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Practical Methodology of Cognitive Tasks Within a Navigational Assessment

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Published on: June 1, 2015

Professional navigation: a comparative study of two Canadian models.

Lise Fillion¹, Sandra Cook, Anne-Marie Veillette

¹Faculty of Nursing, Laval University, Cancer Research Centre of Laval University, Hôtel-Dieu de Québec. Lise.Fillion@fsi.ulaval.ca

Canadian Oncology Nursing Journal = Revue Canadienne De Nursing Oncologique

|February 1, 2013

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Cancer navigation programs, including Quebec's Pivot Nurse in Oncology (PNO) and Nova Scotia's Cancer Patient Navigator (CPN), share similar functions and challenges. This study emphasizes the value of professional navigators in improving cancer care delivery and patient experience.

Area of Science:

Oncology
Health Services Research
Patient Navigation

Background:

Cancer navigation is a key strategy in cancer control programs to enhance supportive care access and patient experience.
Understanding professional navigation models is crucial for optimizing cancer care delivery.
Two distinct Canadian models, Quebec's Pivot Nurse in Oncology (PNO) and Nova Scotia's Cancer Patient Navigator (CPN), offer insights into professional navigation.

Purpose of the Study:

To compare the Quebec Pivot Nurse in Oncology (PNO) and Nova Scotia Cancer Patient Navigator (CPN) models.
To understand the functions and challenges faced by professional navigators in different Canadian healthcare systems.
To analyze professional navigation using a recognized framework (Fillion et al., 2012).

Main Methods:

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Qualitative research approach.
Conducted 49 interviews and 10 focus groups.
Involved professional navigators, patients, family members, front-line staff, physicians, and health administrators.

Main Results:

Despite structural differences, both PNO and CPN models demonstrate that professional navigators perform comparable functions.
Navigators in both programs encounter similar challenges in their roles.
The study underscores the complexity and significant value of professional cancer navigation.

Conclusions:

Professional cancer navigators play a vital role in improving patient experience and access to care.
Optimizing cancer navigation requires understanding its complexities and shared challenges across different models.
Recommendations are provided for enhancing the management of cancer navigation within healthcare systems.