What is the impact and effectiveness of the 7-day CNS service on palliative care patients and their families? A rapid review

Mann, Mala, Woodward, Amanda, Lewis, Mel and Byrne, Anthony 2018. What is the impact and effectiveness of the 7-day CNS service on palliative care patients and their families? A rapid review. [Working Paper]. Cardiff: Cardiff University.

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Abstract

Palliative care clinical nurse specialists (CNSs) across care settings work within a multi-professional specialist palliative care service to offer support and symptom control to patients with life-threatening illness, and their families. Traditionally this CNS service had been available during working hours 5 days a week. In 2004, NICE Guidance on supportive and palliative care in cancer recommended the extension of this service to 7 days a week, acknowledging the likely need for ongoing face to face patient reviews across weekends. However, the extent of that need was not defined, nor did it take account of the increasing non-cancer workload of these services. In subsequent years specialist teams across the UK have responded to the guidance by introducing 7 day - 09.00-17.00 - CNS working, acknowledging the significant challenges of addressing uncertain need, scarcity of resource and potential impact on other parts of service delivery. The purpose of this rapid review is to examine how these challenges have been met, and whether there is evidence that particular models of 7 day CNS working best address the specific needs of patients and families within the context of overall care provision at weekends. The review has been requested as part of a local service evaluation to support and inform 7 day CNS working within Wales.

Item Type:	Monograph (Working Paper)
Date Type:	Publication
Status:	Unpublished
Schools:	Medicine Academic & Student Support Service Marie Curie Palliative Care Research Centre (MCPCRC)
Uncontrolled Keywords:	Palliative care,Clinical Nurse Specialists
Additional Information:	Report uploaded to WCRC PaCERS website: https://walescancerresearchcentre.org/pacers/
Publisher:	Cardiff University
Funders:	Health and Care Research Wales through the Wales Cancer Research Centre
Date of First Compliant Deposit:	13 February 2023
Last Modified:	13 Feb 2023 14:15
URI:	https://orca.cardiff.ac.uk/id/eprint/156124

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