Implementing the role of patient-navigator nurse at a university hospital centre Fillion and collaborators(1111 Fillion L, de Serres M, Lapointe-Goupil R, Bairati I, Gagnon P, Deschamps M, et al. Implementing the role of patient-navigator nurse at a university hospital centre. Can Oncol Nurs J [Internet]. 2006 [cited 2019 Apr 29];16(1):11-7. Available from: http://www.canadianoncologynursingjournal.com/index.php/conj/article/view/296 http://www.canadianoncologynursingjourna...
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2006, Canada, VI |
Qualitative, descriptive and longitudinal study Head and neck cancer, family members, health professionals and care network partners |
Implementation of the role of nurse navigators |
Patients reported improvement in communication, health education, adaptation to the health and disease process, better understanding of the disease and coping with treatment. Navigators also encouraged a healthy lifestyle and reduced anxiety related to fear of recurrence of the disease. The main impact was on improving the quality and continuity of care, both clinically and relationally. Nurse navigators facilitates the process of adaptation to the process of illness and treatment, as well as improves interdisciplinary work and continuity of care. |
The role of the oncology nurse navigator in distress management of adult inpatients with cancer: a retrospective study Swanson and Koch(1212 Swanson J, Koch L. The role of the oncology nurse navigator in distress management of adult inpatients with cancer: a retrospective study. Oncol Nurs Forum. 2010;37(1):69-76. https://doi.org/10.1188/10.ONF.69-76 https://doi.org/10.1188/10.ONF.69-76...
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2010, USA, VI |
Retrospective study (medical records) Gastrointestinal cancer; lung cancer; breast cancer; and leukemias and lymphomas |
Assessment and follow-up with nurse navigators |
The presence of nurse navigators did not significantly affect the stress levels of hospitalized patients, despite presenting an average stress reduction. A decrease in stress was observed in rural patients when compared to patients in the urban area. Patients who received more than three visits from navigators had a greater reduction in stress than those with less than three visits. On average, the intervention of navigators showed a reduction in the scores of distress of all patients. |
Effects of nurse navigators on health outcomes of cancer patients Lee and collaborators(1313 Lee T, Ko I, Lee I, Kim E, Shin M, Roh S, Yoon D, Choi S, Chang H. Effects of nurse navigators on health outcomes of cancer patients. Cancer Nurs. 2011;34(5):376-84. https://doi.org/10.1097/NCC.0b013e3182025007 https://doi.org/10.1097/NCC.0b013e318202...
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2011, South Korea, IV |
Study with control group, quantitative approach |
Systematized coordination of patient care, from initial assessment and admission to discharge or home care. 1. Guidance on treatment and diagnostic tests; 2. Education and advice; 3. Nurses as a reference of care in the interdisciplinary team; 4. Management of administrative processes that interfere with clinical outcomes; 5. Continuous assessments, with monitoring of symptoms, care and progress. |
The experimental group had higher physical and social conditioning, less financial expenses and constipation than the control group. The length of hospital stay was longer in the control group, on average 9.11 days beyond the experimental group. Significant differences found in quality of life, satisfaction with care and length of hospital stay between the experimental and control groups suggest that care coordination provides a useful model for the effective treatment of cancer. |
A Breast Navigator Program: Barriers, Enhancers, and Nursing Interventions Korber and collaborators(1414 Korber SF, Padula C, Gray J, Powell M. A breast navigator program: barriers, enhancers, and nursing interventions. Oncol Nurs Forum. 2011;38(1):44-50. https://doi.org/10.1188/11.onf.44-50 https://doi.org/10.1188/11.onf.44-50...
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2011, USA, VI |
Qualitative study, with focus group and telephone interviews Breast cancer |
Breast Health Navigator Program - the role of navigators is to provide breast cancer care, adapting to their needs and cultures |
Navigators were seen as a link between team and patient, mainly improving communication. The management of symptoms was fundamental for the success of coping with treatment, as well as knowledge and preparation for pre- and post-therapy effects. Navigators are the source of suggestions, assessment, and management. Role clearly integrated from beginning to end of care. Source of information and support (emotional and physical). |
Do depressed newly diagnosed cancer patients differentially benefit from nurse navigation? Ludman and collaborators(1515 Ludman EJ, McCorkle R, Bowles EA, Rutter CM, Chubak J, Tuzzio L, et al. Do depressed newly diagnosed cancer patients differentially benefit from nurse navigation? Gen Hosp Psychiatry[Internet]. 2015 [cited 2019 Sep 4];37(3):236-9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442728/pdf/nihms-668570.pdf https://www.ncbi.nlm.nih.gov/pmc/article...
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2015, USA, II |
Controlled randomized clinical trial Breast, colon, and lung cancer |
Intervention group: weekly contacts with a nurse navigator for 16 weeks |
Most participants had little or no depression at the beginning of the study. Patients in the intervention group had higher improvement scores than those in usual treatment. The percentage of patients who reported care problems increased with the severity of depressive symptoms. Nurse navigators helped newly diagnosed patients cope with treatment barriers. |
Impact of nurse navigation on timeliness of diagnostic medical services in patients with patients newly diagnosed lung cancer Kunos, Olszewski, Spinal(1616 Kunos C, Olszewski S, Espinal E. Impact of nurse navigation on timeliness of diagnostic medical services in patients with newly diagnosed lung cancer. J Community Support Oncol. 2015;13(6):219-24. https://doi.org/10.12788/jcso.0141 https://doi.org/10.12788/jcso.0141...
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2015, USA, VI |
Retrospective study Lung cancer |
Coordination of diagnostic procedures and consultations |
Navigation significantly increased the proportion of patients undergoing more complex staging and diagnostics. Reduced the time interval between exams and medical consultations. Significantly reduced the time for the first treatment by 19 days. Improved overall access and treatment opportunity. |
The effects of individually tailored nurse navigation for patients with newly diagnosed breast cancer: a randomized pilot study Mertz and collaborators(1717 Mertz BG, Dunn-Henriksen AK, Kroman N, Johansen C, Andersen KG, Andersson M, et al. The effects of individually tailored nurse navigation for patients with newly diagnosed breast cancer: a randomized pilot study. Acta Oncol. 2017;56(12):1682-9. https://doi.org/10.1080/0284186X.2017.1358462 https://doi.org/10.1080/0284186X.2017.13...
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2017, Denmark, II |
Randomized controlled pilot study Breast cancer |
Navigation sessions based on cognitive behavioral therapy strategies (screening and symptom counseling) |
Experimental group: significantly lower levels of distress, anxiety and depression. There was no significant effect on quality of life related to physical or emotional health, or symptoms. Significantly higher satisfaction with treatment and rehabilitation and lower levels of distress, anxiety and depression. Screening before surgery, combined with navigation, can be effective to identify and manage distress in the most vulnerable patients. |