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Revue intégrative sur le rôle de l’infirmière pivot en oncologie dans le contexte canadien
Abstract
Plusieurs organismes provinciaux canadiens de lutte contre le cancer ont adopté un modèle de navigation des patients dirigé par des infirmières afin de réduire la fragmentation des soins dans le système. Au Canada, le champ de compétences de l’infirmière pivot en oncologie (IPO) a évolué en fonction des nouveaux défis liés aux soins. La présente revue intégrative vise à définir le champ de compétences de l’IPO au Canada. Trois bases de données ont été consultées dès le début afin de recenser les études et les articles théoriques sur le rôle de l’IPO au Canada. Cette recherche a produit 62 articles, dont 39 ont été retenus, permettant de dégager trois fonctions principales interdépendantes. La première concerne la coordination des soins et met en évidence le rôle de l’IPO en tant que coordonnatrice des besoins médicaux et pratiques des patients tout au long de leur parcours de soins. La deuxième fait de l’IPO une agente de changement ayant pour mission d’améliorer les connaissances médicales des patients, de créer des partenariats et d’instaurer des relations de confiance. Les IPO sont également perçues comme des garantes du bien-être, toujours soucieuses des besoins émotionnels et multidimensionnels, et comme des vecteurs de transformation des milieux de soins. Toutes ces fonctions jouent un rôle important pour que l’infirmière pivot parvienne à réduire les inégalités de soins et à améliorer le devenir des patients dans tous les milieux de soins.
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