Email this article 
Contribution of the pivot nurse in oncology to the experience of receiving a diagnosis of cancer by the patient and their loved ones
Abstract
The announcement of a cancer diagnosis represents a difficult situation for the patient, their loved ones and professionals (Reich, Vennin & Belkacémie, 2008). Until now, few studies have described nurses’ contribution to this critical moment along the care trajectory (Tobin, 2012) and even fewer, the contribution of the pivot nurse in oncology (OPN) or infirmière pivot en oncologie (PNO) as this specialist is called in Quebec. This study aims to document the OPN’s contribution to the cancer experience of the patient and their loved ones, from the time the diagnosis is communicated to the period immediately following (four to six weeks). Fourteen PNOs from a Montreal university health centre took part in two individual interviews. Results show that PNOs offer personalized support which draws on their expertise to better understand the experience lived by patients and their loved ones, and adapt their interventions according to their needs and the timing of these interventions. These results support issuing three recommendations for nursing practice in the areas of PNOs; development of expertise, interprofessional collaboration and environment.
Key words: Pivot nurse in oncology, infirmière pivot en oncologie, nursing contribution, announcement of diagnosis, cancer
Full Text:
PDFReferences
Baile, W.F., Buckman, R., Lenzi, R., Glober, G., Beale G. & Kudelka,
A.P. (2000). SPIKES—A six-step protocol for delivering bad news:
Application to the patient with cancer. Oncologist, 5(4), 302-311.
doi:10.1634/theoncologist.5-4-302
Bettevy, F., Dufranc, C., & Hofmann, G. (2006). Critères de qualité de
l’annonce du diagnostic: point de vue des malades et de la Ligne
nationale contre le cancer. Risques et Qualité, III(2), 67–72.
Buckman, R. (1984). Breaking bad news: Why is it still so difficult?
British Medical Journal, 288(6430), 1597–1599.
Buckman, R.A. (2005). Breaking bad news: The S-P-I-K-E-S strategy.
Community Oncology, 2, 138–142.
Campbell, C., Craig, J., Eggert, J., & Bailey-Dorton, C. (2010).
Implementing and measuring the impact of patient navigation
at a comprehensive community cancer center. Oncology Nursing
Forum, 37(5), 61–68.
Caplan, G. (1964). Principles of preventive psychiatry. New York,
USA: Basic Books.
Cox, K., & Wilson, E. (2003). Follow-up for people with cancer: Nurseled
services and telephone interventions. Journal of Advanced
Nursing, 43(1), 51–61.
Cox, K., Wilson E., Heath L., Collier J., Jones L., & Johnston I. (2006).
Preferences for follow-up after treatment for lung cancer:
Assessing the nurse-led option. Cancer Nursing, 29(3), 176–87.
Delbanco, T., & Gerteis, M. (2013). A patient-centered view of the
clinician-patient relationship. Retrieved from www.uptodate.
De Serres, M., & Beauchênes, N. (2000). L’intervenant pivot en
oncologie: un rôle d’évaluation, d’information et de soutien pour
le mieux-être des personnes atteintes de cancer. Document de
réflexion. Québec : Conseil québécois de lutte contre le cancer.
Retrieved from http://www.msss.gouv.qc.ca/sujets/prob_sante/
cancer/download.php?f=0959e31602ca0ce39f59a1c335053678
Dias, L., Chabner, B.A. Lynch, T.L., & Penson, R.T. (2003). Breaking
bad news: A patient’s perspective. The Oncologist, 8(6), 587–596.
Direction de la lutte contre le cancer - DLCC. (2005). Les équipes
interdisciplinaires en oncologie – Avis – comité des équipes
interdisciplinaires de lutte contre le cancer (CEILCC). Édition
produite par : La Direction des communications du ministère
de la Santé et des Services sociaux du Québec. Gouvernement
du Québec. Retrieved from http://publicationsreseau.msss.rtss.
qc.ca/publications/2007/07-902-02.pdf
Direction de la lutte contre le cancer - DLCC. (2007). L’infirmière
pivot en oncologie. Programme de formation. Édition produite
par : La Direction des communications du ministère de la Santé
et des Services sociaux du Québec. Gouvernement du Québec.
