An integrative framework to support the assessment function of Quebec’s pivot nurses in oncology

Brigitte Fournier, Sébastien Simard, Anne-Marie Veillette, Lise Fillion


In Quebec, one of the key functions of pivot nurses in oncology (PNOs) is assessing the needs of people living with cancer and their families. An integrative framework is proposed to support and guide this function. This framework has been constructed from recommendations by health organizations, scientific communities and theoretical models of nursing. It was then commented upon and improved with articles about oncology nursing practice. The proposed integrative framework includes six dimensions: assessment goals, assessed individuals, assessment time points, assessment content, assessment process, and utilization of results. This is an innovative framework that structures all of the elements required for PNOs’ assessment practice.

Key words: pivot nurse in oncology (PNO), assessment, overall needs, theoretical model, cancer

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