The importance of the navigator nurse in cancer patient care: an integrative literature review
DOI:
https://doi.org/10.33448/rsd-v11i5.28024Keywords:
Patient navigation; Oncology nursing; Nursing care.Abstract
Introduction: This article discusses the navigator nurse, its attributions and the main challenges facing this new branch of the profession that is on the rise in the world. The Navigator Nurse is the professional who will provide specific care to the patient from the beginning of treatment, until the end of the patient's life, with a view to monitoring patients throughout the continuum of care, promoting the integration of patients in the health. Methodology: Literature review where the search for articles was carried out between the months of May 2021 to February 2022 in the databases. The descriptors taken from the Descriptors in Health Sciences (DECS) are: “patient navigation”, “oncology nursing” and “nursing care”, combined by the Boolean operator “AND”. Results: After thorough reading and selection, 26 articles were selected. They bring in their contents the care provided by the navigator nurse in the navigation program and its importance in the continuity of care, offering individualized and individual-centered assistance. In addition, they emphasize the benefits of navigation through greater understanding of the disease and treatment, adherence to treatment, positive prognosis and better quality of life. Final Considerations: It was found the importance of patient navigation performed by nurses as a model of care, presenting significant clinical results for cancer patients and their families. The patient navigator should be a professional who partners with patients, serving as an advocate and guide, and prioritizing the patient's needs.
References
Baliski, C., Mcgahan, C. E., Liberto, C. M., Broughton, S., Ellard, S., Taylor M., et al (2014). Influence of nurse navigation on wait times for breast cancer care in a Canadian regional cancer center. Am J Surgery. 207(5):686-92. https://www.ncbi.nlm.nih.gov/pubmed/24791628.
Cantril, C., Christensen, D., Moore, E. & Standardizing, R (2019) Evaluating Oncology Nurse Navigator Clarity, Educational Preparation, and Scope of Work Within Two Healthcare Systems. Clin J Oncol Nurs, 23(1):52-59. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-23651677.
Cantril, C, & Haylock, P. J (2013) Patient navigation in the oncology care setting. Semin Oncol Nurs. 29(2):76-90. http://www. seminarsoncologynursing.com/article/S0749-2081(13)00013-2/fulltext.
Chillakunnel, H. R. S., Pai, M. S., & Fernandes, D. J. (2015). Programa navegador de enfermagem oncológica: uma revisão narrativa. Nitte Univ J Health Sci. [Internet]. 5 (1): 103-7. http://nitte.edu.in/journal/december2014/ONNP.pdf .
De Souza, I., Fernandes, W., & Vieir, S. (2021). Atuação E Competências Do Enfermeiro Navegador: Revisão Integrativa. Revista Científica E-Locução, 1(20), 25. https://periodicos.faex.edu.br/index.php/e-Locucao/article/view/389.
Freeman, H. P., & Rodriguez, R. L. (2011). History and principles of patient navigation. Cancer, 117(15), 3537-3540. 10.1002/cncr.26262.
Instituto Nacional do Câncer (2021): Estatísticas de câncer. Junho, 2021. https://www.inca.gov.br/numeros-de-cancer.
Instituto Nacional de Câncer (2018). Estimativa 2018: incidência de câncer no Brasil [Internet]. Rio de Janeiro: INCA, 2018. https://www.inca.gov.br/sites/ ufu.sti.inca.local/files//media/document//estimativaincidencia-de-cancer-no-brasil-2018.pdf.
Kunos, C., Olszewski, S., & Espinal, E (2015). Impact of nurse navigation on timeliness of diagnostic medical services in patients with newly diagnosed lung cancer. J Community Support Oncol. 13(6):219-24. https://doi.org/10.12788/jcso.0141.
Lima, M. E. R. F., et al (2021). Atuação do enfermeiro navegador no acolhimento ao paciente oncológico. RECIMA21 -Ciências Exatas e da Terra, Sociais, da Saúde, Humanas e Engenharia/Tecnologia. 2 (10). https://recima21.com.br/index.php/recima21/article/view/815/686.
Lubejko, B. G., Bellfield, S., Kahn, E., Lee, C., Peterson, N., Rose, T., et al (2017). Oncology nurse navigation: results of the 2016 role delineation study. Clin J Oncol Nurs.,21(1):43-50. https://doi.org/10.1188/17.CJON.43-50.
Macedo, A, Mercês, N. N. A. D., Silva, L. A. G. P. D., & Sousa, G. C. C.D. (2019). Estratégias de enfrentamento dos profissionais de enfermagem frente à morte na oncologia pediátrica: revisão integrativa. Rev. pesqui. cuid. fundam. (Online), 718-724. http://seer.unirio.br/index.php/cuidadofundamental/article/view/6712.
Miller, E. (2018). Neuro-Oncology Nurse Navigation: Developing the Role for a Unique Patient Population. Clin J Oncol Nurs. 22(3):347-349. 10.1188/18.CJON.347-349. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-29781470.
