Development of a national position statement on cancer patient navigation in Canada

Haase, Kristen; Anderson, Jennifer; Knox, Andrea; Skrutkowski, Myriam; Snow, Beth; Moody, Lesley; Pool, Zenith; Vimy, Kristina; Watson, Linda

doi:10.5737/236880763027382

Cited by 5 publications

(5 citation statements)

References 17 publications

(16 reference statements)

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“…Nurse navigation, electronic prompts relating to LC screening, and shared decision-making emerged as key approaches to improve patient outcomes. The role of the Nurse navigator is to act as the primary point of contact during the patient journey through educating and supporting patients and liaising between the patient and other Healthcare Providers (Haase et al , 2020). Nurse navigation provides person-centred care and is becoming integral in the provision of high-quality cancer care and detection, particularly in the more vulnerable and disadvantaged LC cohorts (Shusted et al , 2019).…”

Section: Discussionmentioning

confidence: 99%

Referring high-risk individuals for lung cancer screening: A systematic review of interventions with healthcare professionals

Saab¹,

O’Driscoll

Sahm³

et al. 2022

European Journal of Cancer Prevention

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Objective This systematic review described the effect of interventions aimed at helping Healthcare Professionals refer high-risk individuals for lung cancer screening. Primary outcomes included: lung cancer detection, screening for lung cancer, lung cancer treatments received and lung cancer mortality. Healthcare professionals’ knowledge and awareness of lung cancer screening served as secondary outcomes. Methods Experimental studies published between January 2016 and 2021 were included. The search was conducted in MEDLINE, CINAHL, ERIC, PsycARTICLES, PsycInfo and Psychology and Behavioral Sciences Collection. The quality of the included studies was assessed using the Mixed Methods Appraisal Tool and the level of evidence was assessed using the Scottish Intercollegiate Guidelines Network grading system. Results Nine studies were included. Nurse navigation, electronic prompts for lung cancer screening and shared decision-making helped improve patient outcomes. Specialist screenings yielded more significant incidental findings and a higher percentage of Lung-RADS 1 results (i.e. no nodules/definitely benign nodules), while Primary Care Physician screenings were associated with higher numbers of Lung-RADS 2 results (i.e. benign nodules with a very low likelihood to becoming malignant). An increase in Healthcare Professionals’ knowledge and awareness of lung cancer screening was achieved using group-based learning compared to lecture-based education delivery. Conclusions The effectiveness of Nurse navigation is evident, as are the benefits of adequate training, shared decision-making, as well as a structured, clear and well-understood referral processes supported by the use of electronic system-incorporated prompts.

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Section: Discussionmentioning

confidence: 99%

Referring high-risk individuals for lung cancer screening: A systematic review of interventions with healthcare professionals

Saab¹,

O’Driscoll

Sahm³

et al. 2022

European Journal of Cancer Prevention

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“…Suboptimal continuity of care also increases the risk of patients ‘falling through the cracks’. Potential solutions may include creating new roles, such as nurse navigators, who act as the primary point of contact for patients diagnosed with cancer and serve as a liaison between the patient and other healthcare professionals ( Shusted et al, 2019 ; Haase et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Referring patients with suspected lung cancer: a qualitative study with primary healthcare professionals in Ireland

Saab

O’Driscoll

Fitzgerald

et al. 2022

Health Promotion International

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Lung cancer is the leading cause of cancer death globally. Most cases are diagnosed late. Primary healthcare professionals are often the first point of contact for symptoms of concern. This study explored primary healthcare professionals’ experience of referring individuals with signs and symptoms suggestive of lung cancer along the appropriate healthcare pathway and explored strategies to help primary healthcare professionals detect lung cancer early. Focus groups and individual interviews were conducted with 36 general practitioners, community pharmacists, practice nurses, and public health nurses. Data were analysed thematically. Participants identified typical lung cancer signs and symptoms such as cough and coughing up blood (i.e., haemoptysis) as triggers for referral. Atypical/non-specific signs and symptoms such as back pain, pallor, and abnormal blood tests were perceived as difficult to interpret. Participants often refrained from using the word ‘cancer’ during conversations with patients. Ireland’s Rapid Access Lung Clinics were perceived as underused, with some general practitioners referring patients to these clinics only when clear and definitive lung cancer signs and symptoms are noted. Lack of communication and the resulting disruption in continuity of care for patients with suspected lung cancer were highlighted as healthcare system flaws. Education on early referral can be in the form of communications from professional organizations, webinars, interdisciplinary meetings, education by lung specialists, and patient testimonials. Lung cancer referral checklists and algorithms should be simple, clear, and visually appealing, either developed as standalone tools or embedded into existing primary care software/programmes.

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“…However, our results were consistent with the patient perspective reported by previous studies, which reduces the chance of having missed vital insights [ 30 , 31 ]. Future research should investigate whether the identified factors are generalizable to other navigation settings and jurisdictions (particularly elsewhere in Canada) with varying navigator roles and responsibilities [ 33 ], the prevalence of these factors among a general cancer population and whether a quantitative association can be observed between these factors and use of CPN services (among NS patients and elsewhere). This will allow for a more practical understanding of which factors are most relevant to target for referral to CPN in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Nurse Navigators’ Views on Patient and System Factors Associated with Navigation Needs among Women with Breast Cancer

et al. 2021

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Coordinating breast cancer treatment is a complex task that can overwhelm patients and their support networks. Though the Cancer Patient Navigator (CPN) program in Nova Scotia (NS) provides professional assistance to patients, certain groups of patients may still face barriers to accessing its services. Employing interviews and a modified Delphi approach with CPN participants, this study sought to identify factors associated with the need for navigation to help better target CPN program referrals among breast cancer patients. Six CPNs were recruited directly through the CPN program manager for interviews and surveys. The CPNs identified 27 different factors, which were divided into 4 categories: sociodemographic, psychological, clinical and health systems. While these patient factors (particularly sociodemographic) are not directly modifiable, awareness of their association with the need for navigation could be used to better target patients with a high need for navigation for referral to CPN services.

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Development of a national position statement on cancer patient navigation in Canada

Cited by 5 publications

References 17 publications

Referring high-risk individuals for lung cancer screening: A systematic review of interventions with healthcare professionals

Referring high-risk individuals for lung cancer screening: A systematic review of interventions with healthcare professionals

Referring patients with suspected lung cancer: a qualitative study with primary healthcare professionals in Ireland

Nurse Navigators’ Views on Patient and System Factors Associated with Navigation Needs among Women with Breast Cancer

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