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Patient Navigation and Supportive Cancer Care

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Supportive Cancer Care

Abstract

In a sense, the essence of patient navigation is support. Concepts of psychological, emotional, social, and spiritual human needs and strategies used to satisfy needs and adapt to demands and changes have been described by Maslow [1]. The concept of need is equated to necessity, an essential condition, not simply a deficiency [2]. In the event of extreme life events, such as the diagnosis of cancer, tasks associated with meeting personal needs may require skills that exceed an individual’s capabilities, in which case help and support from another person is necessary to satisfy unmet needs [2]. Hébert and Fillion [2, 3] reason the concept of need is the basis of patient-centered care and suggest that navigators not only detect needs but also devise and implement strategies to satisfy those needs.

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References

  1. Maslow AH. Motivation and personality. 3rd ed. New York: Harper Collins; 1987.

    Google Scholar 

  2. Hébert J, Fillion L. Gaining a better understanding of the support function of oncology nurse navigators from their own perspective and that of people living with cancer: part 1. Can Oncol Nurs J. 2011. Winter;21(1):33–8.

    Google Scholar 

  3. Hébert J, Fillion L. Gaining a better understanding of the support function of oncology nurse navigators from their own perspective and that of people living with cancer: part 2. Can Oncol Nurs J. 2011. Spring;21(2):114–21.

    Google Scholar 

  4. Dohan D, Schrag D. Using navigators to improve care of underserved patients. Current practices and approaches. Cancer. 2005;104(4):848–55.

    Article  PubMed  Google Scholar 

  5. Horner K, Ludman EJ, McCorkle R, Canfield E, Flaherty L, Min J, et al. An oncology nurse navigator program designed to eliminate gaps in early cancer care. Clin J Oncol Nurs. 2013;17(1):43–8.

    Article  PubMed  Google Scholar 

  6. Freeman HP, Muth BJ, Kerner JF. Expanding access to cancer screening and clinical follow-up among the medically underserved. Cancer Pract. 1995;3:19–30.

    CAS  PubMed  Google Scholar 

  7. Cantril C. Overview of nurse navigation. In: Blaseg KD, Daugherty P, Gamblin KA, editors. Oncology nurse navigation: delivering patient-centered care across the continuum. Pittsburgh: Oncology Nursing Society; 2014.

    Google Scholar 

  8. Thorne S, Truant T. Will designated patient navigators fix the problem? Oncology nursing in transition. Can Oncol Nurs J. 2010. Summer;20(3):116–20.

    Google Scholar 

  9. Pederson A, Hack T. Pilots of oncology health care: a concept analysis of the patient navigator role. Oncol Nurs Forum. 2010;37(1):55–60.

    Article  Google Scholar 

  10. American College of Surgeons Commission on Cancer Program Standards 2012. Chicago: American College of Surgeons. http://www.fac2s.org/cancer/coc/programstandards2012.pdf. Retrieved 10 Aug 2014.

  11. Parker VA, Clark JA, Leyson J, Calhoun E, Carrol JK, Freund KM, Battaglia TA. Patient navigation: development of a protocol for describing what navigators do. Health Serv Res. 2010;45(2):514–31.

    Article  PubMed  PubMed Central  Google Scholar 

  12. C-Change. Cancer patient navigation: care for your community. A guide to community navigation. Overview of Cancer Patient Navigation. http://c-changetogether.org/about-c-change. Retrieved 6 Aug 2014.

  13. Oncology Nursing Society. 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. 2010. https://www.ons.org/advocacy-policy/positions/education. Retrieved 12 Dec 2014.

  14. Freund KM, Battaglia TA, Calhoun E, Dudley DJ, Fiscella K, Paskett E, et al. The NCI patient navigation research program methods, protocol and measures. Cancer. 2008;113(12):3391–9.

    Article  PubMed  PubMed Central  Google Scholar 

  15. ACCC Program Guidelines. http://www.accc-cancer.org/publications/CancerProgramGuidelines-4.asp#section%2010. Retrieved 6 Aug 2014.

