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Implementing and measuring the impact of patient navigation at a comprehensive community cancer center
Cheryl Campbell1, Janet Craig, Julie Eggert
1Cancer Center at AnMed Health, Anderson, South Carolina, USA. cheryl.campbell5@anmedhealth.org
Purpose/Objectives:
To determine whether patient navigation in a comprehensive community cancer center affects patient and staff perceptions of patient preparation for treatment, access to care, and overall satisfaction.
Design:
Program evaluation with patient and staff surveys.
Setting:
Comprehensive community cancer center accredited by the American College of Surgeons in the southeastern United States with 1,037 analytic cases of cancer in 2007; population of the main county served is about 177,963.
Sample:
48 patients (28 navigator and 20 non-navigator) and 26 employees, including physicians, nurses, and other support staff.
Methods:
A 10-item survey with Likert scale format was sent to a stratified sample of 100 newly diagnosed patients with cancer. A five-item survey with the same format was sent to 40 staff working with the patients.
Main Research Variable:
Patient navigation.
Findings:
Patients who received navigation services responded more positively to survey statements. Statistical significance (p > 0.05) was identified in 7 of 10 statements when patient groups were compared. Provider responses indicated agreement with all five statements included in the survey.
Conclusions:
Patients with cancer and oncology staff reported that patient navigation is effective in increasing patient satisfaction and decreasing barriers to care.
Implications For Nursing:
Patient navigation is an emerging trend in cancer care. Patient navigators can play a significant role in assisting patients with coordinating services across the continuum of care. Continued research is essential in refining the role and eminence of patient navigators.
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