The role of oncology nurse navigators in enhancing patient empowerment within the diagnostic phase for adult patients with lung cancer

Gaya Jeyathevan, Manon Lemonde, Angela Cooper Brathwaite

Abstract


Objective: The objective of this study was to explore the role of oncology nurse navigators (ONN) in enhancing patient empowerment for adult patients with lung cancer during the diagnostic phase of cancer care. 

Design: A qualitative descriptive design was used. Data were gathered through individual patient interviews and a focus group with the ONNs.  

Results: Eight individuals participated: four adult patients with lung cancer and four oncology nurse navigators. Themes regarding the clinical functions of the ONN role in enhancing patient empowerment were identified: patient advocate, educational support, personalized symptom management, and resource navigation.

Conclusion: ONNs are in a key position to adapt their practice to the emotional and supportive care needs required to promote patient and family empowerment.

Key words: nurse navigators, patient empowerment, cancer, diagnostic phase


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References


Bultz, B.D., & Carlson, L.E. (2005). Emotional distress: The Sixth Vital Sign in Cancer Care. Journal of Clinical Oncology, 23, 6440–6441.

Cancer Care Ontario. (2010). Patient navigation pilot project. Toronto, ON: Cancer Care Ontario.

Canadian Association of Nurses in Oncology. (2006). Practice standards and competencies for the specialized oncology nurse. Toronto, ON: CANO/ACIO.

Cantril, C., & Haylock, P.J. (2013). Patient navigation in the oncology care setting. Seminars in oncology nursing, 29(2), 76–90). WB Saunders.

Cook, S., Fillion, L., Fitch, M., 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, 23(1), 44–52. doi:10.5737/1181912x2314452

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.

Drageset, S. (2012). Psychological distress, coping and social support in the diagnostic and preoperative phase of breast cancer. PhD Dissertation, University of Bergen, Norway.

European Network on Patient Empowerment (n.d.). Patient empowerment—Living with chronic disease. Retrieved from http://www.enope.eu/media/14615/a_series_of_short_discussion_topics_on_different.pdf

Fillion, L., Cook, S., Veillette, A.M., De Serres, M., Aubin, M., Rainville, F., Fitch, M.I., & 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., Fitch, M.I., & Doll, R. (2012). Professional navigation framework: Elaboration and validation in a Canadian context. Oncology Nursing Forum, 39(1), 58–69.

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.

Jeyathevan, G., Lemonde, M., & Cooper Brathwaite, A. (2017). The role of oncology nurse navigators in facilitating continuity of care within the diagnostic phase for adult patients with lung cancer. Canadian Oncology Nursing Journal, 27(1), 74–80.

Medic 8. (n.d.). CT Scan. Retrieved from http://www.medic8.com/healthguide/articles/ctscan.html

McCorkle, R., Ercolano, E., Lazenby, M., Schulman-Green, D., Schilling, L.S., Lorig, K., & Wagner, E.H. (2011). Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA: A Cancer Journal for Clinicians, 61(1), 50–62.

Moseholm, E., Rydahl-Hansen, S., Overgaard, D., Wengel, H., Frederiksen, R., Brandt, M., & Lindhardt, B. (2016). Health-related quality of life, anxiety and depression in the diagnostic phase of suspected cancer and the influence of diagnosis. Health Quality Life Outcomes, 14(80). doi:10.1186/s12955-016-0484-9

Patton, M.Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice. SAGE Publications Inc.

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

Pedersen, A.E., & Hack, T.F. (2011). The British Columbia Patient Navigation Model: A critical analysis. In Oncology Nursing Forum, 38(2).

Rosenbaum, E.H., & Spiegel, D. (2002). Patient empowerment through supportive care. Cancer Supportive Care Programmes. Retrieved from http://www.cancersupportivecare.com/empower.html

Sandelowski, M. (2000). Focus on research methods. What happened to qualitative description? Research in Nursing & Health, 23, 334–240.

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.

Weinman, J. (1990). Providing written information for patients: psychological considerations. Journal of the Royal Society of Medicine, 83(5), 303–305.

Wilcox, B., & Bruce, S.D. (2010). Patient navigation: A “win-win†for all involved [Abstract]. Oncology Nursing Forum, 37(1), 21–25.

World Health Organization. (2009). WHO guidelines on hand hygiene in health care: First global patient safety challenge. Clean care is safer care. 2, Patient empowerment and health care. World Health Organization.

Yarbro, C.H., Frogge, M.H., & Goodman, M. (2004). Cancer symptom management (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers.

Zabora, J., BrintzenhofeSzoc, K., Curbow, B., Hooker, C., & Piantadosi, S. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10(1), 19–28.


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