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Designing Innovative Cancer Services and Advanced Practice Nursing Roles: Toolkit

This toolkit was developed and evaluated within a collaborative research study involving Cancer Care Ontario, McMaster University, Laurentian University and regional cancer centres in Sudbury and Hamilton.

The toolkit uses the PEPPA Framework, a participatory, evidence-informed patient-focused process for promoting the effective introduction and evaluation of advanced practice nursing (APN) roles.

Purpose of this toolkit

To help a wide range of organizations and healthcare teams design and deliver high-quality, cost-effective and patient-centred cancer services that may use advanced nursing or other health provider roles.

What's in the toolkit?

A variety of resources, tools and activities to guide you through the PEPPA Framework. Although the design focuses on APN roles, the same framework can be applied to various nursing roles and healthcare providers in other disciplines.

Who is it for?

The toolkit is a comprehensive guide designed for:

  • government policy makers
  • healthcare planners
  • healthcare administrators and managers
  • nursing leaders
  • APNs
  • healthcare teams and providers
  • educators and researchers

Why use the toolkit?

The toolkit will help you:
  • Identify and recruit key stakeholders to participate in healthcare planning and implementation
  • Build an effective healthcare planning team
  • Design models of cancer care that maximize the use of healthcare provider roles and services
  • Determine if a new APN role or modifications to an existing APN role are required to enhance cancer services
  • Design the appropriate APN role to address patient, healthcare provider, organization and healthcare system needs
  • Create a business case and a budget for an APN role
  • Develop strategies to successfully recruit and hire the best candidate for an APN role
  • Establish a plan to support the optimal implementation of an APN role
  • Develop a plan to evaluate the impact of an APN role and other changes to the model of care

Download the toolkit by section

We want your feedback

Fill out our brief survey to tell us:

  • Whether you found the toolkit helpful in designing APN or other new health provider roles
  • How you have used the toolkit in role implementation
  • How we can improve the toolkit

Are you willing to share your story?

Tell us how you used this toolkit and/or the PEPPA Framework to improve the delivery of cancer services. Contact the OAPN Program Coordinator at


Esther Green Provincial Head, Nursing and Psychosocial Oncology
Cancer Care Ontario
Denise Bryant-Lukosius
Assistant Professor, School of Nursing and Department of Oncology, McMaster University
Director, Canadian Centre of Excellence in Oncology APN (OAPN), Juravinski Cancer Centre
Program Coordinator
Last modified: Thu, Jul 29, 2010
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