Cancer Patient Navigator Tasks across the Cancer Care Continuum

Braun, Kathryn L.; Kagawa‐Singer, Marjorie; Holden, Alan E.C.; Burhansstipanov, Linda; Tran, Jacqueline; Seals, Brenda; Corbie-Smith, Giselle; Tsark, JoAnn U.; Harjo, Lisa D.; Foo, Mary Anne; Ramirez, Amelie G.

doi:10.1353/hpu.2012.0029

Cited by 109 publications

(122 citation statements)

References 25 publications

(31 reference statements)

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“…For example, assistance with transportation or managing work schedules could have played a more prominent role. Navigation nationwide is variable, 37 and how one navigator may help improve the quality of care is highly dependent on his or her specific actions or interactions.…”

Section: Discussionmentioning

confidence: 99%

Can Patient Navigation Improve Receipt of Recommended Breast Cancer Care? Evidence From the National Patient Navigation Research Program

Darnell²,

Calhoun³

et al. 2014

JCO

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Purpose Poor and underserved women face barriers in receiving timely and appropriate breast cancer care. Patient navigators help individuals overcome these barriers, but little is known about whether patient navigation improves quality of care. The purpose of this study is to examine whether navigated women with breast cancer are more likely to receive recommended standard breast cancer care. Patients and Methods Women with breast cancer who participated in the national Patient Navigation Research Program were examined to determine whether the care they received included the following: initiation of antiestrogen therapy in patients with hormone receptor–positive breast cancer; initiation of postlumpectomy radiation therapy; and initiation of chemotherapy in women younger than age 70 years with triple-negative tumors more than 1 cm. This is a secondary analysis of a multicenter quasi-experimental study funded by the National Cancer Institute to evaluate patient navigation. Multiple logistic regression was performed to compare differences in receipt of care between navigated and non-navigated participants. Results Among participants eligible for antiestrogen therapy, navigated participants (n = 380) had a statistically significant higher likelihood of receiving antiestrogen therapy compared with non-navigated controls (n = 381; odds ratio [OR], 1.73; P = .004) in a multivariable analysis. Among the participants eligible for radiation therapy after lumpectomy, navigated participants (n = 255) were no more likely to receive radiation (OR, 1.42; P = .22) than control participants (n = 297). Conclusion We demonstrate that navigated participants were more likely than non-navigated participants to receive antiestrogen therapy. Future studies are required to determine the full impact patient navigation may have on ensuring that vulnerable populations receive quality care.

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Section: Discussionmentioning

confidence: 99%

Can Patient Navigation Improve Receipt of Recommended Breast Cancer Care? Evidence From the National Patient Navigation Research Program

Darnell²,

Calhoun³

et al. 2014

JCO

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“…We wonder whether, by using the language and concepts of "navigation," [61][62][63][64][65] "case management," 66 or "care coordinator," 67,68 hcps and researchers from many jurisdictions are already trying to address the need for supportive care throughout treatment and beyond. The tools, language, and timing might be different from those used by people speaking in terms of "survivorship" and using scps as defined by livestrong and the iom, but there are features in common.…”

Section: Discussionmentioning

confidence: 99%

Survivorship Care Plans: A Work in Progress

et al. 2014

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Background: Health agencies across the world have echoed the recommendation of the U.S. Institute of Medicine (iom) that survivorship care plans (scps) should be provided to patients upon completion of treatment. To date, reviews of scps have been limited to the United States. The present review offers an expanded scope and describes how scps are being designed, delivered, and evaluated in various countries. Methods: We collected scps from Canada, the United States, Europe, the United Kingdom, Australia, and New Zealand. We selected for analysis the scps for which we could obtain the actual scp, information about the delivery approach, and evaluation data. We conducted a content analysis and compared the scps with the iom guidelines. Results: Of 47 scps initially identified, 16 were analyzed. The scps incorporated several of the iom’s guidelines, but many did not include psychosocial services, identification of a key point of contact, genetic testing, and financial concerns. The model of delivery instituted by the U.K. National Cancer Survivorship Initiative stands out because of its unique approach that initiates care planning at diagnosis and stratifies patients into a follow-up program based on self-management capacities. Summary: There is considerable variation in the approach to delivery and the extent to which scps follow the original recommendations from the iom. We discuss the implications of this review for future care-planning programs and prospective research. A holistic approach to care that goes beyond the iom recommendations and that incorporates care planning from the point of diagnosis to beyond completion of treatment might improve people’s experience of cancer care.

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“…In order to integrate the ONP navigator into the system administrations must be utilized as a key alliance for support [29]. A clear definition of the nurse practitioner (NP) role is important especially as relates to leadership positions.…”

Section: Implications For Practicementioning

confidence: 99%

The Process of Oncology Nurse Practitioner Patient Navigation: A Grounded Theory Approach, Carving the Role

Johnson¹

2018

J Neoplasm

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Purpose: The role of oncology nurse practitioner patient navigator and process is not well delineated. To address this problem, a grounded theory study was designed to answer the question: What processes do oncology nurse practitioners use in caring for cancer patients? Methods:To be eligible for the study the nurse practitioner should be: 1) certified as a nurse practitioner in their respective state, 2) have a certification to practice in oncology nursing, 3) entitled as an oncology NP navigator in their respective institution, 4) at least 5 years work experience in caring for cancer patients. Recruitment strategies consisted of word of mouth snowball sampling, posting on websites, bulletin boards, and blogs of professional organizations; telephone soliciting, and e-mailing. The sample consisted of N=20 nurse practitioners. Data was collected via an open ended interview questionnaire. It was coded utilizing NVivo software. This manuscript details responses of the candidates pertaining to role function which is a subcomponent of the larger data set.Results: Oncology nurse practitioner navigators are frontiersman in the cancer arena in that they are carving unique novel roles and partnerships. A core category and basic social navigation process was defined as well as challenges. Conclusions: Program development is evident and ongoing in the navigation process and in all partnerships; evolving to manifest a navigation system Suggestions for practice and research as well research methodologies to further the navigation knowledge base have been suggested.

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Cancer Patient Navigator Tasks across the Cancer Care Continuum

Cited by 109 publications

References 25 publications

Can Patient Navigation Improve Receipt of Recommended Breast Cancer Care? Evidence From the National Patient Navigation Research Program

Can Patient Navigation Improve Receipt of Recommended Breast Cancer Care? Evidence From the National Patient Navigation Research Program

Survivorship Care Plans: A Work in Progress

The Process of Oncology Nurse Practitioner Patient Navigation: A Grounded Theory Approach, Carving the Role

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