To examine the advanced practice nurse workforce in Swiss cancer care and how their roles are being implemented (eg, role structures, processes) to achieve optimal outcomes for patients and their families, care organizations, and the broader health care system. A cross-sectional study was conducted. The sample included master-prepared advanced practice nurses in cancer care, who completed an online questionnaire from December 2021 to January 2022. Thirty-nine items assessed structures (eg, role characteristics, utilization), processes (eg, role activities, interventions), and perceived outcomes (eg, for patients, the health care system) of advanced practice nurses in Swiss cancer care. Data from closed questions were analyzed using descriptive statistics. Data from open-ended questions were organized and summarized into categories related to domains of advanced practice nursing and its reported frequency by the advanced practice nurses. The participating advanced practice nurses (n = 53), worked in half of the 26 Swiss cantons. Interventions were identified within nine categories, of which most were targeted to patients and their families (n = 7), followed by health care professionals (n = 2). Perceived positive outcomes were patient symptom management, length of hospital stay, and health care costs. Participants felt less confident in cancer care (eg, autonomous practice) and reported 15 professional development needs (eg, medical interventions, teaching). This study provides a comprehensive examination of 53 advanced practice nurses, detailing the characteristics of their roles and utilization across various jurisdictions and health care settings. The results highlight the diverse dimensions of advanced practice nursing and its potential to enhance cancer services and outcomes in Switzerland. Opportunities for role development support and expansion are identified. More systematic health human resource planning is needed to expand the deployment of advanced practice nurses across jurisdictions, practice settings, and more diverse patient populations. Role development needs show the desire for specialized educational preparation in cancer care.

中文翻译：

---

高级执业护士及其在瑞士癌症护理中的作用：一项横断面研究

研究瑞士癌症护理中的高级实践护士队伍以及他们的角色如何发挥（例如角色结构、流程），以便为患者及其家人、护理组织和更广泛的医疗保健系统实现最佳结果。进行了一项横断面研究。样本包括癌症护理领域的高级执业护士，他们在 2021 年 12 月至 2022 年 1 月期间完成了一份在线调查问卷。 39 个项目评估了结构（例如角色特征、利用）、流程（例如角色活动、干预措施）、以及瑞士癌症护理中高级执业护士的感知结果（例如，对于患者、医疗保健系统）。使用描述性统计分析封闭式问题的数据。来自开放式问题的数据被组织并总结为与高级实践护理领域及其报告频率相关的类别。参与的高级执业护士（n = 53）在瑞士 26 个州中的一半工作。干预措施分为九类，其中大多数针对患者及其家人（n = 7），其次是医疗保健专业人员（n = 2）。感知到的积极结果包括患者症状管理、住院时间和医疗保健费用。参与者对癌症护理（例如自主实践）信心不足，并报告了 15 项专业发展需求（例如医疗干预、教学）。这项研究对 53 名高级执业护士进行了全面检查，详细介绍了他们在不同司法管辖区和医疗保健机构中的角色特征和利用情况。结果突显了高级实践护理的不同方面及其增强瑞士癌症服务和结果的潜力。确定角色发展支持和扩展的机会。需要更系统的卫生人力资源规划，以扩大高级执业护士在司法管辖区、实践环境和更多样化的患者群体中的部署。角色发展需求表明了对癌症护理专业教育准备的渴望。