurse specialists: essential resource for an effective NHS. Br J Nurs. 2011;20(17):S23–7.

    Article  PubMed  Google Scholar 

  18. National Cancer Action Team. Quality in nursing. Excellence in cancer care: the contribution of the clinical nurse specialist. Department of Health. 2010. http://www.cancernurse.eu/documents/NCATMacmillanReportOctober2010.pdf. Accessed 3 Oct 2013.

  19. Benner P. From novice to expert: excellence and power in clinical nursing practice. Menlo Park: Addison-Wesley; 1984.

    Google Scholar 

  20. National Institute for Health and Care Excellence. Improving outcomes in colorectal cancers. 2004. www.nice.org.uk/nicemedia/live/10895/28832/28832.pdf. Accessed 12 Nov 2013.

  21. Linsley P, Morton S. Managed care: a structured approach. Nurs Stand. 2014;28(19):37–42.

    Article  PubMed  Google Scholar 

  22. Department of Health. Cancer Patient experience survey 2011/12. 2012. Available from: http://www.ncin.org.uk/cancer_information_tools/cancer_patient_experience. Accessed 4 Oct 2013.

  23. Wagner E, Ludman E, Aiello Bowles E, Penfold R, Reid R, Rutter C, et al. Nurse navigators in early cancer care: a randomized, controlled trial. J Clin Oncol. 2013;32(1):12–8.

    Article  PubMed  Google Scholar 

  24. Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R. Continuity of care: a multidisciplinary review. BMJ. 2003;327:1219–21.

    Article  PubMed Central  PubMed  Google Scholar 

  25. Dalton R, Forsyth N, Vickery C, Eyre-Brook I. Assessing patients’ views of a dedicated colorectal cancer clinic. Cancer Nurs Pract. 2010;9(9):33–6.

    Article  Google Scholar 

  26. Edwards K. Role of the clinical nurse specialist in the multidisciplinary team. Cancer Nurs Pract. 2011;10(10):22–6.

    Article  Google Scholar 

  27. Skrutkowski M, Saucier A, Eades M, Swidzinski M, Ritchie J, Marchionni C, et al. Impact of a pivot nurse in oncology on patients with lung or breast cancer: symptom distress, fatigue, quality of life, and use of healthcare resources. Oncol Nurs Forum. 2008;35(6):948–54.

    Article  PubMed  Google Scholar 

  28. Corner J, Wagland R, Glaser A, Richards M. Qualitative anaylsis of patients’ feedback from a PROMs survey of cancer patients in England. BMJ Open. 2013;3:e002316. doi:10.1136/bmjopen-2012-002316.

    Article  PubMed Central  PubMed  Google Scholar 

  29. National Cancer Action Team. Holistic needs assessment for people with cancer. 2011. http://www.ncsi.org.uk/wp-content/uploads/Holistic-Needs-Assessment-practical-guide.pdf. Accessed 3 Jan 2014.

  30. National Institute for Health and Care Excellence. Improving supportive and palliative care for adults with cancer: the manual. 2004. NICE. http://www.nice.org.uk/nicemedia/live/10893/28816/28816.pdf. Accessed 4 Jan 2014.

  31. Macmillan Cancer Support. Cancer clinical nurse specialists: an evidence review. 2011. http://www.macmillan.org.uk/Documents/AboutUs/Commissioners/ClinicalNurseSpecialistsAnEvidenceReview2012.pdf. Accessed 6 Jan 2014.

  32. Sollner W, DeVries A, Steixner E, Lukas P, Rumpold G, Maislinger S. How successful are oncologists in identifying patient distress, perceived social support, and need for psychosocial counselling? Br J Cancer. 2001;84(2):179–85.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  33. Taflampas P, Christodoulakis M, de Bree E, Melissas J, Tsiftsis DD. Preoperative decision making for rectal cancer. Am J Surg. 2010;200(3):426–32.

    Article  PubMed  Google Scholar 

  34. Taylor C. Best practice in colorectal cancer care. Nurs Times. 2012;108(12):22–5.

    PubMed  Google Scholar 

  35. Renehen AG, Egger M, Saunders MP, O’Dwyer ST. Impact on survival of intensive follow-up after curative resection for colorectal cancer; systematic review and meta-analysis of randomised trials. BMJ. 2002;324:813.

