Intervention patterns of pivot nurses in oncology
Abstract
The Pivot Nurse in Oncology (PNO) is a health care professional dedicated to providing patients with cancer and their families with continuing and consistent supportive care throughout the care trajectory. The purpose of this paper is to describe the variation and frequency of nursing interventions delivered by 12 PNOs at our health centre. An administrative analysis over a three-year period revealed a total of 43,906 interventions that were grouped into 10 categories. This analysis provided a description of the intervention frequency and these interventions were further collapsed into the four role functions of the PNO. Coordination/continuity of care and the assessment of needs and symptoms were identified as the dominant practice domains of the PNO in the professional cancer navigator role.
Full Text:
PDFReferences
Allard, N.C. (2007). Day surgery for breast cancer: Effects of a
psychoeducational telephone intervention on functional status
and emotional distress. Oncology Nursing Forum, 34, 133–141.
Canadian Partnership Against Cancer. (2010, January). Cancer
Journey: Guide to Implementing Navigation [Working copy].
Retrieved from www.partnershipagainstcancer.ca/sites/default/
files/Guide_Implementation_Navigation.pdf
de Serres, M., & Beauchesne, N. (2000). L’intervenant pivot en
oncologie : un rôle d’évaluation, d’information et de soutien pour
le mieux-être des personnes atteintes de cancer. Québec : Conseil
québécois de lutte contre le cancer.
Dumont, I., Dumont, S., & Turgeon, J. (2005). Continuity of care for
advanced cancer patients. Journal of Palliative Care, 21, 49–56.
Ferrante, J.M., Chen, P.H., & Kim, S. (2008). The effect of patient
navigation on time to diagnosis, anxiety, and satisfaction in urban
minority women with abnormal mammograms: A randomized
controlled trial. Journal of Urban Health, 85, 114–124.
Fillion, L., de Serres, M., Lapointe-Goupil, R., Bairati, I., Gagnon, P.,
Deschamps, M. et al. (2006). Implementing the role of patientnavigator
nurse at a university hospital centre. Canadian
Oncology Nursing Journal, 16(1), 11–17.
Fillion, L., de Serres, M., Cook, S., Goupil, R. L., Bairati, I., & Doll, R.
(2009). Professional patient navigation in head and neck cancer.
Seminars Oncology Nursing, 25, 212–221.
Fischer, S.M., Sauaia, A., & Kutner, J.S. (2007). Patient navigation: A
culturally competent strategy to address disparities in palliative
care. Journal of Palliative Medicine, 10, 1023–1028.
Fitch, M., Porter, H.B., & Page, B.D. (2009). Supportive Care
Framework: A Foundation for Person-Centred Care. Pembroke,
ON: Pappin Communications.
Freeman, H.P., Muth, B.J., & Kerner, J.F. (1995). Expanding access
to cancer screening and clinical follow-up among the medically
underserved. Cancer Practice, 3, 19–30.
Haggerty , J.L., Reid, R.J. Freeman, G.K., Starfield, B.H., Adair, C.E.,
& McKendr, R. (2003). Continuity of care: A multidisciplinary
review. BMJ. 32, 1219–1221.
Honea, N.J., Brintnall, R., Given, B., Sherwood, P., Colao, D.B.,
Somers, S.C., et al. (2008). Putting evidence into practice: Nursing
assessment and interventions to reduce family caregiver strain
and burden. Clinical Journal of Oncology Nursing, 12, 507–516.
Lohfeld, L., Brazil, K., & Willison, K. (2007). Front line dispatch.
Continuity of care for advanced cancer patients: Comparing the
views of spousal caregivers in Ontario, Canada, to Dumont et
al.’s theoretical model. Journal of Palliative Care, 23, 117–126.
Martin, K. (2004). The Omaha System: A key to practice,
documentation, and information management (2nd ed.). St. Louis,
MS: Elsevier Saunders.
Miaskowski, C., Shockney, L., & Chlebowski, R.T. (2008). Adherence to
oral endocrine therapy for breast cancer: A nursing perspective.
Clinical Journal of Oncology Nursing, 12, 213–221.
Ministère de la Santé et des Services sociaux (MSSS). (2005).
Programme québécois de lutte contre le cancer. Pour optimiser
la contribution des infirmières à la lutte contre le cancer. Comité
de l’évolution de la pratique infirmière en oncologie (CEPIO).
Retrieved from http://www.msss.gouv.qc.ca/sujets/prob_sante/
cancer/index.php?aid=30
Ministère de la Santé et des Services sociaux (MSSS) (2008).
Programme québécois de lutte contre le cancer. Rôle de
l’infirmière pivot en oncologie. Comité consultatif des infirmières
en oncologie. Retrieved from http://www.msss.gouv.qc.ca/
sujets/prob_sante/cancer/index.php?aid=30
Mitchell, S.A., Beck, S.L., Hood, L.E., Moore, K., & Tanner, E.R. (2007).
Putting evidence into practice: Evidence-based interventions for
fatigue during and following cancer and its treatment. Clinical
Journal of Oncology Nursing, 11, 99.
Morgan, M.A. (2009). Considering the patient-partner relationship
in cancer care: Coping strategies for couples. Clinical Journal of
Oncology Nursing, 13, 65–72.
Plante, A., & Joannette, S. (2009). L’intégration des infirmières
pivots dans les équipes d’oncologie en Montérégie : un aspect de
l’implémentation du Programme de lutte contre le cancer, Partie
Canadian Oncology Nursing Journal, 19(1), 13–18.
Rahm, A.K., Sukhanova, A., Ellis, J., & Mouchawar, J. (2007).
Increasing utilization of cancer genetic counseling services using
a patient navigator model. Journal of Genetic Counseling, 16,
–177.
Saegrov, S., & Halding, A. (2004). What is it like living with the
diagnosis of cancer? European Journal of Cancer Care, 13, 145–
Schwaderer, K.A., & Itano, J.K. (2007). Bridging the healthcare divide
with patient navigation: Development of a research program to
address disparities. Clinical Journal of Oncology Nursing, 11,
–639.
Skrutkowski, M., Saucier, A., Eades, M., Swidzinski, M., Ritchie, J.,
& Marchionni, C. (2008). Impact of a pivot nurse in oncology on
patients with lung or breast cancer: Symptom distress, fatigue,
quality of life, and use of healthcare resources. Oncology Nursing
Forum, 35, 948–954.
Refbacks
- There are currently no refbacks.


