The role of oncology nurse navigators in facilitating continuity of care within the diagnostic phase for adult patients with lung cancer

Jeyathevan, Gaya; Lemonde, Manon; Brathwaite, Angela Cooper

doi:10.5737/236880762717480

Cited by 19 publications

(19 citation statements)

References 17 publications

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“…What this paper adds to health care provision and to the nursing profession is that nurse navigator working within a broader domain of chronic conditions is novel. Generally, nurse navigators work in one specialty area, for example cardiac, oncology/cancer care (see, e.g., McAllister and Schmitt, 2015 and Jeyathevan et al, 2017). The role of the nurse navigator in chronic care aligns with the philosophy of person‐centred care (PCC) that centres on the person as an individual (Slater, 2006), mutuality between parties and compassion in care (Castro, Van Regenmortel, Vanhaecht, Sermeus, & Van Hecke, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Other navigation models (Jeyathevan, Lemonde, & Braithwaite, 2017; Wagner et al, 2014) help ‘patients find the resources to get through the tough parts and deal with the little things during their … treatment’ (Merenda, 2011, p. 11). Fillion et al (2012) describe navigation as unique to care case management stating, ‘the professional navigator role corresponds to a more comprehensive medical or social model of case management that values humanization of the care trajectory and empowerment of the patient and family’ (p. 59).…”

Section: Introductionmentioning

confidence: 99%

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Exploring the nurse navigator role: A thematic analysis

et al. 2020

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Background: Patients with complex chronic conditions experience fragmentation of care, unnecessary hospitalization and reduced quality of life, with an increased incidence of poor health outcomes. Aim(s):The aim of this paper was to explore how nurse navigators manage client care. This was achieved through an examination of narratives provided by the nurse navigator that evaluated their scope of practice. Method(s):All nurse navigators employed by Queensland Health were invited to participate in a study evaluating the effectiveness of the service. Eighty-four selfreported vignettes were thematically analysed to understand the work from the nurses' perspectives.Results: Two themes emerged from the vignettes. Theme 1, the layers of complexity, is comprised of three sub-themes: the complex patient, the complex system and patient outcomes. Theme 2, professional attributes, has two sub-themes: personcentred care and clinical excellence.Conclusion: Navigators innovatively integrate services and address the fragmented nature of the health system. They apply expert clinical and social skills, through consistent and robust communication, to meet the needs of those with multiple chronic conditions. Implications for nursing management: Results provide insight into the new role, illuminating the work they achieve, despite system complexities. K E Y W O R D S integrated health care systems care, multiple chronic conditions, nurse navigator, nurses' role, patient navigation, quality of life | 815 BYRNE Et al.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring the nurse navigator role: A thematic analysis

et al. 2020

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“…Poor care coordination in relation to cancer care transitions, https://doi.org/10.1016/j.ejon.2019.05.009 were reported by patients to be major areas of concern (Regional Cancer Center Stockholm-Gotland, 2013;Ullgren et al, 2017). A national CN role description was developed in 2011 (Swedish Association of Local Authorities and Regions, 2013), describing a similar function as the nurse navigators (Campbell et al, 2010;Jeyathevan et al, 2017). The CN is a clinical nursing role with in-depth knowledge in cancer care, supporting patients and their families during the cancer trajectory.…”

Section: Introductionmentioning

confidence: 99%

Patient-reported perceptions of care after the introduction of a new advanced cancer nursing role in Sweden

