Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review.

OBJECTIVE to evidence the clinical outcomes of navigation performed by nurses in cancer patients. METHODS this is an integrative literature review with collection in MEDLINE via PUBMED, LILACS, Web of Science, Scopus, and CINAHL databases. The final sample consisted of seven studies. The data were analyzed and presented descriptively. Data related to clinical outcomes were compiled and described in full. The Agency for Healthcare Research and Quality categorization was used to assess the level of evidence. RESULTS the clinical outcomes demonstrated were decreased distress, anxiety and depression, improved control and management of symptoms, improved physical conditioning, improved quality and continuity of care, improved quality of life, reduced time to start treatment. FINAL CONSIDERATIONS there is research that shows better clinical outcomes in cancer patients through navigation by nurses across the continuum of health care.

[1]  U. Chaudhary,et al.  Multidisciplinary Cancer Care Model: A positive association between oncology nurse navigation and improved outcomes for patients with cancer , 2018, Clinical journal of oncology nursing.

[2]  B. Lubejko,et al.  Nurse Navigator Core Competencies: An update to reflect the evolution of the role , 2018, Clinical journal of oncology nursing.

[3]  C. D. Flores,et al.  Atuação do Nurse Navigator: revisão integrativa , 2018, Revista Gaúcha de Enfermagem.

[4]  C. Johansen,et al.  The effects of individually tailored nurse navigation for patients with newly diagnosed breast cancer: a randomized pilot study , 2017, Acta oncologica.

[5]  Nicole K. Peterson,et al.  Oncology Nurse Navigation: Results of the 2016 role delineation study , 2017, Clinical journal of oncology nursing.

[6]  R. Doerfler-Evans Shifting paradigms continued-the emergence and the role of nurse navigator. , 2016, Journal of thoracic disease.

[7]  J. Laskin,et al.  Integration of a nurse navigator into the triage process for patients with non-small-cell lung cancer: creating systematic improvements in patient care. , 2016, Current oncology.

[8]  Maureen Rosario,et al.  Lung Screening Programs and the Effectiveness of the Lung Screening Navigator , 2016 .

[9]  C. Kunos,et al.  Impact of nurse navigation on timeliness of diagnostic medical services in patients with newly diagnosed lung cancer. , 2015, The Journal of community and supportive oncology.

[10]  R. Reid,et al.  Do depressed newly diagnosed cancer patients differentially benefit from nurse navigation? , 2015, General hospital psychiatry.

[11]  E. Cesse,et al.  Aspectos relacionados ao atraso no diagnóstico e tratamento do câncer de mama em uma unidade hospitalar de Pernambuco , 2015 .

[12]  D. Fernandes,et al.  Oncology Nurse Navigator Programme a Narrative Review , 2015 .

[13]  Insook Lee,et al.  Effects of Nurse Navigators on Health Outcomes of Cancer Patients , 2011, Cancer nursing.

[14]  R. Rodríguez,et al.  History and principles of patient navigation , 2011, Cancer.

[15]  P. Cook,et al.  Evaluation of a patient navigation program. , 2011, Clinical journal of oncology nursing.

[16]  Ronald M Epstein,et al.  Patients' experiences with navigation for cancer care. , 2010, Patient education and counseling.

[17]  E. Perez,et al.  Comprehensive diagnostic program for medically underserved women with abnormal breast screening evaluations in an urban population. , 2009, Mayo Clinic proceedings.

[18]  R. Silveira,et al.  Integrative literature review: a research method to incorporate evidence in health care and nursing , 2008 .

[19]  Myriam Skrutkowski,et al.  Impact of a pivot nurse in oncology on patients with lung or breast cancer: symptom distress, fatigue, quality of life, and use of healthcare resources. , 2008, Oncology nursing forum.

[20]  J. Mandelblatt,et al.  Patient navigation: State of the art or is it science? , 2008, Cancer.

[21]  Fernanda Felipe Pautasso,et al.  Role of the Nurse Navigator: integrative review. , 2018, Revista gaucha de enfermagem.

[22]  S. Singh-Carlson,et al.  An evaluation report of the nurse navigator services for the breast cancer support program. , 2015, Canadian oncology nursing journal = Revue canadienne de nursing oncologique.

[23]  Robert B. Penfold,et al.  Nurse navigators in early cancer care: a randomized, controlled trial. , 2014, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[24]  Emily Stiehl,et al.  Dissemination of patient navigation programs across the United States. , 2014, Journal of public health management and practice : JPHMP.

[25]  C. Padula,et al.  A breast navigator program: barriers, enhancers, and nursing interventions. , 2011, Oncology nursing forum.

[26]  Jay R. Swanson,et al.  The role of the oncology nurse navigator in distress management of adult inpatients with cancer: a retrospective study. , 2010, Oncology nursing forum.

[27]  A. Spinks,et al.  Making the Case for Evidence-Based Practice. , 2010 .

[28]  I. Bairati,et al.  Implementing the role of patient-navigator nurse at a university hospital centre. , 2006, Canadian oncology nursing journal = Revue canadienne de nursing oncologique.

[29]  B. Melnyk,et al.  Evidence-based practice in nursing & healthcare : a guide to best practice , 2005 .