Core areas of practice and associated competencies for nurses working as professional cancer navigators
Abstract
Fillion et al. (2012) recently designed a conceptual framework for professional cancer navigators describing key functions of professional cancer navigation.
Purpose: Building on this framework, this study defines the core areas of practice and associated competencies for professional cancer navigators.
Methods: The methods used in this study included: literature review, mapping of navigation functions against practice standards and competencies, and validation of this mapping process with professional navigators, their managers and nursing experts and comparison of roles in similar navigation programs.
Findings: Associated competencies were linked to the three identified core areas of practice, which are: 1) providing information and education, 2) providing emotional and supportive care, and 3) facilitating coordination and continuity of care.
Conclusion: Cancer navigators are in a key position to improve patient and family empowerment and continuity of care.
Implications: This is an important step for advancing the role of oncology nurses in navigator positions and identifying areas for further research.
Key words: patient navigation, professional navigators, cancer patient navigator, pivot nurse in oncology, competency standards, empowerment, continuity of care, coordination of care, supportive care, collaborative care, specialized nurses, domains of practice, core areas of practice
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Adler, N.E., & Page, E.K. (Eds.). (2008). Cancer care for the whole
patient: Meeting psychosocial health needs. Retrieved from
http://books.nap.edu/catalog.php?record_id=11993#toc
Affara, F. (2009). ICN framework of competencies for the nurse
specialist. Retrieved from http://www.epda.eu.com/EasySiteWeb/
GatewayLink.aspx?alId=7465
Bickell, N.A., & Young, G.J. (2001). Coordination of care for earlystage
breast cancer patients. Journal of General Internal
Medicine, 11(2), 205–215. doi:10.1111/j.1525-1497.2001.10130.x
Bulsara, C., Styles, I., Ward, A.M., & Bulsara, M. (2006). The psychometrics
of developing the patient empowerment scale. Journal of
Psychosocial Oncology, 24(2), 1–16. doi:10.1300/J077v24n02_01
Bultz, B., & Carlson, L. (2005). Emotional distress: The sixth vital
sign in cancer care. Journal of Clinical Oncology, 23(26), 6440–
doi:10.1200/JCO.2005.02.3259
Canadian Association of Nurses in Oncology. (2006). Practice
standards and competencies for the specialized oncology nurse.
Retrieved from http://www.cano-acio.ca/conep/
Canadian Partnership Against Cancer Corporation. (2010, January).
Guide to implementing navigation [Working copy]. Retrieved
from http://www.partnershipagainstcancer.ca/sites/default/
files/Guide_Implementation_Navigation.pdf
Cancer Care Nova Scotia. (2004, March). Cancer patient navigation
evaluation
findings. March final report. Retrieved from http://
www.cancercare.ns.ca/en/home/publications/reports.aspx
Cancer Nurses Society of Australia. (2008). Position statement for
cancer care coordinators. Retrieved from http://www.cnsa.org.
au/documents/june2008/CNSA%20ca%20care%20COORD%20
PS%2008.pdf
Carver, C.S., Scheier, M.F., & Weintraub, J.K. (1989). Assessing coping
strategies: A theoretically based approach. Journal of Personality
and Social Psychology, 56, 267–283.
Corner, J. (2003). The role of nurse-led care in cancer
management. Lancet Oncology, 4(10), 631–636. doi:10.1016/
S1470-2045(03)01223-3
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 [The case
manager in oncology: An assessment, information-giving, and
support role for the well being of people affected by cancer].