  16. Association of Community Cancer Centers. Cancer care patient navigation: a call to action. A Practical Guide for Community Cancer Centers. 2009. http://www.accc-cancer.org/resources/patientnavigation.asp.

  17. Vargas RB, Ryan GW, Jackson CA, Rodriguez R, Freeman HP. Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. Cancer. 2008;113:426–33.

    Article  PubMed  Google Scholar 

  18. The Patient Protection and Affordable Care Act, Public Law 111–148, 111th Congress. March 23, 2010, Section 6410.

    Google Scholar 

  19. American Nurses Association. The value of nursing care coordination. http://www.nursingworld.org/carecoordinationwhitepaper. Retrieved 13 Dec 2014.

  20. Oncology nurse navigators core competencies. Rockville: National Coalition of Oncology Nurse Navigators; 2009, 2013.

    Google Scholar 

  21. Oncology nurse navigator core competencies. Pittsburgh: Oncology Nursing Society; 2013.

    Google Scholar 

  22. Online Dictionary of Word Derivation. Wikipedia English – The free encyclopedia. Navigation. http://dictionary.babylon.com/navigation/. Retrieved 9 Aug 2014.

  23. Freeman HP. The origin, evolution, and principles of patient navigation. Cancer Epidemiol Biomarkers Prev. 2012;21(10):1614–7.

    Article  PubMed  Google Scholar 

  24. Freeman HP. The history, principles, and future of patient navigation: commentary. Semin Oncol Nurs. 2013;29(2):72–5.

    Article  PubMed  Google Scholar 

  25. Oluwole SF, Ali AO, Adu A, Blane BP, Barlow B, Oropeza R, Freeman HP. Impact of a cancer screening program on breast cancer stage at diagnosis in a medically underserved urban community. J Am Coll Surg. 2003;196(2):180–8.

    Article  PubMed  Google Scholar 

  26. King CJ, Chen J, Dagher RK, Holt CL, Thomas SB. Decomposing differences in medical care access among cancer survivors by race and ethnicity. Am J Med Qual. 2015;30(5):459–69. doi:10.1177/1062860614537676. Published ahead of print June 4, 2014.

    Google Scholar 

  27. Freund KM, Battaglia TA, Calhoun E, Darnell JS, Dudley DJ, Fiscella K, et al., for the Writing Group of the Patient Navigation Research Program. Impact of patient navigation on timely cancer care: the patient navigation research program. J Nat Ca Inst. 2014;106(6) doi: 10.1093/jnci/dju115.

  28. National Institutes of Health. NCI Awards $25 Million for Patient Navigator Research Program for Minority and Underserved Cancer Patients. http://www.nih.gov/news/pr/oct2005/nci-27a.htm. Posted 10/27/2005.

  29. Patient Navigation Assistance Act of 2014. https://www.congress.gov/bill/113th-congress/house-bill/4168. Retrieved 15 Jan 2015.

  30. Healthcare Professionals Network. New partnership gives nurse navigators access to cancer care resources. 2010. http://www.hcplive.com/newsroom/OncNurse_NCONN.dpuf. Retrieved 21 Dec 2014.

  31. Public Health Service Act. 340A Public Health Service Act. http://www.govrecords.org/hr-918-ih-to-authorize-the-health-resources-and.html. Retrieved 21 Dec 2014.

  32. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine de Gruyter; 1997.

    Google Scholar 

  33. Strauss A, Corbin J. Basics of qualitative research. 2nd ed. Thousand Oaks: Sage Publications; 1998.

    Google Scholar 

  34. Brown CG, Cantril C, McMullen L, Barkley DL, Dietz M, Murphy CM, Fabrey LJ. Oncology nurse navigator role delineation study: an Oncology Nursing Society Report. Clin J Oncol Nurs. 2012;16(6):581–5.