Retrieved from http://publicationsreseau.msss.rtss.qc.ca/
publications/2007/07-902-02.pdf
Direction de la lutte contre le cancer - DLCC. (2008). Rôle
de l’infirmière pivot en oncologie. Comité consultatif des
infirmières en oncologie. Retrieved from http://www.
msss.gouv.qc.ca/sujets/prob_sante/cancer/download.
php?f=dc09f641d6c28a8b98d59439d1c3c475
Direction de la lutte contre le cancer - DLCC. (2011). Rapport
du comité d’oncologie psychosociale – vers des soins centrés
sur la personne. Édition produite par : La Direction des
communications du ministère de la Santé et des Services sociaux
du Québec. Gouvernement du Québec. Retrieved from http://
msssa4.msss.gouv.qc.ca/fr/document/publication.nsf/4b17
b3f849519c852568fd0061480d/8345f6bb97da7
a3185257893006488e9?OpenDocument
Dunniece, U., & Slevin, E. (2000). Nurses’ experiences of being
present with a patient receiving a diagnosis of cancer. Journal of
Advanced Nursing, 32(3), 611–613.
Duhamel, F. (2007). La santé et la famille. Une approche systémique
en soins infirmiers (2e éd.). Montréal, Canada : Gaëtan Marin
Editeur.
Eid, A., Petty, M., Hutchins, L., & Thompson, R. (2009). “Breaking
bad newsâ€: Standardized patient intervention improves
communication skills for haematology-oncology Fellows and
advanced practice nurses. Journal of Cancer Education, 24(2),
–159.
Fillion, L., de Serres, M., Cook, S., Goupil, R.L., Bairati, I., & Doll, R.
(2009). Professional patient navigation in head and neck cancer.
Seminars in Oncology Nursing, 25(3), 212–221.
Fillion, L., Cook, S., Veillette, A-M., Aubin, M., de Serres, M.,
Rainville, F., Fitch, M., & Doll, R. (2012). Professional
navigation: A comparative study of two Canadian models.
Canadian Oncology Nursing Journal, 22(4), 257–266.
doi:10.5737/1181912x224257266
Hébert, J., & Fillion, L. (2011a). Gaining a better understanding of
the support function of oncology nurse navigators from their
own perspective and that of people living with cancer: Part 1.
Canadian Oncology Nursing Journal, 21(1), 33–38.
Hébert, J., et Fillion, L. (2011b). Gaining a better understanding of
the support function of oncology nurse navigators from their
own perspective and that of people living with cancer: Part 2.
Canadian Oncology Nursing Journal, 21(2), 114–121.
Institut National du cancer (2009). Plan cancer 2009-2013. Édition
produite par : Le Ministère de l’enseignement supérieur et de
la recherche et le Ministère de la santé et des sports. French
Government. Retrieved from http://www.plan-cancer.gouv.fr/
images/stories/fichiers/plancancer20092013_02112009.pdf
Leadbeater, M. (2001). Information needs of patients with cancer.
Nursing Standard, 16(3), 33–35.
Lelto, R.H. (2012). The challenge of existential issues in acute care:
Nursing considerations for the patient with a new diagnosis of
atheataafasdfrjneeaaaltkjlung cancer. Clinical Journal of Oncology Nursing, 16(1). E4–E11.
Lockhart, K., Dosser, I., Cruickshank, S., & Kennedy, C. (2007).
Methods of communicating a primary diagnosis for breast cancer
to patients. Cochrane Database of Systematic Reviews, 2007,
Issue 3, Art. No: CD006011. doi:10.1002/14651858.CD006011.
pub2
McCulloch, P. (2004). The patient experience receiving bad news
from health professionals. Professional Nurse, 19(5), 276–280.
