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Nurse and nurse practitioner use and satisfaction of an online survivorship care plan builder.

58 Background: A cornerstone to cancer survivorship care is the education provided to patients regarding late and long-term effects, follow up care, and healthy living after a cancer diagnosis and treatment. Nurses have long provided patient education in oncology care. The provision of survivorship care is a natural extension of this role. An online survivorship care plan (SCP) builder can facilitate this and reduce the resources required for implementation of a survivorship program.


METHODS
We examined nurse and nurse practitioner (NP) use and satisfaction of two free online SCP builders, OncoLife on http://www.oncolink.org , and the LIVESTRONG Care Plan, between May 2010 and July 2015. Users of the program were queried about their satisfaction with the information provided, if their practice had an established survivorship program and if they would use the program for other patients. Time to complete a SCP was measured.


RESULTS
Healthcare providers completed 16,302 SCPs during the timeframe examined. The majority of plans were completed by nurses (n = 7393, 45%) and nurse practitioners (NPs) (n = 6296, 39%), while the remaining were completed by physicians (n = 754, 5%) and unknown users (n = 1859, 11%). When compared to University-based cancer centers (UCC), SCPs completed in community settings were more often delivered by nurses, as opposed to NPs (UCC: Nurses 22%, NPs 53%; community setting: Nurses 57%, NPs 31%; p < 0.001). A satisfaction survey was completed by 415 Nurse and NP users. They reported high satisfaction with the information provided (31% excellent, 33% very good, 26% good); 75% reported that the plan provided "just enough information", whereas 11% felt it "could use more information", and 6% felt there was "too much information". Sixty-four percent had an established survivorship program and 100% would use it for other patients. The median time to complete an SCP was 4 min 17 sec (IQR 2:38-7:19).


CONCLUSIONS
Nurse and NP users report high satisfaction using an online SCP builder. In community settings, nurses were completing the plan significantly more often than NPs. The short time required to create the SCPs may allow practices to efficiently meet regulatory requirements with minimal resources.