    Article  PubMed  Google Scholar 

  35. Oncology Nursing Certification Corporation. About ONCC. http://www.oncc.org/About. Retrieved 14 Dec 2014.

  36. Clark JA, Parker VA, Battaglia TA, Freund KM. Patterns of task and network actions performed by navigators to facilitate cancer care. Health Care Manage Rev. 2014;39(2):90–101J.

    Article  PubMed  Google Scholar 

  37. Braun KL, Kagawa-Singer M, Holden AEC, Burhansstipanov L, Tran JH, Seals BF, et al. Cancer Patient Navigator Tasks across the cancer care continuum. J Health Care Poor Underserved. 2012;23(1):398–413.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Penchansky R, Thomas JW. The concept of access: definition and relationship to consumer satisfaction. Med Care. 1981;19(2):127–40.

    Article  CAS  PubMed  Google Scholar 

  39. Ramsey S, Whitley E, Mears VW, McKoy JM, Everhart RM, Caswell RJ, et al. Evaluating the cost-effectiveness of cancer patient navigation programs: conceptual and practical issues. Cancer. 2009;15:5394–403.

    Article  Google Scholar 

  40. Paskett ED, Katz ML, Post DM, Pennell ML, Young GS, Seiber EE, et al. The Ohio Patient Navigation Research Program (OPNRP): does the American Cancer Society patient navigation model improve time to resolution among patients with abnormal screening tests? Cancer Epidemiol Biomarkers Prev. 2012;21(10):1620–8.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Battaglia TA, Bak SM, Heeren T, Chen CA, Kalish R, Tringale S, et al. Boston Patient Navigation Research Program: the impact of navigation on time to diagnostic resolution after abnormal cancer screening. Cancer Epidemiol Biomarkers Prev. 2012;21(10):1645.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Raich PC, Whitley EM, Thorland W, Valverde P, Fairclough D. For the Denver patient navigation research program. Cancer Epidemiol Biomarkers Prev. 2012;21(10):1629–38.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Paskett ED, Harrop JP, Wells KJ. Patient navigation: an update on the state of the science. CA Cancer J Clin. 2011;61(4):237–49.

    Google Scholar 

  44. Patient Navigation in Cancer Care: Guiding patients to quality outcomesTM. Establishing a patient navigation program: an implementation guide for the program champion. Healthcare Association of New York State Breast Care Demonstration Project and Pfizer, Inc. 2007.

    Google Scholar 

  45. C-Change. About Us. http://c-changetogether.org/c-change-members. Retrieved 11 Jan 2015.

  46. The Patient Navigator, Outreach and Chronic Disease Prevention Act of 2005. (Public Law 109-18-June 29, 2005). http://www.gpo.gov/fdsys/pkg/PLAW-109publ18/pdf/PLAW-109publ18.pdf. Retrieved 17 Jan 2015.

  47. National Association of Social Work Foundation Annual Report. 2008. http://www.naswfoundation.org/Annual%20Reports/FD-AR-18009AnnualReportWeb.pdf.

  48. Ell K, Vourlekis B, Lee P-J, Bin X. Patient navigation and case management following an abnormal mammogram: a randomized clinical trial. Prev Med. 2007;44(1):26–33.

    Article  PubMed  Google Scholar 

  49. Academy of Oncology Nurse Navigators. Mission Statement. http://www.guidestar.org/organizations/80-0586847/academy-oncology-nurse-navigators.aspx#mission. Retrieved 21 Dec 2014.

  50. Academy of Oncology Nurse Navigators. Membership Benefits. https://aonnonline.org/membership. Retrieved 11 Jan 2015.

  51. Academy of Oncology Nurse Navigators. Chapters. https://aonnonline.org/community/chapters/specific-chapters. Retrieved 11 Jan 2015.

  52. Academy of Oncology Nurse Navigators. By AONN Advantage, LLC. http://www.trademarkia.com/academy-of-oncology-nurse-navigators-77725612.html. Retrieved 21 Dec 2014.

