Nurse Navigation and the Transition to Cancer Survivorship: A Review of Determinants Essential to Program Success
DOI:
https://doi.org/10.18192/riss-ijhs.v3i2.1342Keywords:
Survivorship nurse navigation, cancer survivorship, access to health careAbstract
Nurse navigation programs are becoming prominent in the field of cancer care. As a newly emerging field, nurse navigation employs nurses and other health care professionals who assist patients in overcoming barriers throughout the cancer continuum. The concept of nurse navigation is being extended to focus on survivorship, which is described as the period following active cancer treatment where patients often encounter barriers affecting their care and quality of life. By utilizing specific skills and modalities, including education, communication, and coordination, survivorship navigators are able to assist in reducing disparities such as knowledge and communication inadequacies, thus, facilitating optimal access to survivorship care. Access to health services is an important determinant of health in Canada. Survivorship navigation programs incorporate health services, providing a method in which cancer patients can overcome challenges and improve their health outcomes. This review will discuss the origins of nurse navigation, highlight navigator skills and modalities, which are essential to program success, and finally discuss the implications of a survivorship navigation program.
References
Alfano, C., & Rowland, J. (2006). Recovery issues in cancer survivorship: A new challenge for supportive care. The Cancer Journal, 12 (5), 432-443.
BC Cancer Agency. (2005). Patient Navigation in Cancer Care. Retrieved from http://www.bccancer.bc.ca/NR/ rdonlyres/FBBD2D27-7E88-4340-AE76- 5552E2B57C5C/14927/print_Final_Navigation1.pdf
Braun, K., Kagawa Singer, M., Holden, A. E. C., Burhansstipanov, L., Tran, J., Seals, B., ... Ramirez, A. (2012). Cancer patient navigator tasks across the cancer care continuum. Journal of Health Care for the Poor and Underserved, 23(1), 398-413. doi:10.1353/hpu.2012.0029
Canadian Cancer Society. (2012). General cancer statistics at a glance. Retrieved from http://www.cancer.ca/ canadawide/ about%20cancer/cancer%20statistics/stats% 20at% 20a%20glance/general%20cancer%20stats.aspx
Canadian Cancer Society, Statistics Canada, Provincial/ Territorial Cancer Registries, & Public Health Agency of Canada. (2012). Canadian Cancer Statistics 2012. Retrieved from http://www.cancer.ca/~/media/CCS/ Canada%20wide/ Files%20List/English%20files% 20heading/PDF%20-% 20Policy%20-%20Canadian% 20Cancer%20Statistics%20-% 20English/Canadian% 20Cancer%20Statistics%202012%20- %20English.ashx
Canadian Nurses Association. (2008). Oncology Nursing Certification: summary chart. Retrieved from http://www.cnaaiic. ca/CNA/documents/pdf/publications/ CERT_Oncology_2_e.pdf
Canadian Partnership Against Cancer. (2009). Guide to Implementing Screening for Distress, the 6th Vital Sign. Moving Towards Person-Centered Care. Retrieved from http://www.partnershipagainstcancer.ca/wp-content/ uploads/2.4.0.1.4.5-Guide_CJAG.pdf
Canadian Partnership Against Cancer. (2010). Guide to Implementing Navigation. Retrieved from http:// www.partnershipagainstcancer.ca/wp-content/ up- loads/2.4.0.1.4.7-Guide_Implementation_Navigation.pdf
Canadian Partnership Against Cancer. (2012). Survivorship. Retrieved from http:// www.partnershipagainstcancer.ca/ priorities/cancer- journey/strategic-initiatives/survivorship- 2/
Ferrante, J. M., Chen, P. H., & Kim, S. (2007). 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. doi:10.1007/s11524-007-9228-9
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 (1), 11-7, 5.
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.
Ganz, P., Casillas, J., & Hahn, E. (2008). Ensuring quality care for cancer survivors: Implementing the survivorship care plan. Seminars in Oncology Nursing, 24(3), 208-217. doi:10.1016/j.soncn.2008.05.009
Harold P. Freeman Patient Navigation Institute. (2012). Our Model. Retrieved from http:// www.hpfreemanpni.org/ourmodel/
Institute of Medicine. (2007). Implementing cancer survivorship care planning: Workshop summary. Washington, DC: The National Academies Press.
