♦  Welcome to Canada's first research unit dedicated to improving patient health through the effective use of advanced nursing roles in cancer care which opened at the Juravinski Cancer Centre at Hamilton Health Sciences on April 28th, 2009.

♦  The goal of OAPN is to provide a comprehensive, integrated national program of leading-edge research, education, mentorship and knowledge translation initiatives to support the effective use of oncology APN roles in cancer care.

This website will be a valuable resource to a diverse group of stakeholders including:

  • Advanced practice nurses
  • Hospital administrators
  • Physicians
  • Policy-makers
  • Cancer organizations



PEPPA Plus - An Enhanced Framework for Evaluating Advanced Practice Nursing (APN) Roles


This document outlines an evaluation framework to promote evidence-informed decision-making about the introduction, implementation and long-term sustainability of Advanced Nursing Practice (ANP) roles in Switzerland.

While ANP role development in Switzerland has been the primary impetus for the framework, the concepts, principles and strategies underpinning the framework are generalizable to ANP roles in other countries. Included in the document are supplemental tools and resources to facilitate framework application.

Additional information on PEPPA Plus is found in the following publication: Bryant-Lukosius, D., Spichiger, E., Martin, J., Stoll, H., Degen Kellerhals, S. Fliedner, M., Grossman, F., Henry, M., Herrman, L., Koller, A., Schwendimann, R., Ulrich, A., Weibel, L., Callens, B., De Geest, S. (2016). Framework for evaluating the impact of advanced practice nursing roles. Journal of Nursing Scholarship, 48(2), 201-209.


Improving Pain and Symptom Management in Cancer Care in Ontario

The McMaster Health Forum convened a stakeholder dialogue on the subject of improving pain and symptom management in cancer care in Ontario. With the support of the Canadian Cancer Society Research Institute (through a grant awarded to the Canadian Centre of Excellence in Oncology Advanced Practice Nursing) and the Government of Ontario (through a Ministry of Health and Long-Term Care Health System Research Fund grant), the dialogue brought together 19 participants from across Canada to examine the problem, options for addressing it, and key implementation considerations.

The results of these Stakeholder Dialogues can now be read online:

Topic Overview

Evidence Brief 


Video interviews with stakeholders can be viewed here


Framework for Evaluating the Impact of Advanced Practice Nursing Roles

You can now read the newly published "Framework for Evaluating the Impact of Advanced Practice Nursing Roles", which provides an innovative model for guiding APN roles and informing decisions on efffective APN utilization. To address the gap in evidence-based information required to support the development of advanced practice nursing (APN) roles in Switzerland, stakeholders identified the need for guidance to generate strategic evaluation data. This article describes an evaluation framework developed to inform decisions about the effective utilization of APN roles across the country. To read the article, click here.


Lifetime Achievement Award

Denise Bryant-Lukosius, Director of OAPN, has been awarded the 2015 Lifetime Achievement Award by the Canadian Association of Nurses in Oncology (CANO). The award acknowledges the outstanding achievement of a Canadian oncology nurse who has made significant contributions to oncology nursing and/or to cancer care in Canada during his/her professional career. Congratulations Denise! To read more, click here.


Pfizer Award of Excellence in Nursing Leadership

Congratulations Margaret Forbes, APN at the Juravinski Hospital and Cancer Centre, for recieving the 2015 Pfizer Award of Excellence in Nursing Leadership for your significant contribution to oncology nursing through leadership locally, provincially or nationally. Margaret has developed a new and transformative program in cancer survivorship at the Juravinski Cancer Centre and is leading a widespread implementation plan, helping clinical teams in 10 disease sites to adapt the tools and templates she developed for breast and colorectal cancer patients to meet the needs of all patient populations.To read more click here.


The Rapid Evaluation and Symptom Management Clinical Care Unit (RESCCU)

In September, the Juravinski Cancer Centre launched a new urgent care unit called RESSCU (Rapid Evaluation and Symptom Support Unit), for patients currently undergoing cancer treatment at the centre. The RESSCU model uses a multifaceted approach to improve quality and patient safety including strategies to improve patient access to care, to build an effective centralized interdisciplinary team, and strengthen communication processes with providers as well as patients and families. For more information click here.


Improving Patient Experience and Health Outcomes Collaborative (iPEHOC)

This project aims to develop a common patient reported experience measurement system (PREM) and patient reported outcome measurement (PROM) system applicable to all jurisdictions in Canada, with the goal of reducing symptom burden and improving the patient experience. For more information click here.


Page 1 of 2