Examining the hurdles in defining the practice of Nurse Navigators

Harvey, Clare; Byrne, Amy‐Louise; Willis, Eileen; Brown, Janie; Baldwin, Adele; Hegney, Desley; Palmer, Janine; Heard, David; Ferguson, Bridget; Judd, Jenni; McLellan, Sandra L.; Forrest, Rachel; Thompson, Shona

doi:10.1016/j.outlook.2021.01.011

Cited by 8 publications

(13 citation statements)

References 18 publications

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“…In Australia, a similar disability nurse navigator role was introduced into Queensland health services in 2016. The role evolved out of a need to improve health literacy, self-management, quality of life, and to reduce hospital admissions with associated costs for people with chronic health conditions, including people with intellectual disability (Harvey et al, 2021). Formal evaluation of the role suggests that nurse navigators significantly improve the interface between healthcare systems and people with chronic health conditions (Harvey et al, 2021).…”

Section: Systems Level Improvements In Carementioning

confidence: 99%

“…The role evolved out of a need to improve health literacy, self-management, quality of life, and to reduce hospital admissions with associated costs for people with chronic health conditions, including people with intellectual disability (Harvey et al, 2021). Formal evaluation of the role suggests that nurse navigators significantly improve the interface between healthcare systems and people with chronic health conditions (Harvey et al, 2021). An international review of hospital experiences of adults with intellectual disability and their carers reveal that the intellectual disability nurse liaison role is perceived as valuable to improving the healthcare experience, through enhanced communication and understanding of the unique health care needs of people with intellectual disability (McCormick et al, 2021).…”

Section: Systems Level Improvements In Carementioning

confidence: 99%

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Nurses’ attitudes and emotions toward caring for adults with intellectual disability: An international replication study

Desroches

Howie

Wilson

et al. 2021

J of Nursing Scholarship

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Intellectual and Developmental Disabilities, 2021). Although the number of people with intellectual disability is relatively few in the context of the general population, the burden of morbidity and mortality is disproportionate compared to the general population.People with intellectual disability die on average at a younger age than people without intellectual disability (Davis et al., 2014) and are more than twice as likely to die of causes that are potentially avoidable (Trollor et al., 2017). People with intellectual disability face higher rates of preventable and treatable conditions including higher rates of comorbidities such as diabetes, obesity, and compromised sexual health (Wilson & Charnock, 2017). This may contribute to

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Section: Systems Level Improvements In Carementioning

confidence: 99%

Section: Systems Level Improvements In Carementioning

confidence: 99%

Nurses’ attitudes and emotions toward caring for adults with intellectual disability: An international replication study

Desroches

Howie

Wilson

et al. 2021

J of Nursing Scholarship

View full text Add to dashboard Cite

show abstract

“…Historically, these life realities had interfered with patients' abilities to adhere to plans of care. Based on the theoretical work on abandonment, the underlying principle of this nurse navigation work has been patient reengagement based on trust and caring 9…”

Section: The Time Is Right Now—a Call To Actionmentioning

confidence: 99%

Our Nursing Profession at a Crossroads

Allard

Conroy

2022

Nursing Administration Quarterly

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Nurse navigators, in a role that originally focused on a single health condition and improving specified services for an individual patient, have expanded to include care management and care coordination. As the role evolves, nurse navigators are demonstrating proficiency and achieving success transforming care delivery to improve population health while improving quality outcomes, patient satisfaction, and decreasing cost. One innovative health system's clinical nurse specialist team partnered with primary care providers, ancillary care teams, home care, skilled nursing facilities, community agencies, and partners in public health and schools. Clinical nurse specialists, now called “transitional care nurses (TCNs),” have created an accountable community of health for their high-risk population. By following patients from one setting to the next, TCNs identified opportunities for improvement, created innovative programs to bridge gaps, improved teamwork, and integrated care, resulting in lower cost, high-quality care. Results included 50% reduction in hospitalization for patients with chronic disease, pre- and post-TCN partnership. Patients with diabetes were supported with access to diabetes coaches, which resulted in a 12% reduction in AIC, while patients completing pulmonary rehabilitation programs experienced reduced readmission rates from 24% to 2.7%.

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“…Based on the theoretical work on abandonment, the underlying principle of this nurse navigation work has been patient reengagement based on trust and caring. 9 The need to prepare more advanced practice nurses for leadership roles focused on the health of whole populations, marginalized communities, and systems in the United States, and building on the bitter lessons learned through the disproportionate impact of the pandemic on people of color and indigenous people is now recognized. Educators from several schools of nursing in the nation's Midwest and West have recently called for an increased focus on educational programs designed to produce advanced public health nurses.…”

Section: The Time Is Right Now-a Call To Actionmentioning

confidence: 99%

Our Nursing Profession at a Crossroads: Time to Chart a Course for the Future

2022

JONA: The Journal of Nursing Administration

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Nurse navigators, in a role that originally focused on a single health condition and improving specified services for an individual patient, have expanded to include care management and care coordination. As the role evolves, nurse navigators are demonstrating proficiency and achieving success transforming care delivery to improve population health while improving quality outcomes, patient satisfaction, and decreasing cost. One innovative health system's clinical nurse specialist team partnered with primary care providers, ancillary care teams, home care, skilled nursing facilities, community agencies, and partners in public health and schools. Clinical nurse specialists, now called "transitional care nurses (TCNs)," have created an accountable community of health for their high-risk population. By following patients from one setting to the next, TCNs identified opportunities for improvement, created innovative programs to bridge gaps, improved teamwork, and integrated care, resulting in lower cost, high-quality care. Results included 50% reduction in hospitalization for patients with chronic disease, pre-and post-TCN partnership. Patients with diabetes were supported with access to diabetes coaches, which resulted in a 12% reduction in AIC, while patients completing pulmonary rehabilitation programs experienced reduced readmission rates from 24% to 2.7%.

show abstract

Examining the hurdles in defining the practice of Nurse Navigators

Cited by 8 publications

References 18 publications

Nurses’ attitudes and emotions toward caring for adults with intellectual disability: An international replication study

Nurses’ attitudes and emotions toward caring for adults with intellectual disability: An international replication study

Our Nursing Profession at a Crossroads

Our Nursing Profession at a Crossroads: Time to Chart a Course for the Future

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