@article{1d632f3d030e4ffaa703b9a90b5de2fb,
title = "Establishing nurse-led active surveillance for men with localised prostate cancer: Development and formative evaluation of a model of care in the ProtecT trial",
abstract = "Objectives: To develop a nurse-led, urologistsupported model of care for men managed by active surveillance or active monitoring (AS/AM) for localised prostate cancer and provide a formative evaluation of its acceptability to patients, clinicians and nurses. Nurse-led care, comprising an explicit nurse-led protocol with support from urologists, was developed as part of the AM arm of the Prostate testing for cancer and Treatment (ProtecT) trial. Design: Interviews and questionnaire surveys of clinicians, nurses and patients assessed acceptability. Setting: Nurse-led clinics were established in 9 centres in the ProtecT trial and compared with 3 non-ProtecT urology centres elsewhere in UK. Participants: Within ProtecT, 22 men receiving AM nurse-led care were interviewed about experiences of care; 11 urologists and 23 research nurses delivering ProtecT trial care completed a questionnaire about its acceptability; 20 men managed in urology clinics elsewhere in the UK were interviewed about models of AS/AM care; 12 urologists and three specialist nurses working in these clinics were also interviewed about management of AS/AM. Results: Nurse-led care was commended by ProtecT trial participants, who valued the flexibility, accessibility and continuity of the service and felt confident about the quality of care. ProtecT consultant urologists and nurses also rated it highly, identifying continuity of care and resource savings as key attributes. Clinicians and patients outside the ProtecT trial believed that nurse-led care could relieve pressure on urology clinics without compromising patient care. Conclusions: The ProtecT AM nurse-led model of care was acceptable to men with localised prostate cancer and clinical specialists in urology. The protocol is available for implementation; we aim to evaluate its impact on routine clinical practice.",
author = "Julia Wade and Holding, {Peter N.} and Susan Bonnington and Leila Rooshenas and Lane, {J. Athene} and Salter, {C. Elizabeth} and Kate Tilling and Speakman, {Mark J.} and Brewster, {Simon F.} and Simon Evans and Neal, {David E.} and Hamdy, {Freddie C.} and Donovan, {Jenny L.} and {ProtecT Study Group} and Lynne Bradshaw and Debbie Cooper and Emma Elliott and Pippa Herbert and Joanne Howson and Mandy Jones and Teresa Lennon and Norma Lyons and Hilary Moody and Claire Plumb and Tricia O'Sullivan and Liz Salter and Sarah Tidball and Pauline Thompson and Tonia Adam and Sarah Askew and Sharon Atkinson and Tim Baynes and Jan Blaikie and Carole Brain and Viv Breen and Sarah Brunt and Sean Byrne and Jo Bytham and Jenny Clarke and Jenny Cloete and Susan Dark and Gill Davis and {De La Rue}, Rachael and Elspeth Dewhurst and Anna Dimes and Nicola Dixon and Penny Ebbs and Ingrid Emmerson and Jill Ferguson and Ali Gadd and Lisa Geoghegan and Alison Grant and Collette Grant and Catherine Gray and Rosemary Godfrey and Louise Goodwin and Susie Hall and Liz Hart and Andrew Harvey and Chloe Hoult and Sarah Hawkins and Sharon Holling and Alasdair Innes and Sue Kilner and Fiona Marshall and Louise Mellen and Andrea Moore and Sally Napier and Julie Needham and Kevin Pearse and Anna Pisa and Mark Rees and Elliw Richards and Lindsay Robson and Janet Roxburgh and Nikki Samuel and Irene Sharkey and Michael Slater and Donna Smith and Pippa Tagart and Helen Taylor and Vicky Taylor and Ayesha Thomas and Briony Tomkies and Nicola Trewick and Claire Ward and Christy Walker and Ayesha Williams and Colin Woodhouse and Elizabeth Wyber and John Aning and Prasad Bollina and Jim Catto and Andrew Doble and Alan Doherty and Garett Durkan and David Gillatt and Owen Hughes and Roger Kockelbergh and Howard Kynaston and Hing Leung and Edgar Paez and Alan Paul and Raj Persad and Philip Powell and Stephen Prescott and Derek Rosario and Hartwig Schwaibold and David Tulloch and Mike Wallace",
note = "Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",
year = "2015",
month = sep,
day = "18",
doi = "10.1136/bmjopen-2015-008953",
language = "English",
volume = "5",
pages = "1--9",
journal = "BMJ Open",
issn = "2044-6055",
publisher = "British Medical Journal Publishing Group",
number = "9",
}