Assessing patient and clinician satisfaction with the haematology advanced nurse practitioner role

Background: While haematology advanced nurse practitioners deliver specialist care in cancer settings, their role remains under-defined, with limited research assessing stakeholder perceptions and satisfaction. Aim: This study evaluated stakeholder satisfaction with the haematology advanced nurse practitioner role among clinicians and patients in England, and aimed to develop and validate a scale assessing role domains. Methods: A cross-sectional survey was conducted with 24 patients, 75 hospital nurses and 19 medical practitioners. The questionnaire included demographic and treatment-related questions, and a 20-item haematology advanced nurse practitioners role satisfaction scale assessing personal attributes, professionalism, role clarity and versatility, and clinical competency. Data were analysed using descriptive statistics and principal component analysis to confirm construct validity. Findings: Participants reported high satisfaction and positive experience with the haematology advanced nurse practitioners role, with a mean score of 4.6 (SD=0.6; range 1–5) and a total sum of 92.4 (SD=10.5; range 20–100). The haematology advanced nurse practitioners role satisfaction scale demonstrated high internal consistency (Cronbach's α=0.96). Lower scores in role clarity and versatility suggest some ambiguity about the haematology advanced nurse practitioners role among stakeholders. Conclusions: There is strong stakeholder satisfaction associated with the haematology advanced nurse practitioners role. Role clarity was highlighted in the study as an area for improvement. Enhancing role clarity, visibility within multidisciplinary teams and organisational support is essential for optimising haematology advanced nurse practitioners integration in specialist cancer care. Implications for practice: The haematology advanced nurse practitioners role satisfaction scale provides a reliable tool for assessing stakeholder perspectives, informing workforce development and guiding future research on haematology advanced nurse practitioners role evaluation.