{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:54:57Z","timestamp":1791482097328,"version":"4.3.4"},"reference-count":29,"publisher":"Mark Allen Group","issue":"18","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2026,10,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cancer diagnostic delays remain a challenge. Advanced nurse-led clinics represent an innovative approach to improving pathway efficiency while delivering person-centred care. Aims: To evaluate barriers and facilitators in establishing a nurse-led clinic for urgent suspected prostate cancer referrals and assess the impact on patient experience and services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A hybrid effectiveness-implementation design and naturalistic case-study design. Data included routine data (pre-implementation,\n                      <jats:italic>n<\/jats:italic>\n                      =150; implementation,\n                      <jats:italic>n<\/jats:italic>\n                      =293), patient surveys (\n                      <jats:italic>n<\/jats:italic>\n                      =162), patient interviews (\n                      <jats:italic>n<\/jats:italic>\n                      =10), staff interviews (\n                      <jats:italic>n<\/jats:italic>\n                      =12) and field notes. Data were analysed using thematic analysis, descriptive statistics and cost-consequence analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>Collaboration between consultant and nurse facilitated service integration and multidisciplinary team engagement. Patients reported high satisfaction, valuing continuity of care and confidence in their nurse throughout the diagnostic pathway. The nurse-led clinic incurred lower costs than consultant-led clinics (\u00a31049 vs \u00a31417 per patient).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Nurse-led clinics can improve diagnostic efficiency and deliver high-quality, person-centred care when underpinned by collaborative relationships between nurse and consultant, and with adequate administrative support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/bjon.2026.0056","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:10:26Z","timestamp":1791479426000},"source":"Crossref","is-referenced-by-count":0,"title":["Implementation and evaluation of a nurse-led clinic for men referred with suspected prostate cancer"],"prefix":"10.12968","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2172-8298","authenticated-orcid":false,"given":"Piotr","family":"Teodorowski","sequence":"first","affiliation":[{"name":"at time of writing was Research Fellow, Faculty of Health Sciences and Sport, University of Stirling, Stirling"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2071-112X","authenticated-orcid":false,"given":"Jane","family":"Thomson","sequence":"additional","affiliation":[{"name":"at time of writing was Advanced Clinical Nurse Specialist, NHS Fife"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0651-3397","authenticated-orcid":false,"given":"Melanie","family":"McInnes","sequence":"additional","affiliation":[{"name":"Honorary Research Fellow, Faculty of Health Sciences and Sport, University of Stirling, Stirling"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5556-4311","authenticated-orcid":false,"given":"Carina","family":"Hibberd","sequence":"additional","affiliation":[{"name":"Lecturer, Faculty of Health Sciences and Sport, University of Stirling, Stirling"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5061-273X","authenticated-orcid":false,"given":"Agi","family":"McFarland","sequence":"additional","affiliation":[{"name":"Senior Lecturer, Faculty of Health Sciences and Sport, University of Stirling, Stirling"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4151-5911","authenticated-orcid":false,"given":"Erica","family":"Gadsby","sequence":"additional","affiliation":[{"name":"Associate Professor, Faculty of Health Sciences and Sport, University of Stirling, Stirling"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_3_1_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781036232078.n9"},{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16186"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182408812"},{"key":"e_1_3_3_4_1","unstructured":"Department of Health and Social Care. Fit for the future: 10 year health plan for England. 2025. https:\/\/assets.publishing.service.gov.uk\/media\/6888a0996478525675738f3a\/fit-for-the-future-10-year-health-plan-for-england-executive-summary.pdf (accessed 20 April 2026)"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.37464\/2013.311.1603"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-023-11592-w"},{"key":"e_1_3_3_7_1","volume-title":"Nurse-led model for suspected prostate cancer: Final report","author":"Gadsby EW","year":"2025","unstructured":"Gadsby EW, Hibberd C, McFarland A et al. Nurse-led model for suspected prostate cancer: Final report. University of Stirling\/NHS Fife\/Cancer Research UK. 14 March 2025. https:\/\/assets.ctfassets.net\/u7vsjnoopqo5\/50YSrmigVNcdaQQUDB1KGO\/31d36961f57b783d816b7d36f67adf81\/final_report_fife_final.pdf (accessed 14 September 2026)"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2024.1328342"},{"key":"e_1_3_3_9_1","unstructured":"Health Education and Improvement Wales. Professional framework for enhanced advanced and consultant clinical practice (background). 2026. https:\/\/heiw.nhs.wales\/workforce\/workforce-transformation\/workforce-development\/professional-framework-for-enhanced-advanced-and-consultant-clinical-practice\/ (accessed 20 April 2026)"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2021.30.1.28"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.7748\/cnp2011.11.10.9.29.c8804"},{"key":"e_1_3_3_12_1","unstructured":"International Council of Nurses. Guidelines on advanced practice nursing 2020. 2020. https:\/\/www.icn.ch\/resources\/publications-and-reports\/guidelines-advanced-practice-nursing-2020 (accessed 20 April 2026)"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol30080538"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010412.pub2"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12286"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.1.40"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13358"},{"key":"e_1_3_3_18_1","unstructured":"NHS England. National cancer waiting times monitoring dataset guidance. v12.1. July 2025. https:\/\/www.england.nhs.uk\/long-read\/national-cancer-waiting-times-monitoring-dataset-guidance\/#1-executive-summary (accessed 20 April 2026)"},{"key":"e_1_3_3_19_1","unstructured":"NHS Wales Performance and Improvement. National optimal pathways. 2026. https:\/\/performanceandimprovement.nhs.wales\/functions\/networks-and-planning\/cancer\/workstreams\/suspected-cancer-pathway\/ (accessed 20 April 2026)"},{"key":"e_1_3_3_20_1","unstructured":"Northern Ireland Practice and Education Council for Nursing and Midwifery. Advanced nursing practice review project. 2026. https:\/\/nipec.hscni.net\/projects-a-z\/review-of-advanced-nursing-practice-project\/ (accessed 20 April 2026)"},{"key":"e_1_3_3_21_1","unstructured":"Office for National Statistics. Waiting times for cancer treatment across the UK. Section 2: The patient journey and guidelines for cancer referrals. 23 August 2024. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/healthcaresystem\/articles\/waitingtimesforcancertreatmentacrosstheuk\/2024-08-23#the-patient-journey-and-guidelines-for-cancer-referrals (accessed 20 April 2026)"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.13285"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38342.665417.8F"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.05.008"},{"key":"e_1_3_3_25_1","unstructured":"Scottish Government. Transforming nursing midwifery and health professions roles: 2 - Advance nursing practice. 2017. https:\/\/www.gov.scot\/publications\/transforming-nursing-midwifery-health-professions-roles-advance-nursing-practice\/documents (accessed 20 April 2026)"},{"key":"e_1_3_3_26_1","unstructured":"Scottish Government. Cancer strategy for Scotland 2023 to 2033. 2023. https:\/\/www.gov.scot\/publications\/cancer-strategy-scotland-2023-2033\/documents (accessed 20 April 2026)"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781526485168"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.2196\/75741"}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2026.0056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T17:24:14Z","timestamp":1791480254000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2026.0056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,8]]},"references-count":29,"journal-issue":{"issue":"18","published-print":{"date-parts":[[2026,10,8]]}},"alternative-id":["10.12968\/bjon.2026.0056"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2026.0056","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,8]]}}}