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Conference Paper: Efficacy of a Urology Nurse-led Clinic in Queen Mary Hospital of Hong Kong

TitleEfficacy of a Urology Nurse-led Clinic in Queen Mary Hospital of Hong Kong
Authors
KeywordsMedical sciences
Urology and nephrology
Issue Date2012
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJU
Citation
The 11th Asian Congress of Urology of the Urological Association of Asia, Pattaya, Thailand, 22-26 August 2012. In International Journal of Urology, 2012, v. 19 suppl. 1, p. 432, abstract no. OP2512-07 How to Cite?
AbstractINTRODUCTION AND OBJECTIVES: Patients with common urological problems need to wait for a long time (>248 weeks) before they have the first consultation in Queen Mary Hospital of Hong Kong. In order to enhance patients’ care, a Urology Nurse-led Clinic was started in April 2010 to provide service to patients with three common urological problems, namely lower urinary tract symptoms (LUTS), loin pain and microscopic haematuria. METHODS: All urology new case referrals are screened by the Advanced Practice Nurse in the Centre. Suitable patients are invited to attend the Urology Nurse-led Clinic. Patient education materials and management protocols of the common urological problems are developed. The nurses provide timely assessment and counselling to patients involved according to management protocols. If patients with abnormal investigations such as elevated PSA, abnormal ultrasound findings or severe BPH requiring operation are found, they will be referred back to urologist with appropriate fast track arrangement. Regular audits are conducted on the service process and outcome for continuous quality improvement. RESULTS: A total of 1105 patients were seen in urology nurse-led clinic from April 2010 to June 2011. 81.6% of these patients were male and 18.4% were female. 80.2% of patients were discharged directly from the nurse-led clinic after assessment and counselling, 62.5% of which were referred to family physicians and 17.7% do not require any follow-up. Only 19.8% of patients required referrals to urologist for further intervention. The urology new case waiting time in Queen Mary Hospital dropped from 263 weeks (2Q2010) to 61 weeks (2Q2011). 9 patients had early cancer detection with prompt surgery or radiotherapy done. And, 63 patients had fast track surgery done for the irritative urological symptoms. CONCLUSIONS: The Urology Nurse-led Clinic play a crucial role in shortening the new case waiting time and providing fast track management of those patients requiring intervention. With the supports from urology consultants and family physicians, majority of these patients can be discharged to the community, which further reduce unnecessary pressure on hospital services.
DescriptionThis journal suppl. is Special Issue: Abstracts of the 11th Asian Congress of Urology of the Urological Association of Asia, Thailand 2012
Conference Theme: New Era of Asian Urology
Best Paper Award
Abstract and Oral Presentation
Persistent Identifierhttp://hdl.handle.net/10722/169383
ISSN
2015 Impact Factor: 1.878
2015 SCImago Journal Rankings: 0.841
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorNg, SLen_US
dc.contributor.authorTse, YBen_US
dc.contributor.authorHo, KLen_US
dc.contributor.authorYiu, MKen_US
dc.date.accessioned2012-10-18T08:53:06Z-
dc.date.available2012-10-18T08:53:06Z-
dc.date.issued2012en_US
dc.identifier.citationThe 11th Asian Congress of Urology of the Urological Association of Asia, Pattaya, Thailand, 22-26 August 2012. In International Journal of Urology, 2012, v. 19 suppl. 1, p. 432, abstract no. OP2512-07en_US
dc.identifier.issn0919-8172-
dc.identifier.urihttp://hdl.handle.net/10722/169383-
dc.descriptionThis journal suppl. is Special Issue: Abstracts of the 11th Asian Congress of Urology of the Urological Association of Asia, Thailand 2012-
dc.descriptionConference Theme: New Era of Asian Urology-
dc.descriptionBest Paper Award-
dc.descriptionAbstract and Oral Presentation-
dc.description.abstractINTRODUCTION AND OBJECTIVES: Patients with common urological problems need to wait for a long time (>248 weeks) before they have the first consultation in Queen Mary Hospital of Hong Kong. In order to enhance patients’ care, a Urology Nurse-led Clinic was started in April 2010 to provide service to patients with three common urological problems, namely lower urinary tract symptoms (LUTS), loin pain and microscopic haematuria. METHODS: All urology new case referrals are screened by the Advanced Practice Nurse in the Centre. Suitable patients are invited to attend the Urology Nurse-led Clinic. Patient education materials and management protocols of the common urological problems are developed. The nurses provide timely assessment and counselling to patients involved according to management protocols. If patients with abnormal investigations such as elevated PSA, abnormal ultrasound findings or severe BPH requiring operation are found, they will be referred back to urologist with appropriate fast track arrangement. Regular audits are conducted on the service process and outcome for continuous quality improvement. RESULTS: A total of 1105 patients were seen in urology nurse-led clinic from April 2010 to June 2011. 81.6% of these patients were male and 18.4% were female. 80.2% of patients were discharged directly from the nurse-led clinic after assessment and counselling, 62.5% of which were referred to family physicians and 17.7% do not require any follow-up. Only 19.8% of patients required referrals to urologist for further intervention. The urology new case waiting time in Queen Mary Hospital dropped from 263 weeks (2Q2010) to 61 weeks (2Q2011). 9 patients had early cancer detection with prompt surgery or radiotherapy done. And, 63 patients had fast track surgery done for the irritative urological symptoms. CONCLUSIONS: The Urology Nurse-led Clinic play a crucial role in shortening the new case waiting time and providing fast track management of those patients requiring intervention. With the supports from urology consultants and family physicians, majority of these patients can be discharged to the community, which further reduce unnecessary pressure on hospital services.-
dc.languageengen_US
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/IJU-
dc.relation.ispartofInternational Journal of Urologyen_US
dc.rightsThe definitive version is available at www.blackwell-synergy.com-
dc.subjectMedical sciences-
dc.subjectUrology and nephrology-
dc.titleEfficacy of a Urology Nurse-led Clinic in Queen Mary Hospital of Hong Kongen_US
dc.typeConference_Paperen_US
dc.identifier.emailHo, KL: hkl218@hkucc.hku.hken_US
dc.identifier.emailYiu, MK: pmkyiu@hku.hken_US
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1111/j.1442-2042.2012.03167.x-
dc.identifier.hkuros212261en_US
dc.identifier.volume19en_US
dc.identifier.issuesuppl. 1en_US
dc.identifier.spage432en_US
dc.identifier.epage432en_US
dc.identifier.isiWOS:000308130600002-
dc.publisher.placeAustralia-
dc.description.otherThe 11th Asian Congress of Urology of the Urological Association of Asia, Pattaya, Thailand, 22-26 August 2012. In International Journal of Urology, 2012, v. 19 suppl. 1, p. 432, abstract no. OP2512-07-

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