  53. National Coalition of Oncology Nurse Navigators. Mission Accomplished. Letter to NCONN Members: July 14, 2014.

    Google Scholar 

  54. American Nurses Association. Scope and standards of practice. 2nd ed. Silver Spring: American Nurses Association; 2010.

    Google Scholar 

  55. Brant JM, Wickhan R. Statement on the scope and standards of oncology nursing practice: generalist and advanced practice. Pittsburgh: Oncology Nursing Society; 2013.

    Google Scholar 

  56. National Association of Social Workers. NASW Social Work: Practice. http://socialworkers.org/practice/default.asp. Retrieved 11 Jan 2015.

  57. Association of Oncology Social Work. Scope of Practice in Oncology Social Work. 2001. http://www.aosw.org/aosw/Main/professionals/scope-of-practice/AOSWMain/Professional-Development/scope-of-practice.aspx?hkey=4b9dc2ae-bd4f-47a7-9cf7-0337628e34c1. Retrieved 11 Jan 2015.

  58. Knapp J, Anderson L, Wild C, editors. Certification: the ICE handbook. Washington, DC: Institute for Credentialing Excellence; 2009.

    Google Scholar 

  59. Harold P. Freeman Patient Navigation Institute. http://www.hpfreemanpni.org. Retrieved 26 Dec 2014.

  60. National Consortium of Breast Centers Breast Patient Navigator Certification Program (BPNC®). http://www2.bpnc.org/certification/. Retrieved 25 Dec 2014.

  61. Academy of Oncology Nurse and Patient Navigation (AONN + ®). Navigation Certification. https://aonnonline.org/community/aonn-navigation-certification. Retrieved 25 Dec 2014.

  62. ANCC Magnet Recognition Program. http://nursecredentialing.org/Magnet.aspx. Retrieved 25 Dec 2014.

  63. American Board of Specialty Nursing Certification. Accreditation Standards. http://nursingcertification.org/accreditation-standards.html. Retrieved 11 Jan 2015.

  64. Blaseg KD, Daugherty P, Gamblin KA, editors. Oncology nurse navigation: delivering patient-centered care across the continuum. Pittsburgh: Oncology Nursing Society; 2014.

    Google Scholar 

  65. Oncology Nursing Society. Nurse Navigation Special Interest Group Strategic Goals 2013–2016. http://navigator.vc.ons.org/file_depot/0-10000000/0-10000/1338/folder/8022/NAV+2013+REV+7+13+APP+11+13.pdf. Retrieved 29 Dec 2014.

  66. Desimini DM, Kennedy JA, Helsley MF, Shiner K, Denton C, Rice TT, et al. Making the case for nurse navigators: benefits, outcomes, and return on investment. Oncol Issues. 2011;(26):26–33.

    Google Scholar 

  67. Catholic Health Initiatives. 2013 Oncology Service Line. Navigation program resource guide: best practices for patient navigation programs. http://navigator.vc.ons.org/file_depot/0-10000000/0-10000/1338/folder/8022/CHI+Navigation+Program+Resource+Guide+%28Outside+CHI+Version+0413%29.pdf. Retrieved 12 Jan 2015.

  68. Swanson J, Koch L. The role of the oncology nurse navigator in distress management of adult in-patients with cancer: a retrospective study. Oncol Nurs Forum. 2010;37(1):69–76.

    Article  PubMed  Google Scholar 

  69. Shockney LD, Haylock PJ, Cantril C. Development of a breast navigation program. Semin Oncol Nurs. 2013;29(2):97–104.

    Article  PubMed  Google Scholar 

  70. Newcomer B. A national system approach to oncology patient population management across the continuum of care: how we standardized navigation. Nurs Adm Q. 2014;38(2):138–46.

    Article  PubMed  Google Scholar 

  71. Esparza A, Calhoun E. Measuring the impact and potential of patient navigation: proposed common metrics and beyond. National Patient Navigator Leadership Summit. Cancer. 2011;117(Suppl 15):3537–8.