Westman

Ullgren

Olofsson

et al. 2019

European Journal of Oncology Nursing

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Extensive research results show quality improvements associated with advanced cancer nursing roles. Despite this, these roles are not implemented in many countries. The aim of this cross-sectional, populationbased study was to compare patients' perception of care, before and after the introduction of a new advanced nursing role, the coordination contact nurse (CCN), in a region in Sweden. Method: All patients (with gynaecological, haematological, Head & Neck, upper gastrointestinal cancers) diagnosed in the region the year prior and one-year post introducing the new CCN role were identified from the Swedish Cancer Register. Data were collected using the European Organization of Research and Treatment of Cancer [EORTC] Quality of Life Questionnaire (QLQ-C30 and QLQ-INFO25) and a study specific questionnaire. Result: The results, based on baseline (n = 869) and follow-up data (n = 1003), show statistically significant patient-reported improvements after the introduction of the CCN role, regarding health-related patient information (EORTC QLQ-INFO25 global mean score increased from 41.23 to 44.16, p = 0.0006). We found statistically significant improvements related to availability of supportive care resources, e.g. increased reported access to contact nurse (from 53% to 66%, p ≤ 0.0001) and individual written care plans (from 40% to 54%, p < 0.0001). We also found some improvements related to patient involvement and care coordination, but also room for further developments. Conclusion: The implementation of the new advanced cancer nursing role may have contributed to important improvements, but it has also identified areas in need of development. Further research with long-term evaluations of CCN roles in other contexts, are both needed and ongoing .

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“…According to a statement in Sweden’s national cancer strategy, people with a cancer diagnosis should be offered a permanent care contact in order to obtain more coherent and effective care [ 15 ]. The CN in Swedish cancer care has a similar role as a nurse navigator, providing advice, coordinating care and mediating contact with other health care professionals, although there can be a wide variation in these nurses’ scope of practice [ 53 ]. Our findings showed that patients assigned a CN had higher rates of unplanned care and planned outpatient care visits, compared with patients not assigned a CN (Table 5 ).…”

Section: Discussionmentioning

confidence: 99%

Health care utilization among patients with oesophageal and gastric cancer: the impact of initial treatment strategy and assignment of a contact nurse

Dalhammar

Malmström

Sandberg

et al. 2021

BMC Health Serv Res

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Background Patients diagnosed with oesophageal and gastric cancer face a poor prognosis and numerous challenges of symptom management, lifestyle adjustments and complex treatment regimens. The multifaceted care needs and rapid disease progression reinforce the need for proactive and coherent health care. According to the national cancer strategy, providing coherent health care and palliative support is an area of priority. More knowledge is needed about health care utilization and the characteristics of the health care service in order to understand the readiness, accessibility and quality of current health care. The aim of this study was to describe individuals’ health care use from the time of treatment decision until death, and investigate the impact of the initial treatment strategy and assignment of a contact nurse (CN) on health care use among patients with oesophageal and gastric cancer. Methods This population-based cohort study included patients who died from oesophageal and gastric cancer in Sweden during 2014–2016. Through linking data from the National Register for Oesophageal and Gastric Cancer, the National Cause of Death Register, and the National Patient Register, 2614 individuals were identified. Associations between the initial treatment strategy and CN assignment, and health care use were investigated. Adjusted incidence rate ratios (IRRs) with 95% confidence intervals (CIs) were calculated using Poisson regression. Results Patients receiving palliative treatment and those receiving no tumour-directed treatment had a higher IRR for unplanned hospital stays and unplanned outpatient care visits compared with patients who received curative treatment. Patients receiving no tumour-directed treatment also had a lower IRR for planned hospital stays and planned outpatient care visits compared with patients given curative treatment. Compared with this latter group, patients with palliative treatment had a higher IRR for planned outpatient care visits. Patients assigned a CN had a higher IRR for unplanned hospital stays, unplanned outpatient care visits and planned outpatient care visits, compared with patients not assigned a CN. Conclusions A palliative treatment strategy and no tumour-directed treatment were associated with higher rates of unplanned health care compared with a curative treatment strategy, suggesting that a proactive approach is imperative to ensure quality palliative care.

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The role of oncology nurse navigators in facilitating continuity of care within the diagnostic phase for adult patients with lung cancer

Cited by 19 publications

References 17 publications

Exploring the nurse navigator role: A thematic analysis

Exploring the nurse navigator role: A thematic analysis

Patient-reported perceptions of care after the introduction of a new advanced cancer nursing role in Sweden

Health care utilization among patients with oesophageal and gastric cancer: the impact of initial treatment strategy and assignment of a contact nurse

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