Patients' and professionals' experiences with advanced practice nursing in cancer care: qualitative study

Abstract

Purpose: The growing complexity of cancer treatments requires changes in how care is organized and who provides it. The incorporation of advanced practice nursing roles within multidisciplinary teams can improve care in cancer patients. This study aims to understand the lived experience of cancer patients and multidisciplinary professionals in relation to the care provided by the advanced practice nurse. Methods: Phenomenological qualitative study. Data were collected through in-depth interviews and a field diary. Participants were recruited through convenience sampling; until theoretical data saturation was achieved. An interpretative phenomenological analysis was performed, following Guba and Lincoln's criteria for trustworthiness. Results: Interviews were performed with 18 professionals and 11 patients, from highcomplexity public hospitals between March-December 2021. The main themes that emerged were: advanced practice nurse role and competencies, Benefits provided by the APN, and Relevant aspects of nursing care. Conclusion: Advanced practice nurses play a fundamental role in cancer care, making positive contributions to the patient experience and to the multidisciplinary team's work. Elucidating the contribution of advanced practice nurses in oncology will facilitate the definition of their specific competencies and, in turn, the implementation of training and management strategies to consolidate this figure in specialized centers.