Nurse Navigator: development of a program for Brazil

Pautasso, Fernanda Felipe; Lobo, Thafarel Camargo; Flores, Cecília Dias; Caregnato, Rita Catalina Aquino

doi:10.1590/1518-8345.3258.3275

Cited by 19 publications

(34 citation statements)

References 24 publications

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“…Three out of fourteen studies were conducted in community-based healthcare [56,57,62] and working with health-related NGOs [65], and one study using a smartphone-empowered community health workers (CHWs) navigators' model of care [57]. However, the majority (9 out of 13 studies) were conducted in urban areas [54][55][56]58,60,[62][63][64][65], and only three were conducted in rural areas [56,57,61] (see Table 2).…”

Section: Study Designs and Settings Of The Included Articlesmentioning

confidence: 99%

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Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review

Lubuzo

Hlongwana

Hlongwa

et al. 2022

IJERPH

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Background: The coordination of cancer care among multiple providers is vital to improve care quality and ensure desirable health outcomes across the cancer continuum, yet evidence is scarce of this being optimally achieved in low- and middle-income countries (LMICs). Objective: Through this scoping review, our objective was to understand the scope of cancer care coordination interventions and services employed in LMICs, in order to synthesise the existing evidence and identify key models and their elements used to manage and/or improve cancer care coordination in these settings. Methods: A detailed search strategy was conducted, aligned with the framework of Arksey and O’Malley. Articles were examined for evidence of coordination interventions used in cancer care in LMICs. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Extension Guidelines for Scoping Reviews, which included a checklist and explanation. The PRISMA flow diagram was utilised to report the screening of results. Data were extracted, categorised and coded to allow for a thematic analysis of the results. Results: Fourteen studies reported on coordination interventions in cancer care in LMICs. All studies reported a positive impact of cancer coordination interventions on the primary outcome measured. Most studies reported on a patient navigation model at different points along the cancer care continuum. Conclusions: An evidence-based and culturally sensitive plan of care that aims to promote coordinated and efficient multidisciplinary care for patients with suspicion or diagnosis of cancer in LMICs is feasible and might improve the quality of care and efficiency.

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Section: Study Designs and Settings Of The Included Articlesmentioning

confidence: 99%

“…All studies identified themselves as quality management models that were designed to improve management of cancer patients in LMICs [54][55][56][57][58][59][60][61][62][63][64][65][66]. The majority of articles…”

Section: Cancer Care Coordination Models: Typesmentioning

confidence: 99%

Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review

Lubuzo

Hlongwana

Hlongwa

et al. 2022

IJERPH

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“…By developing the skills expected in PHC beyond the gateway, the strategy of patient navigation by a Community Health Worker (CHW), in addition to showing the best result (28) , allowed us to move towards a vision that considered users and their subjectivities in the social process of building the disease. The patient navigation program consists of a trained team that helps patients to overcome modifiable barriers to care based on a personalized approach (35) . It was originally developed to provide support to vulnerable populations, a strategy that has been increasingly used in chronic conditions, particularly cancer, in PHC services (36) .…”

Section: Flexibility Of Goals Considering Viabilitymentioning

confidence: 99%

Breast cancer screening in Primary Health Care in Brazil: a systematic review

et al. 2021

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Objectives: to analyze care strategies for breast cancer screening in Primary Health Care in Brazil. Methods: this is a systematic review following the Cochrane Collaboration recommendations. Results: among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women’s health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%. Conclusions: Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.

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“…A maior parte dos pacientes oncológicos percorre uma jornada de tratamento considerada extremamente estressante e assustadora, relatando sentimentos de incerteza, ansiedade e preocupações. Com a participação colaborativa da equipe interdisciplinar, tais profissionais atingem bons resultados, com ações voltadas para atingir os desfechos desejados para os pacientes (PAUTASSO et al, 2020).…”

Section: Enfermeiro Navegadorunclassified

Atuação Do Enfermeiro Navegador No Acolhimento Ao Paciente Oncológico

Lima¹,

Santos²,

Santos³

et al. 2021

RECIMA21

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A ideia de navegação partiu de um estudo no Harlem Hospital Center, nos Estados Unidos da América, pelo Dr. Harold Freeman. Os enfermeiros navegadores são treinados para antecipar e entender o impacto que o diagnóstico de câncer tem para os pacientes e seus familiares, direcionar suas necessidades e reduzir barreiras de acesso a assistência oncológica. Objetivo: Conhecer através das produções científicas sobre o enfermeiro atuando na oncologia com a função de navegador de pacientes, Nurse Navigator. Método: Revisão bibliográfica da literatura com buscas nas bases de dados da Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Medical Literature, Analysis and Retrievel System Online (MEDLINE). Resultados: O papel do enfermeiro navegador está centrado em minimizar as barreiras de acesso ao sistema de saúde, que impeçam o paciente de ter o cuidado que ele necessita. São habilitados para antecipar e entender o impacto que o diagnóstico de câncer tem para os pacientes e seus familiares. Conclusão: Este estudo revelou alguns aspectos relevantes sobre a atuação do enfermeiro navegador no acolhimento ao paciente oncológico. Esses profissionais melhoraram consideravelmente a visão do paciente acerca do seu tratamento. Os pacientes sente-se mais protegidos, mais envolvidos e empoderados com o seu tratamento, consequentemente mais bem preparados para o futuro, por adquirir conhecimento sobre a forma como o câncer afeta suas vidas.

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Nurse Navigator: development of a program for Brazil

Cited by 19 publications

References 24 publications

Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review

Coordination Models for Cancer Care in Low- and Middle-Income Countries: A Scoping Review

Breast cancer screening in Primary Health Care in Brazil: a systematic review

Atuação Do Enfermeiro Navegador No Acolhimento Ao Paciente Oncológico

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