Melinyshyn, S., & Witonic, A. (2006). The role of the nurse navigator in the breast assessment program at Hotel Dieu Hospital. Retrieved from http://krcc.on.ca/pdf/The%20Role%20of%20the%20Nurse%20Navigator%20in% 20the%20Breast%20Assessment%20Program.pdf
Oncology Nursing Society. (2010). Oncology Nursing Society, the Association of Oncology Social Work, and the National Association of Social Workers joint position on the role of oncology nursing and oncology social work in patient navigation. Retrieved from http://www.ons.org/ Publications/ Positions/Navigation
Paskett, E. D., & Stark, N. (2000). Lymphedema: Knowledge, treatment, and impact among breast cancer survivors. The Breast Journal, 6(6), 373-378. doi: 10.1046/j.1524-4741.2000.99072.x
Pedersen, A., & Hack, T. (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
Pratt-Chapman, M., Simon, M., Patterson, A., Risendal, B., & Patierno, S. (2011). Survivorship navigation outcome measures: A report from the ACS patient navigation working group on survivorship navigation. Cancer, 117(15 Suppl), 3575-3584. doi:10.1002/cncr.26261
Princess Margaret Hospital. (n.d.). Enhancing Clinical Assessment and Support. Retrieved from http:// www.survivorship.ca/experience.html
Psooy, B. J., Schreur, D., Borgaonkar, J., & Caines, J. S. (2004). Patient navigation: Improving timeliness in the diagnosis of breast abnormalities. Canadian Association of Radiologists Journal, 55(3), 145-150.
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(5), 633-639. doi:10.1188/07.CJON.633-639
Stanton, A. L., Ganz, P. A., Rowland, J. H., Meyerowitz, B. E., Krupnick, J. L., & Sears, S. R. (2005). Promoting adjustment after treatment for cancer. Cancer, 104(11 Suppl), 2608- 2613. doi:10.1002/cncr.21246
The Ottawa Regional Cancer Foundation. (2009). Cancer survivorship care. Retrieved from http:// www.ottawacancer.ca/en/cancer-survivorship-centre/ survivorship-care.aspx
Vargas, R. B., Ryan, G. W., Jackson, C. A., Rodriguez, R., & Freeman, H. P. (2008). Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. Cancer, 113(2), 426- 433. doi: 10.1002/cncr.2354
Wells, K. J., Battaglia, T. A., Dudley, D. J., Garcia, R., Greene, A., Calhoun, E., ... Raich, P.C. (2008). Patient navigation: State of the art or is it science? Cancer, 113(8), 1999-2010. doi: 10.1002/cncr.23815
Wilcox, B., & Bruce, S. (2010). Patient navigation: A win-win for all involved. Oncology Nursing Forum, 37(1), 21- 25. doi:10.1188/10.ONF.21-25
BC Cancer Agency. (2005). Patient Navigation in Cancer Care. Retrieved from http://www.bccancer.bc.ca/NR/ rdonlyres/FBBD2D27-7E88-4340-AE76- 5552E2B57C5C/14927/print_Final_Navigation1.pdf
Braun, K., Kagawa Singer, M., Holden, A. E. C., Burhansstipanov, L., Tran, J., Seals, B., ... Ramirez, A. (2012). Cancer patient navigator tasks across the cancer care continuum. Journal of Health Care for the Poor and Underserved, 23(1), 398-413. doi:10.1353/hpu.2012.0029
Canadian Cancer Society. (2012). General cancer statistics at a glance. Retrieved from http://www.cancer.ca/ canadawide/ about%20cancer/cancer%20statistics/stats% 20at% 20a%20glance/general%20cancer%20stats.aspx
Canadian Cancer Society, Statistics Canada, Provincial/ Territorial Cancer Registries, & Public Health Agency of Canada. (2012). Canadian Cancer Statistics 2012. Retrieved from http://www.cancer.ca/~/media/CCS/ Canada%20wide/ Files%20List/English%20files% 20heading/PDF%20-% 20Policy%20-%20Canadian% 20Cancer%20Statistics%20-% 20English/Canadian% 20Cancer%20Statistics%202012%20- %20English.ashx
Canadian Nurses Association. (2008). Oncology Nursing Certification: summary chart. Retrieved from http://www.cnaaiic. ca/CNA/documents/pdf/publications/ CERT_Oncology_2_e.pdf
Canadian Partnership Against Cancer. (2009). Guide to Implementing Screening for Distress, the 6th Vital Sign. Moving Towards Person-Centered Care. Retrieved from http://www.partnershipagainstcancer.ca/wp-content/ uploads/2.4.0.1.4.5-Guide_CJAG.pdf
Canadian Partnership Against Cancer. (2010). Guide to Implementing Navigation. Retrieved from http:// www.partnershipagainstcancer.ca/wp-content/ up- loads/2.4.0.1.4.7-Guide_Implementation_Navigation.pdf
Canadian Partnership Against Cancer. (2012). Survivorship. Retrieved from http:// www.partnershipagainstcancer.ca/ priorities/cancer- journey/strategic-initiatives/survivorship- 2/
Ferrante, J. M., Chen, P. H., & Kim, S. (2007). 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. doi:10.1007/s11524-007-9228-9
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 (1), 11-7, 5.
