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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
Abstract
Objective: The objective of this study was to explore the role of oncology nurse navigators (ONN) in facilitating continuity of care for adult lung cancer patients during the diagnostic phase of cancer care.Â
Design: A phenomenological approach was used and involved semi-structured patient interviews and an oncology nurse navigators’ focus group.Â
Results: Eight individuals participated, including four adult patients with lung cancer and four oncology nurse navigators. Themes regarding the organizational functions of the ONN role in facilitating continuity of care were identified: patient-focused care, needs assessments, shared decision-making, accessibility, and eliminating barriers.
Conclusion: Awareness of the organizational functions of the ONN role could be used to create core areas of practice within nursing training modules to provide consistent and patient-centred continuity of care.Â
Key words: nurse navigators, continuity of care, cancer, diagnostic phase
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Artherholt, S.B., & Fann, J.R. (2012). Psychosocial care in cancer. Current Psychiatry Reports, 14(1), 23–29.
Bunn, F., Byrne, G., & Kendall, S. (2005). The effects of telephone consultation and triage on healthcare use and patient satisfaction: A systematic review. Br J Gen Pract, 55(521), 956–961.
Burns, N., & Grove, S. (2009). The practice of nursing research: Appraisal, synthesis, and generation of ideas (6th ed.). St. Louis, MI: Saunders.
Canadian Association of Nurses in Oncology. (2006). Practice standards and competencies for the specialized oncology nurse. Toronto, ON: CANO/ACIO.
Cancer Care Ontario. (2010). Patient Navigation Pilot Project. Toronto, ON: Cancer Care Ontario.
Cantril, C., & Haylock, P.J. (2013). Patient navigation in the oncology care setting. Seminars in Oncology Nursing, 29(2), 76–90). WB Saunders.
Christensen, E.D., Harvald, T., Jendresen, M., Aggestrup, S., & Petterson, G. (1997). The impact of delayed diagnosis of lung cancer on the stage at the time of operation. European Journal of Cardio-Thoracic Surgery, 12(6), 880–884.
Cook, S., Fillion, L., Fitch, M.I., Veillette, A.M., Matheson, T., Aubin, M., ... & Rainville, F. (2013). Core areas of practice and associated competencies for nurses working as professional cancer navigators. Canadian Oncology Nursing Journal/Revue canadienne de soins infirmiers en oncologie, 23(1), 44–52.
Creswell, J.W., Plano Clark, V.L., Gutmann, M.L., & Hanson, W.E. (2003). Advanced mixed methods research designs. Handbook of Miixed Methods in Social and Behavioral Research, 209–240.
Elwyn, G., Edwards, A., Kinnersley, P., & Grol, R. (2000). Shared decision making and the concept of equipoise: The competences of involving patients in healthcare choices. Br J Gen Pract, 50(460), 892–899.
Fillion, L., Cook, S., Veillette, A.M., De Serres, M., Aubin, M., Rainville, F., ... & Doll, R. (2012). Professional navigation: A comparative study of two Canadian models. Canadian Oncology Nursing Journal/Revue canadienne de soins infirmiers en oncologie, 22(4), 257–266.
Fillion, L., Cook, S., Veillette, A.M., Aubin, M., De Serres, M., Rainville, F., ... Doll, R. (2012, January). Professional navigation framework: Elaboration and validation in a Canadian context. Oncology Nursing Forum, 39(1), E58–E69.
Flood, A. (2010). Understanding phenomenology. Nurse Researcher, 17(2), 7–15.
Gallagher, M., Huddart, T., & Henderson, B. (1998). Telephone triage of acute illness by a practice nurse in general practice: Outcomes of care. Br J Gen Pract, 48(429), 1141–1145.
Graneheim, U.H., & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112.
Groenewald, T. (2004). A phenomenological research design illustrated. International Journal of Qualitative Methods, 3(1), Article 4. Retrieved from http://www.ualberta.ca/iiqm/backissues/3_1pdf/groenewald.pdf
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(7425), 1219–1221.
Haggerty, J.L., Roberge, D., Freeman, G.K., & Beaulieu, C. (2013). Experienced continuity of care when patients see multiple clinicians: A qualitative metasummary. The Annals of Family Medicine, 11(3), 262–271.
McMullen, L. (2013). Oncology nurse navigators and the continuum of cancer care. Seminars in Oncology Nursing, 29(2), 105–117. WB Saunders.
Pedersen, A.E., & Hack, T.F. (2011). The British Columbia Patient Navigation Model: A critical analysis. Oncology Nursing Forum, 38(2).
Psooy, B.J., Schreuer, D., Borgaonkar, J., & Caines, J.S. (2004). Patient navigation: Improving timeliness in the diagnosis of breast abnormalities. Canadian Association of Radiologists Journal, 55(3), 145.
Registered Nurses Association of Ontario. (2007). Embracing cultural diversity in health care: Developing cultural competence. Toronto, ON: Registered Nurses Association of Ontario.
Saha, S., Beach, M.C., & Cooper, L.A. (2008). Patient centeredness, cultural competence and healthcare quality. Journal of the National Medical Association, 100(11), 1275.
Sisler, J. (n.d.). Patient Continuity of Care Questionnaire. Retrieved from http://uregina.ca/~hadjista/framework_tool.html
Toma, J.D. (2011). Approaching rigor in applied qualitative research. The SAGE handbook for research in education: Pursuing ideas as the keystone of exemplary inquiry, 405–423.
Trussler, T. (2002). Uncovering the gaps: An inquiry of breast care in British Columbia. Vancouver: Canadian Breast Cancer Foundation.
Utsa, Y.Y. (2012). Importance of social support in cancer patients. Asian Pacific Journal of Cancer Prevention, 13(8), 3569–3572.
Zabalegui, A., Sanchez, S., Sanchez, P.D., & Juando, C. (2005). Nursing and cancer support groups. Journal of Advanced Nursing, 51(4), 369–381.
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