LBA3 - Expectations and acceptance of nurse practitioners regarding a health-recording digital platform. Semi-quantitative survey

Date 18 December 2016
Event ESMO Asia 2016 Congress
Session Supportive and palliative care
Presenter Alexandre Saadi
Citation Annals of Oncology (2016) 27 (suppl_9): ix190-ix191. 10.1093/annonc/mdw637
Authors A. Saadi1, K. Legeay1, S. Morin1, C. Aubaret1, M. Laurans1, F. Scotté1, C. Brami2, A. Charles Nelson2
  • 1Unité Fonctionnelle De Soins Oncologiques De Support, Hopital Européen Georges Pompidou, Expectations and acceptance of nurse practitioners regarding a health-recording digital platform. Semi-quantitative survey. - Paris/FR
  • 2Unité Fonctionnelle De Soins Oncologiques De Support, Hopital Européen Georges Pompidou, Paris/FR

Abstract

Background

To improve health coordination for patients with oncologic supportive care, we have designed a web health-recording digital platform called Next-Proche. Patients report outcomes that are analyzed and algorithms warn a hospital coordination nurse in case of issue. Patients’ outcomes are shared with all health caregivers allowed. The purpose of this study is measuring liberal nurses’ issues, expectations and acceptance of such a program.

Methods

A transversal semi-quantitative study by a web-design survey was performed among nurse practitioners by the Nurse Order. Others health caregivers were excluded. They were asked about their supportive care practices, management of alert, levels of information about supportive care, health records access and health organization. They also were asked about wishes about electronic health records on the digital platform.

Results

About 74 nurse practitioners completed the survey between May and August 2016. About 64.9% of them (IC95 [0.54–0.76]) used Internet during their daily work. General practitioner was the first resort for overall monitoring and in case of emergency at patient’s home (81.1%, IC95 [0.72–0.90]). They reported a lack of information about patients’ health (89.2%, IC95 [0.82–0.96]), health coordination, toxicity of oncologic specific treatments (87.8%, IC95 [0.80–0.95]). They also reported issues to call a practitioner in case of emergency. Services offered by the digital platform are recognized as basic components, including possibility to reach a practitioner (94.6%, IC95 [0.89–1.00]), access standardized healthcare protocols (97.3%, IC95 [0.89–1.00]) and a connection with a hospital coordination nurse (97.3%, IC95 [0.94–1.00]). Nurse practitioners supported the development of this project (91.3%, IC95 [0.85–0.98]). Qualitative data analysis, nurse practitioners reported a lake of communication between hospital staff and liberal practitioners and difficulties to have a contact with a physician in charge of the patient and who can refer him to appropriate healthcare.

Conclusions

The heath-recording digital platform we are developing responds to expectations of nurse practitioners regarding informations about oncologic treatment, supportive healthcare, health coordination, management of alert and sharing it between hospital and practitioners and highlighting their action.

Clinical trial indentification

Legal entity responsible for the study

Assistance Publique des Hopitaux de Paris (APHP)

Funding

Assistance Publique des Hopitaux de Paris (APHP).

Disclosure

The authors have declared no conflicts of interest.