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.
Ganz, P., Casillas, J., & Hahn, E. (2008). Ensuring quality care for cancer survivors: Implementing the survivorship care plan. Seminars in Oncology Nursing, 24(3), 208-217. doi:10.1016/j.soncn.2008.05.009
Harold P. Freeman Patient Navigation Institute. (2012). Our Model. Retrieved from http:// www.hpfreemanpni.org/ourmodel/
Institute of Medicine. (2007). Implementing cancer survivorship care planning: Workshop summary. Washington, DC: The National Academies Press.
Melinyshyn, S., & Witonic, A. (2006). The role of the nurse navigator in the breast assessment program at Hotel Dieu Hospital. Retrieved from http://krcc.on.ca/pdf/The%20Role%20of%20the%20Nurse%20Navigator%20in% 20the%20Breast%20Assessment%20Program.pdf
Oncology Nursing Society. (2010). Oncology Nursing Society, the Association of Oncology Social Work, and the National Association of Social Workers joint position on the role of oncology nursing and oncology social work in patient navigation. Retrieved from http://www.ons.org/ Publications/ Positions/Navigation
Paskett, E. D., & Stark, N. (2000). Lymphedema: Knowledge, treatment, and impact among breast cancer survivors. The Breast Journal, 6(6), 373-378. doi: 10.1046/j.1524-4741.2000.99072.x
Pedersen, A., & Hack, T. (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
Pratt-Chapman, M., Simon, M., Patterson, A., Risendal, B., & Patierno, S. (2011). Survivorship navigation outcome measures: A report from the ACS patient navigation working group on survivorship navigation. Cancer, 117(15 Suppl), 3575-3584. doi:10.1002/cncr.26261
Princess Margaret Hospital. (n.d.). Enhancing Clinical Assessment and Support. Retrieved from http:// www.survivorship.ca/experience.html
Psooy, B. J., Schreur, D., Borgaonkar, J., & Caines, J. S. (2004). Patient navigation: Improving timeliness in the diagnosis of breast abnormalities. Canadian Association of Radiologists Journal, 55(3), 145-150.
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(5), 633-639. doi:10.1188/07.CJON.633-639
Stanton, A. L., Ganz, P. A., Rowland, J. H., Meyerowitz, B. E., Krupnick, J. L., & Sears, S. R. (2005). Promoting adjustment after treatment for cancer. Cancer, 104(11 Suppl), 2608- 2613. doi:10.1002/cncr.21246
The Ottawa Regional Cancer Foundation. (2009). Cancer survivorship care. Retrieved from http:// www.ottawacancer.ca/en/cancer-survivorship-centre/ survivorship-care.aspx
Vargas, R. B., Ryan, G. W., Jackson, C. A., Rodriguez, R., & Freeman, H. P. (2008). Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. Cancer, 113(2), 426- 433. doi: 10.1002/cncr.2354
Wells, K. J., Battaglia, T. A., Dudley, D. J., Garcia, R., Greene, A., Calhoun, E., ... Raich, P.C. (2008). Patient navigation: State of the art or is it science? Cancer, 113(8), 1999-2010. doi: 10.1002/cncr.23815
Wilcox, B., & Bruce, S. (2010). Patient navigation: A win-win for all involved. Oncology Nursing Forum, 37(1), 21- 25. doi:10.1188/10.ONF.21-25
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2013-11-01
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