Mollica, M. A., Adjei, B, Duffin, R, Peters, E, Thomas, M, Asfeldt, T, Castro, K (2017). Influencing Quality Reporting: Using the Rapid Quality Reporting System in a Community Network . Clin J Oncol Nurs. 21(5):561-566. 10.1188/17.CJON.561-566. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-28945724
Muñoz, R, Farshidpour, L, Chaudhary, U. B, Fathi, A. H. (2018). Multidisciplinary Cancer Care Model: A Positive Association Between Oncology Nurse Navigation and Improved Outcomes for Patients With Cancer. Clin J Oncol Nurs..Oct 1,22(5):E141-E145. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30239520.
Oliveira, J, Reis, J, & Da Silva, R. (2018). Busca por cuidado oncológico: percepção de pacientes e familiares. Revista de Enfermagem UFPE on line, 12(4), 938-946. https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/231359.
Oncology Nursing Society (ONS). (2013). Oncology nurse navigator core competencies. Pittsburgh: NOS. https://www.ons.org/ sites/default/files/ONNCompetencies_rev.pdf.
Osorio, A. P, Flôr, J. S, Saraiva, T. K. G., Maestri, R. N., Rohsig, V, Caleffi, M (2020). Navegação de enfermagem na atenção ao câncer de mama durante a pandemia: relato de experiência. J. nurs. Health. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1129481.
Pautasso, F. F, et al (2018) Atuação do Nurse Navigator: revisão integrativa. Revista Gaúcha de Enfermagem 39. https://doi.org/10.1590/1983-1447.2018.2017-0102.
Pautasso, F. F, et al (2020). Nurse Navigator: development of a program for Brazil* * Paper extracted from master´s thesis “Desenvolvimento de um programa de navegação em um centro de alta complexidade”, Presented to Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil. Revista Latino-Americana de Enfermagem [online]. v. 28. https://doi.org/10.1590/1518-8345.3258.3275.
Phillips, S, Villalobos, A. V. K., Pratt-Chapman, M. (2019) Evaluating an Online Training Course to Develop and Sustain Cancer Navigation and Survivorship Programs. Oncol Nurs Forum.Sep 1,46(5):E171-E179. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-31424457.
Prier, A. W. (2018). How Do You Champion the Patient Navigator Role? Clin J Oncol Nurs. 1,22(5):576. 10.1188/18.CJON.576. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30239506.
Rodrigues, R. L. et al. (2021) Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review. Revista Brasileira de Enfermagem [online]. 74(2). https://doi.org/10.1590/0034-7167-2019-0804.
Rohsig, V, Silva, P, Teixeira, R, Lorenzini, E, Maestri, R, Saraiva, T, Souza, A. (2019) Nurse Navigation Program: Outcomes From a Breast Cancer Center in Brazil. Clin J Oncol Nurs. Feb 1,23(1):E25-E31. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30682003.
Soares, C. B., Hoga, L. A. K., Peduzzi, M, Sangaleti, C, Yonekura, T, Silva, D. R. A. D. (2014). Revisão integrativa: conceitos e métodos utilizados na enfermagem. Rev Esc Enferm USP. abr,48(2):335-45. http://www.scielo. br/scielo.php?pid=S0080-62342014000200335&script=sci_arttext&tlng=pt.
Yackzan, S, Stanifer, S, Barke, R. S., Blair, B, Glass, A, Weyl, H, Wheeler P. (2019). Outcome Measurement: Patient Satisfaction Scores and Contact With Oncology Nurse Navigators. Clin J Oncol Nurs. Feb 1,23(1):76-81. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30682008.
Yatim, F, Cristofalo, P, Ferrua, M, Girault, Lacaze, M, Di Palma, M, Minvielle, E. (2018). Analysis of nurse navigators' activities for hospital discharge coordination: a mixed method study for the case of cancer patients. Support Care Cancer ,25(3):863-868. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-27830394.
Walkinshaw, E. (2011). Patient navigators becoming the norm in Canada.Canadian Medical Association Journal, 183(15), 1109-1110. 10.1503/cmaj.109-3974.
Williams, M, Kelly, L, & Knapp, H. (2022). Utilização do Serviço de Emergência por Pacientes Oncológicos Navegados em Comparação com Pacientes Oncológicos Não Navegados. Journal of Oncology Navigation & Survivorship, 13 (2). https://web.p.ebscohost.com/abstract?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=21660999&AN=155291369&h=KWQlYuU5s6D5xsEgHAEIHj%2fQO8yOqVLOl77GwrQxKTWtl5Ec4a9uC9oCwqgJR4CyYv0LyINZoDDu%2fJl%2bwzU6Uw%3d%3d&crl=c&resultNs=AdminWebAuth&resultLocal=ErrCrlNotAuth&crlhashurl=login.aspx%3fdirect%3dtrue%26profile%3dehost%26scope%3dsite%26authtype%3dcrawler%26jrnl%3d21660999%26AN%3d155291369.
Zibrik, K., Laskin, J., & Ho,C.(2016). Integration of a nurse navigator into the triage process for patients with non-small-cell lung cancer: creating systematic improvements in patient care. Curr Oncol., 23(3), 280-283. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900849/.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Dara Brunner Borchartt; Kelly Cristina Meller Sangoi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