Retrieved from http://publications.msss.gouv.qc.ca/acrobat/f/
documentation/2000/00-908.pdf
Doll, R., Stephen, J., Barroetavena, M.C., Linden, W., Poole, G., & Fyles,
G. (2005). Patient navigation in cancer care. Final report. Retrieved
from http://www.bccancer.bc.ca/NR/rdonlyres/FBBD2D27-7E88-
-AE76-5552E2B57C5C/14927/print_Final_Navigation1.pdf
Farber, J.M., Deschamps, M., & Cameron, R. (2002). Investigation and
assessment of the “navigator role†in meeting the informational,
decisional
and educational needs of women with breast cancer in
Canada. Retrieved from http://www.phac-aspc.gc.ca/publicat/
navigator-intervenant/pdf/navigator-intervenant-eng.pdf
Fillion, L., Cook, S., Veillette, A.M., de Serres, M., Aubin, M., Rainville,
F., & Doll, R. (2012). Professional navigation framework:
Elaboration and validation in a Canadian context. Oncology
Nursing Forum, 39(1), E58–E69. doi:10.1188/12.ONF.E58-E69
Fillion, L., Cook, S., Blais, M.C., Veillette, A.M., Aubin, M., de Serres,
M., & Fournier, B. (2011). Implementation of screening for
distress with professional cancer navigators. Oncologie, 13(6),
–289. doi:10.1007/s10269-011-2026-8
Fillion, L., de Serres, M., Lapointe-Goupil, R., Bairati, I., Gagnon, P.,
Deschamps, M., … Demers, G. (2006). Implementing the role of
patient-navigator nurse at a university hospital centre. Canadian
Oncology Nursing Journal, 16, 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 in Oncology Nursing, 25, 212–221. doi:10.1016/j.
soncn.2009.05.004
Fitch, M.I. (2008). Supportive care framework: Theoretical underpinnings.
In M.I. Fitch, H.B. Porter, & B.D. Page (Eds.), Supportive care
framework: A foundation for person-centered care (pp. 11–29).
Pembroke,
Ontario: Pappin Communications.
Freeman, H.P. (2006). Patient navigation: A community
centered approach to reducing cancer mortality. Journal
of Cancer Education, 21(1 Suppl), S11–4. doi:10.1207/
s15430154jce2101s_4
Haggerty, J.L., Reid, R.J., Freeman, G.K., Starfield, B.H., Adair, C.E.,
& McKendry, R. (2003). Continuity of care: A multidisciplinary
review. BMJ, 327, 1219–1221. doi:10.1136/bmj.327.7425.1219
Melinyshyn, S., & Wintonic, A. (2006). The role of the nurse navigator
in the breast assessment program at Hotel Dieu Hospital. The
Nursing Journal. Retrieved from http://www.krcc.on.ca/pdf/
The%20Role%20of%20the%20Nurse%20Navigator%20in%20
the%20Breast%20Assessment%20Program.pdf
National Breast Cancer Centre. (2005). Specialist breast nurse
competency standards and associated educational requirements.
Sydney: National Breast Cancer Centre.
Oncology Nursing Society. (2007). Oncology nurse practitioner
competencies. Retrieved from http://www.ons.org/media/ons/
docs/publications/npcompentencies.pdf
Pedersen, A., & Hack, T.F. (2010). Pilots of oncology health care: A
concept analysis of the patient navigator role. Oncology Nursing
Forum, 37(1): 55–60. doi:10.1188/10.ONF.55-60
Plante, A. (2004). Empowerment and team work: A complex symptoms
management care model. Retrieved from http://www.phsa.ca/
NR/rdonlyres/779F7822-DEE8-4F9C-B299-118236667282/0/
EmpowermentandTeamWorkAnnePlanteQC.pdf
Stowers, M., & Williams, M. (2008). Improving the cancer patient
journey: The impact of a regional cancer coordination model.
Australian Journal of Cancer Nursing, 9(1), 5–11.
Treacy, J.T., & Mayer, D.K. (2000). Perspectives on cancer
patient education. Seminars in Oncology Nursing, 16, 47–56.
doi:10.1016/S0749-2081(00)80007-8
Wagner, E.H. (1998). Chronic disease management: What will it take
to improve care for chronic illness? Effective Clinical Practice,
, 2–4. Retrieved from http://www.acponline.org/clinical_
information/journals_publications/ecp/augsep98/cdm.htm
Walker, L.O., & Avant, K.C. (2005). Strategies for theory construction
in nursing (4th ed.). Upper Saddle River, NJ: Pearson/Prentice
Hall.
Wolfe, L.C. (1993). A model system: Integration of services for
cancer treatment. Cancer, 72(11 Suppl.), 3525–3530.
Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., &
Piantadosi, S. (2001). The prevalence of psychological distress by
cancer site. Psychooncology, 10(1), 19–28.
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