    Article  Google Scholar 

  36. Strand E, Nygren I, Bergkvist L, Smedh K. Nurse or surgeon follow-up after rectal cancer: a randomised trial. Colorectal Dis. 2011;13:999–1003.

    Article  CAS  PubMed  Google Scholar 

  37. McFarlane K, Dixon L, Wakeman CJ, Robertson GM, Eglinton TW, Frizelle FA. The process and outcomes of a nurse-led colorectal cancer follow-up clinic. Colorectal Dis. 2011;14:e245–9.

    Article  Google Scholar 

  38. Beaver K, Latif S, Wilkinson S, Procter D, Sheridan J, Heath J, et al. An exploratory study of the follow-up care needs of patients treated for colorectal cancer. J Clin Nurs. 2010;19:3291–300.

    Article  PubMed  Google Scholar 

  39. Wilkinson S, Sloan K. Patient satisfaction with colorectal cancer follow-up system: an audit. Br J Nurs. 2009;18(1):40–4.

    Article  PubMed  Google Scholar 

  40. Wong FKY, Chung LCY. Establishing a definition for a nurse-led clinic: structure, process and outcome. J Adv Nurs. 2006;53(3):358–69.

    Article  PubMed  Google Scholar 

  41. Taylor C. Reviewing the follow-up care of colorectal cancer patients. Gastrointest Nurs. 2008;6(5):29–34.

    Article  Google Scholar 

  42. Emmertsen KJ, Laurberg S. Low anterior resection syndrome score. Ann Surg. 2012;255(5):922–8.

    Article  PubMed  Google Scholar 

  43. National Cancer Survivorship Initiative. Patient reported outcome measures. 2013. http://www.ncsi.org.uk/what-we-are-doing/proms/. Accessed 7 Jan 2014.

  44. Desnoo L, Faithfull S. A qualitative study of anterior resection syndrome; the experiences of cancer survivors who have undergone resection surgery. Eur J Cancer Care. 2006;15:244–51.

    Article  CAS  Google Scholar 

  45. Landers M, Savage E, McCarthy G, Fitzpatrick J. Self-care strategies for the management of bowel symptoms following sphincter-saving surgery for rectal cancer. Clin J Oncol Nurs. 2011;15(6):105–13.

    Article  Google Scholar 

  46. Nikoletti S, Young J, Levitt M, King M, Chidlow C, Hollingsworth S. Bowel problems, self-care practices, and information needs of colorectal cancer survivors at 6 to 24 months after sphincter saving surgery. Cancer Nurs. 2008;31(5):389–98.

    Article  PubMed  Google Scholar 

  47. Andreyev HJN, Davidson SE, Gillespie C, Allum WH, Swarbrick E. Practice guidance on the management of acute and chronic gastrointestinal problems arising as a result of treatment for cancer. Gut. 2012;61:179–92. doi:10.1136/gutjnl-2011-300563. This highlights problems patients can experience with late effects of treatment, with practical guidance and information to promote a more consistent multidisciplinary management approach, and enhance patient care.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  48. Taylor C. Patient satisfaction with information on late effects. Cancer Nurs Pract. 2014;13(1):16–22.

    Article  Google Scholar 

  49. Macmillan Cancer Support. Cancer survivorship. 2009. http://www.macmillan.org.uk/Documents/HowWeCanHelp/Get_support/nursingtimessurvivorshipsupplement.pdf. Accessed 6 Dec 2013.

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Conflict of Interest

Angela Wheeler declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by the author.

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Authors and Affiliations

  1. Barnet Hospital, Barnet, UK

    Angela Wheeler

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  1. Angela Wheeler
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Correspondence to Angela Wheeler.

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Wheeler, A. The Modern Role of the Clinical Nurse Specialist in Colorectal Cancer in a District General Hospital. Curr Colorectal Cancer Rep 10, 140–146 (2014). https://doi.org/10.1007/s11888-014-0211-z

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