The Process of Oncology Nurse Practitioner Patient Navigation: A Pilot Study

Abstract

Oncology nurse practitioner (ONP) patient navigators may improve clinical outcomes. However, no standard measures of the process of oncology patient navigation or of related clinical outcomes exist, and research in this area is limited. The exploratory pilot study detailed in this article used grounded theory and interviews with three ONPs to define the processes employed by ONP patient navigators in caring for patients with cancer. .

Comparing modular and personal service delivery in specialised outpatient care: A survey of haematology and oncology patient preferences

“…The tasks of named nurses are similar to those of nurse navigators. 18,22 Communication in the It is important that I would have a named nurse in the day hospital. Answers categorised into two groups in the binomial logistics regression: strongly agree or agree versus other answers.…”

“…Because this study focuses on day hospital care, the findings relate to the treatment phase of outpatient care, and they cannot be compared directly with those of studies focusing on nurse navigation. 20,22,29 The haematology patients preferred a maximum of one to three treating nurses less often than the oncology patients, and the patients who visited the day hospital more than 15 times in the previous year favoured a maximum of three nurses less often than patients with fewer annual visits. Patients with more than two treating nurses did not prefer a maximum of three treating nurses as often as patients with maximum two treating nurses.…”

“…20 Nurse navigators perform many tasks, including coordinating care, documenting patient treatment information, supporting patients through cancer treatment and communicating with patients between visits to care providers. 18,22 The purpose of this study is to explore patient preferences related to modularised and non-modularised day hospital care. From a patient perspective, in this case hospital the difference between the two operational models is that in modularised care named nurses do not exist while in non-modularised care named nurses do exist.…”

The Nurse Practitioner Role in United States of America within Transitional Care and Care Coordination Models

“…This exploratory study relied on three interviews to define the processes that ONP patient navigators incorporated in their clinical care. Navigation processes for ONPs included fielding telephone calls, supportive processes, care coordination, tracking, and moving patients through to survivorship care (Johnson, 2016). The processes were identified as Navigation Processes Early Involvement: a major goal for this initial encounter was to gather information for the physician regarding the tests and results of the cancer staging, as well as to ensure that tests were scheduled for the staging workup.…”

“…All three of the ONP patient navigators described participating in care coordination, such as attending weekly tumor board conferences, presenting information regarding each patient's status, and gathering information about each patient for the multidisciplinary meeting. In regards to survivorship care, the goal for the navigation process was to move patients through the diagnostic and treatment phases and into survivorship care (Johnson, 2016).…”