    Google Scholar 

  72. Guadagnolo BA, Dohan D, Raich P. Metrics for evaluating patient navigation during cancer diagnosis and treatment. Cancer. 2011;177(Suppl 15):3565–74.

    Google Scholar 

  73. Crane-Okada R. Evaluation and outcome measures in patient navigation. Semin Oncol Nurs. 2013;29(2):128–40.

    Article  PubMed  Google Scholar 

  74. Swanson J, Strusowski P, Mack N, DeGroot J. Growing a patient navigation program: using the NCCCP navigation assessment tool. Oncol Issues. 2012;(27):36–45.

    Google Scholar 

  75. Freeman HP. A model patient navigation program. Oncol Issues. 2004;19:44–46.

    Google Scholar 

  76. Natale-Pereira A, Enard KR, Nevarez L, Jones LA. The role of patient navigators in eliminating health disparities. Cancer. 2011;117(Suppl 15):3543–52.

    Google Scholar 

  77. Whitley E, Valverde P, Wells K, Williams L, Teschner T, Shih Y. Establishing common cost measures to evaluate the economic value of patient navigation programs. Cancer. 2011;117(Suppl 15):3618–25.

    Google Scholar 

  78. Jandorf L, Stossel LM, Cooperman JL, Zivin JG, Ladabaum U, Hall D, et al. Cost analysis of a patient navigation system to increase screening colonoscopy adherence among urban minorities. Cancer. 2013;119:612–20.

    Article  PubMed  Google Scholar 

  79. Petereit DG, Molloy K, Reiner JL, Helbig P, Cina K, Miner R, et al. Establishing a patient navigator program to reduce cancer disparities in the American Indian Communities of Western South Dakota: initial observations and results. Cancer Control. 2008;15(3):254–9.

    PubMed  PubMed Central  Google Scholar 

  80. Krebs LU, Burhansstipanov L, Watanabe-Galloway S, Pingatore NL, Petereit DG, Isham D. Navigation as an intervention to eliminate disparities in American Indian communities. Semin Oncol Nurs. 2013;29(2):118–27.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Gabram SGA, Lund MJB, Gardner J, Hatchett N, Bumpers HL, Okoli J, et al. Effects of an outreach and internal navigation program on breast cancer diagnosis in an urban cancer center with a large African-American population. Cancer. 2008;113(3):602–6.

    Article  PubMed  Google Scholar 

  82. Freund KM, Battaglia TA, Calhoun E, Darnell JS, Dudley DJ, Fiscella K, et al. Impact of patient navigation on timely cancer care: the Patient Navigation Research Program. JNCI. 2014;106(6). dju 115 doi:10.1093/jnci/dju115.

  83. Bensink ME, Ramsey SC, Battaglia T, Fiscella K, Hurd TC, McKoy JM, et al. Costs and outcomes evaluation of patient navigation after abnormal cancer screening: evidence from the Patient Navigation Research Program. Cancer. 2014;120:570–8.

    Article  PubMed  Google Scholar 

  84. Ramirez AG, Perez-Stable EJ, Fenedo FJ, Talavera GA, Carrillo JE, Fernandez ME, et al. Navigating Latinas with breast screen abnormalities to diagnosis: the Six Cities Study. Cancer. 2013;119:1298–305.

    Article  PubMed  Google Scholar 

  85. Ramirez A, Perez-Stable E, Penedo F, Talavera G, Carrillo JE, Fernandez M, et al. Reducing time-to-treatment in underserved Latinas with breast cancer. Cancer. 2014;120:752–60.

    Article  PubMed  Google Scholar 

  86. Basu M, Linebarger J, Gabram SGA, Patterson SG, Armin M, Ward KC. The effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer center. Cancer. 2013;119:2524–31.

