The Role of the Nurse Navigator in the Management of the Heart Failure Patient

Monza, Kristin; Harris, D.T.; Shaw, Carmen

doi:10.1016/j.cnc.2015.07.010

Cited by 15 publications

(10 citation statements)

References 4 publications

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“…Fragmentation and discoordination of healthcare are a significant cause of inappropriate care and increased healthcare costs . Nurse care coordination or patient navigation roles have been effective at promoting shared decision‐making, enhancing health literacy and self‐management skills , which are important aspects in the continuity of care. In addition, care coordination can mitigate the tension patients and family feel when a transition in care occurs .…”

Section: Discussionmentioning

confidence: 99%

Patient and family members’ perceptions of family participation in care on acute care wards

Mackie

Mitchell

Marshall

2018

Scandinavian Caring Sciences

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Background Hospital leaders, policymakers and healthcare professionals are realising the benefits of delivering care that promotes family participation because it is known to enhance the quality of care, and improve patient satisfaction. Aim The aim of this study was to explore, from the perspective of patients and family members within an adult acute care ward: (a) their beliefs and attitudes towards family participation in patient care and (b) staff behaviours that support or hinder family participation in patient care. Design and methods A naturalistic approach with an exploratory sequential design was used in a medical assessment and planning unit of a regional referral hospital in Australia. Purposeful maximum variation sampling was used to recruit patients and family members who differed in age, ethnicity, relationship to patient and gender. Observer‐as‐participant observation data and semi‐structured interviews were undertaken. Following separate inductive content analysis, data were triangulated. Results Thirty‐two patients and 26 family members were recruited. Thirty hours of observational data were gathered. Eighteen patients and 15 family members were interviewed. Analysis uncovered two contrasting categories: (a) disconnected communication and (b) family influence quality. Conclusion The findings of our study demonstrated that most patients and families perceived staff communication as disconnected and inadequate, which constrained them from engaging in care processes or decision‐making. However, when family felt empowered and participated in patient care, the quality of health care was enhanced. Healthcare professionals can use these findings to make informed evidence‐based changes to the way they practice and communicate to ensure family participation in patient care is optimised in the acute care setting.

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Section: Discussionmentioning

confidence: 99%

Patient and family members’ perceptions of family participation in care on acute care wards

Mackie

Mitchell

Marshall

2018

Scandinavian Caring Sciences

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“…Previous reviews of patient navigators have focused on cancer care [ 16 , 28 ], though patient navigators are increasingly being utilized in other areas [ 29 , 30 ]. While their popularity is growing, and many are touting their benefits [ 31 ], it is not clear whether patient navigator programs are beneficial across a cross-section of chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

Patient navigators for people with chronic disease: A systematic review

et al. 2018

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BackgroundPeople with chronic diseases experience barriers to managing their diseases and accessing available health services. Patient navigator programs are increasingly being used to help people with chronic diseases navigate and access health services.ObjectiveThe objective of this review was to summarize the evidence for patient navigator programs in people with a broad range of chronic diseases, compared to usual care.MethodsWe searched MEDLINE, EMBASE, CENTRAL, CINAHL, PsycINFO, and Social Work Abstracts from inception to August 23, 2017. We also searched the reference lists of included articles. We included original reports of randomized controlled trials of patient navigator programs compared to usual care for adult and pediatric patients with any one of a defined set of chronic diseases.ResultsFrom a total of 14,672 abstracts, 67 unique studies fit our inclusion criteria. Of these, 44 were in cancer, 8 in diabetes, 7 in HIV/AIDS, 4 in cardiovascular disease, 2 in chronic kidney disease, 1 in dementia and 1 in patients with more than one condition. Program characteristics varied considerably. Primary outcomes were most commonly process measures, and 45 of 67 studies reported a statistically significant improvement in the primary outcome.ConclusionOur findings indicate that patient navigator programs improve processes of care, although few studies assessed patient experience, clinical outcomes or costs. The inability to definitively outline successful components remains a key uncertainty in the use of patient navigator programs across chronic diseases. Given the increasing popularity of patient navigators, future studies should use a consistent definition for patient navigation and determine which elements of this intervention are most likely to lead to improved outcomes.Trial registrationPROSPERO #CRD42013005857

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“…The functions of navigation from a nurse can include assessments, tracking client progress, education (Monza, Harris, & Shaw, ), clinical expertise (Doerfler‐Evans, ), strengthening community partnerships and enhancement of clinical services (De la Riva et al., ). Common elements of nursing‐based models of care include holistic view of health, relationship‐based care and prioritization of individual and families (Mason, Goddard, Weatherly, & Chalkley, ).…”

Section: Discussionmentioning

confidence: 99%