Exploring the Role of the Nurse Case Manager in the Care Experience of Patients Undergoing Radical Cystectomy: A Qualitative Study
Erika Acquistapace, Bruno Bernardini, Federico Piccioni, Manuela Pastore, Maria Vittoria Fantacci, Pietro Brin, Stefano Mancin, Roberto Contieri, Daniela Cattani, Simone Cosmai, Beatrice Mazzoleni, Rodolfo HurleABSTRACT
Aim
To explore patients' lived experiences of the Nurse Case Manager (NCM) within the GRACE‐M radical cystectomy pathway, focusing on relational support, care coordination, continuity and recovery‐related challenges.
Design
A qualitative phenomenological study was conducted, following Giorgi's methodology.
Methods
Qualitative data were collected through 16 semi‐structured interviews conducted 6 months after discharge with patients who had undergone elective RC within a multidisciplinary care pathway at a tertiary university hospital in Northern Italy. Data were analysed using Giorgi's phenomenological method to explore in depth patients' perceptions of the role of the NCM and their overall care experience.
Results
Patients perceived the NCM as both a reassuring presence and an accessible care coordinator who facilitated information, specialist contact and continuity after discharge. No distinct NCM‐related barrier theme emerged; reported difficulties concerned post‐operative recovery and adaptation.
Conclusion
Patients perceived the NCM as combining emotional support with coordination and navigation. Given the single‐centre qualitative design and interview self‐selection, these findings describe perceived contributions and do not demonstrate causal effects on satisfaction, adherence or clinical outcomes.
Patient or Public Contribution
The data consists of answers given by patients in interviews.