Oncology nursing and nurse-led care
Specialist nurses deliver most cancer treatment and much of its safety, education and support; nurse-led clinics, navigation and symptom management improve outcomes and are the backbone of care in low-resource settings.
Oncology nurses administer chemotherapy and immunotherapy (ONS/ASCO safety standards), manage toxicities, educate patients, coordinate care and lead follow-up. Evidence: nurse navigation improves timeliness and satisfaction and reduces disparities (Freeman, Harlem 1990); nurse-led follow-up is as safe as physician follow-up in breast and lung cancer; advanced practice nurses expand capacity; nurse-led telephone triage and PRO monitoring reduce admissions. Global shortages (WHO 'State of the World's Nursing') and task-shifting in LMICs (e.g. nurse-delivered chemotherapy in Rwanda, Malawi) make nursing the rate-limiting resource for expanding cancer care. Specialty certification (OCN), the Oncology Nursing Society (US), EONS (Europe) and ISNCC (global) set standards.
How it works
Competency-based specialist nursing practice across the pathway (administration, toxicity management, education, navigation, survivorship, palliative care), with expanded roles where physician capacity is limited.
- Nurse navigation and nurse-led follow-up have randomised and observational support
- Scalable in LMICs through task-shifting
- Central to safety of high-risk therapies (CAR-T, immunotherapy)
- Global shortage and burnout
- Scope-of-practice restrictions vary
- Under-recognised in research and funding
Latest papers
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