Miles, M.B., & Huberman, A.M. (2003). Analyse des données
qualitatives. Traduction de la 2e édition américaine par Martine
Hlady Rispal. Révision scientifique de Jean-Jacques Bonniol 2e
édition. Bruxelles, Belgique : Édition De Boeck Université.
Mystakidou, K., Parpa, E., Tsilika, E., Katsouda, E., & Vlahos, L.
(2004). Cancer information disclosure in different cultural
contexts. Support Care Cancer, 12(3), 147–154.
Overend, A., Khoo, K., Delorme, M., Krause, V., Avanessian, A., &
Saltman, D. (2008). Evaluation of a nurse-led telephone follow-up
clinic for patients with indolent and chronic hematological
malignancies: A pilot study. Canadian Oncology Nursing Journal,
(2), 64–68.
Paul, C.L., Clinton-McHarg, T., Sanson-Fisher, R.W., Douglas, H.,
& Webb, G. (2009). Are we there yet? The state of the evidence
base for guidelines on breaking bad news to cancer patients.
European Journal of Cancer, 45(17), 2960–2966.
Ptacek, J.T., & Ptacek, J.J. (2001). Patients’ perceptions of receiving
bad news about cancer. Journal of Clinical Oncology, 19(21),
–4164.
Radziewick, R., & Baile, W.F. (2001). Communication skill: Breaking
bad news in the clinical setting. Oncology Nursing Forum, 28(6),
–953.
Randall, T., & Wearn, A.M. (2005). Receiving bad news: Patients with
haematological cancer reflect upon their experience. Palliative
Medicine, 19(8), 594–601.
Rassin, M., Levy, O., Schwartz, T., & Silner, D. (2006). Caregivers’ role
in breaking bad news—Patients, doctors’ and nurses’ points of
view. Cancer Nursing, 29(4), 302–308.
Reich, M., Vennin, P., & Belkacémi, Y. (2008). L’annonce du diagnostic
de cancer : l’acte qui doit sceller le pacte de confiance médecinmalade.
Bulletin du Cancer, 95(9), 842–847.
Smutek, B. (2006). La consultation infirmière, dispositif d’annonce
de la maladie cancéreuse. Soins, 51(707), 52–53.
Stiefel, F., & Krenz, S. (2013). Psychological challenges for the
oncology clinician who has to break bad news. In New challenges
in communication with cancer patients, A. Surbone et al. (Eds.) pp
–62. doi:10.1007/978-1-4614-3369-9_5
Swanson, J., & Koch, L. (2010). The role of the oncology nurse
navigator in distress management of adult patients with cancer:
A retrospective study. Oncology Nursing Forum, 37(1), 69–75.
doi:10.1188/10.ONF.69-76
Thorant, C., & Arbonés-Hérédia, F. (2009). Une expérience infirmière
en consultation d’annonce. Soins, 54(736), 51.
Tivoli, B., Sanchez, B., Tardieu, S., Metellus, P., Sambuc, R., &
Chinot, O. (2005). Participation à l’expérimentation nationale
de l’annonce du diagnostic de cancer en neuro-oncologie :
implication et reconnaissance des soignants. Bulletin du Cancer,
(4), 373–380.
Tobin, G.A. (2012). Breaking bad news. Cancer Nursing, 35(6), E21–
E29. doi:10.1097/NCC.Ob013e318241921d
Tobin, G.A., & Begley, C. (2008). Receiving bad news—A
phenomenology exploration of the experience of receiving a
cancer diagnosis. Cancer Nursing, 31(5), E31–E37.
Warnock, C., Tod, A., Foster, J., & Soreny, C. (2010). Breaking bad news
inpatient clinical stings: Role of the nurse. Journal of Advanced
Nursing, 66(7), 1543–55. doi:10.1111/j.1365-2648.2010.05325.x
Wright, L.M., & Leahey, M. (2009). Nurses and families: A guide to
family assessment and intervention (5th ed.). Philadelphia, USA:
F.A. Davis Company Philadelphia.
Refbacks
- There are currently no refbacks.
