A community oncology nursing programme was developed in Ireland between
the hospital and community health services for. Patients receiving systemic
cancer therapy in response, to a service need. A robust evaluation of the pilot
programme was. Undertaken which found, that defined clinical procedures
traditionally undertaken in hospitals were safely undertaken in. The patient 's
.Home with no adverse effects. There was a dramatic decrease in hospital
attendances for these defined, clinical procedures. And hospital capacity
was consequently freed up. Patients valued having aspects of their care
delivered at home and reported. That it improved their quality, of life including
reduced hospital visits and travel time. Community nurses expanded their
.Scope of practice and became partners with oncology day-ward nurses in
caring for these patients. Community nurses developed. The competence and
confidence to safely deliver cancer care in the community. This initiative
shows that defined elements. Of acute cancer care can be safely delivered in
the community so long as the training and support are provided. The findings
.And recommendations of the evaluation resulted in University Accreditation
and approval for national roll-out of the, programme. Integration of services
between primary and secondary care is a key priority.This innovative
programme is a good example. Of shared integrated care that benefits both
patients and health-care providers.
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