    Article  PubMed  Google Scholar 

  87. Ferrante JM, Chen P-H, Kim S. The effect of patient navigation on time to diagnosis, anxiety and satisfaction in urban minority women with abnormal mammograms: a randomized controlled trial. J Urban Health. 2007;85(1):114–24.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Fillion L, De Serres M, Cook S, Goupil RL, Bairati I, Doll R. Professional patient navigation in head and neck cancer. Semin Oncol Nurs. 2009;25(3):212–21.

    Article  PubMed  Google Scholar 

  89. Harding MM, McCrone S. Experiences of non-navigated women undergoing breast diagnostic evaluation. Online exclusive CNE article. Clin J Oncol Nurs. 2013;17(1):E8–12.

    Article  PubMed  Google Scholar 

  90. Gilbert JE, Green E, Lankshear S, Hughes E, Burkoski V, Sawka C. Nurses as patient navigators in cancer diagnosis: review, consultation and model design. Eur J Cancer Care. 2011;20:228–36.

    Article  CAS  Google Scholar 

  91. Thygesen MK, Pedersen BD, Kragstrup J, Wagner L, Mogensen O. Benefits and challenges perceived by patients with cancer when offered a nurse navigator. Int J Integr Care. 2011;11. http://www.ijic.org.

  92. Lee T, Ko I, Lee I, Kim E, Shin M, Roh S, et al. Effects of nurse navigators on health outcomes of cancer patients. Cancer Nurs. 2011;34(5):376–84.

    Article  PubMed  Google Scholar 

  93. Tho PC, Ang E. The effectiveness of a patient navigation program in adult cancer patients who are undergoing treatment: a systematic review protocol. JBI Database Syst Rev Implement Rep. 2013;11(10):107–16.

    Article  Google Scholar 

  94. Tan CHH, Wilson S, McConigley R. Experiences of adult cancer patients in a patient navigation program. JBI Database Syst Rev Implement Rep. 2014;12(1):1–12.

    Article  Google Scholar 

  95. Esperat MC, Flores D, McMurry L, Feng D, Song H, Billings L, Masten Y. Transformacion Para Salud: a patient navigation model for chronic disease self-management. Online J Issues Nurs. 2012;17(2):2.

    PubMed  Google Scholar 

  96. Plant N, Mallitt KA, Kelly PJ, Usherwood T, Gillespie J, Boyages S, et al. Implementation and effectiveness of ‘care navigation’, coordinated management for people with complex chronic illness: rationale and methods of a randomized controlled trial. BMC Health Serv Res. 2013;13:164. http://www.biomedcentral.com/1472-6963/13/164. Retrieved 12 Jan 2015.

  97. Stein LI. The doctor-nurse game. Arch Gen Psychiatry. 1967;16(6):699–703.

    Article  CAS  PubMed  Google Scholar 

  98. Weinberg DB, Miner DC, Rivlin L. ‘It Depends’: medical residents’ perspectives on working with nurses. Am J Nurs. 2009;109(7):34–43.

    Article  PubMed  Google Scholar 

  99. Thorne S, Oliffe JL, Stajduhar KI, Oglov V, Kim-Sing C, Hislot TG. Poor communication in cancer care. Cancer Nurs. 2013;36(6):445–53.

    Article  PubMed  Google Scholar 

  100. Weaver AC, Callaghan M, Cooper AL, Brandman J, O’Leary KJ. Assessing interprofessional teamwork in inpatient medical oncology units. J Oncol Pract. 2015;11(1):19–22.

    Google Scholar 

  101. Oncology Nursing Society. Position: The Role and Qualifications of Oncology Nurse Navigators. 2015. https://www.ons.org/advocacy-policy/positions/education/onn.

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Correspondence to Pamela J. Haylock PhD, RN, FAAN .

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Haylock, P.J. (2016). Patient Navigation and Supportive Cancer Care. In: Alberts, D., Lluria-Prevatt, M., Kha, S., Weihs, K. (eds) Supportive Cancer Care. Springer, Cham. https://doi.org/10.1007/978-3-319-24814-1_2

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