The Role of the Specialist Breast Nurse

  • Rosalind Dolores Benedet


The physician beginning practice in an outpatient breast oncology setting may be bewildered initially by the number of non-physician health professionals, their designations, and their roles. This chapter begins with a brief overview of educational levels and scope of clinical practice for the medical assistant (MA), registered nurse (RN), nurse practitioner (NP), and physician assistant (PA) in an outpatient breast oncology setting. This chapter then focuses on the role of the specialist breast nurse and reviews ways by which this advanced practice oncology nurse can facilitate patient cancer care and enhance a breast surgeon’s practice.


Axillary Lymph Node Dissection Specialist Breast Advance Practice Nurse Nursing Role Breast Care Nurse 
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  1. 1.
    Oncology Nursing Society. Position statement: the role of advanced practice nurses in oncology care. Pittsburgh: Oncology Nursing Society. 2007. Accessed 9 March 2009.
  2. 2.
    National Breast Cancer Center’s Specialist Breast Nurse Project Team. An evidence-based specialist breast nurse role in practice: a multicentre implementation study. Eur J Cancer Care. 2003;12:91–7.CrossRefGoogle Scholar
  3. 3.
    Maguire P, Tait A, Brooke M, Thomas C, Sellwood R. Effect of counseling on the psychiatric morbidity associated with mastectomy. Br Med J. 1980;281:1454–6.PubMedCrossRefGoogle Scholar
  4. 4.
    Maguire P, Brook M, Tait A, Thomas C, Sellwood R. The effect of counselling on physical disability and social recovery after mastectomy. Clin Oncol. 1983;9:319–24.PubMedGoogle Scholar
  5. 5.
    Clacey R, Thomas C, Pearson H. Does counseling by nurse for mastectomy patients work? In: Watson M, Greer S, Thomas C, editors. Physchosocial oncology. Oxford: Pergamon; 1988. p. 159–68.Google Scholar
  6. 6.
    Watson M, Denton S, Baum M, Greer S. Counselling breast cancer patients: a specialist nurse service. Counsel Psychol Q. 1988;1:25–34.CrossRefGoogle Scholar
  7. 7.
    McArdle JM, George WD, McArdle CS, et al. Psychological support for patients undergoing breast cancer surgery: a randomized study. BMJ. 1996;312:813–6.PubMedCrossRefGoogle Scholar
  8. 8.
    Chelf J, Agre P, Axelrod A, et al. Cancer-related patient education: an overview of the last decade of evaluation and research. Oncol Nurs Forum. 2001;28(7):1139–46.PubMedGoogle Scholar
  9. 9.
    Amir Z, Scully J, Borrill C. The professional role of breast cancer nurses in multi-disciplinary breast cancer care teams. Eur Nurs Soc. 2004;8:306–14.CrossRefGoogle Scholar
  10. 10.
    Poole K. The evolving role of the clinical nurse specialist within the comprehensive breast cancer center. J Clin Nurs. 1996;5(6):341–9.PubMedCrossRefGoogle Scholar
  11. 11.
    Burnet K, Chapman D, Wishart G, Purushotham A. Nurse specialist in breast care: a developing role. Nurs Stand. 2004;18(45):38–42.PubMedGoogle Scholar
  12. 12.
    National Health and Medical Research Council. Psychosocial clinical practice guidelines: information, support and counseling for women with breast cancer. Canberra: National Health and Medical Council; 2000. p. 53.Google Scholar
  13. 13.
    National Breast Cancer Center. Specialist breast nurses: an evidence based model for Australian practice. Sydney: National Breast Cancer Center. 2000. Accessed 9 March 2009.
  14. 14.
    Szwajcer A, Hannan R, Donoghue J, Mitten-Lewis S. Evaluating key dimensions of the breast care nurse role in Australia. Nurs Care. 2004;27(1):79–84.Google Scholar
  15. 15.
    Liebert B, Parle M, White K, Rodger A. Establishing an evidence base for the specialist breast nurse: a model for Australian breast cancer care. Aust Health Rev. 2001;24(1):192–9.PubMedCrossRefGoogle Scholar
  16. 16.
    Garvican L, Grimsey E, Littlejohns P, Lowndes S, Sacks N. Satisfaction with clinical nurse specialists in a breast care clinic: questionnaire survey. Br Med J. 1998;316(7136):976–7.CrossRefGoogle Scholar
  17. 17.
    Koinberg I, Fridlund B, Engholm G, Holmberg L. Nurse-led follow-up on demand or by a physician after breast cancer surgery: a randomized study. Eur Oncol Nurs Soc. 2004;8:109–17.CrossRefGoogle Scholar
  18. 18.
    James ND, Guerrero D, Brada M. Who should follow-up cancer patients? Nurse specialist based outpatient care and the introduction of the phone system. Clin Oncol. 1994;6:283–7.CrossRefGoogle Scholar
  19. 19.
    Earnshaw J, Stephenson Y. First two years of a follow-up breast clinic led by a nurse practitioner. J R Soc Med. 1997;90:258–9.PubMedGoogle Scholar
  20. 20.
    Loftus L, Weston V. The development of nurse-led clinics in cancer care. J Clin Nurs. 2001;10:215–20.PubMedCrossRefGoogle Scholar
  21. 21.
    Steele JE. Issues in collaborative practice. Orlando: Grune & Statton; 1960.Google Scholar
  22. 22.
    Strusowski P. A multidisciplinary model for cancer care management. Oncol Nurs Forum. 2006;33(4):697–700.PubMedCrossRefGoogle Scholar
  23. 23.
    Spross J, Heane A. Shaping advance nursing practice in the new millennium. Sem Oncol Nurs. 2000;16(1):12–24.CrossRefGoogle Scholar

Copyright information

© Springer New York 2010

Authors and Affiliations

  1. 1.Stanford Cancer CenterStanfordUSA

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