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Oncology Nurse Navigation: Development and Implementation of a Program at a Comprehensive Cancer Center

Janet Gordils-Perez1, Susan M Schneider2, Molly Gabel3
1Rutgers Cancer Institute.
Clinical Journal of Oncology Nursing
|September 26, 2017
Summary
Oncology nurse navigation significantly reduced treatment times for hematologic cancer patients. While patient and provider satisfaction was high, the program did not increase clinical trial enrollment.
Area of Science:
- Oncology Nursing
- Healthcare Management
Background:
- Oncology nurse navigation programs are known to improve care coordination and patient satisfaction.
- These programs aim to streamline the patient journey through complex cancer care systems.
Purpose of the Study:
- To assess the impact of oncology nurse navigation on healthcare access.
- To evaluate patient and provider satisfaction with navigation services.
- To determine the effect on clinical trial enrollment in hematologic and gynecologic malignancies.
Main Methods:
- A descriptive cohort study utilizing historical controls was conducted.
- Data were gathered from electronic health records and patient/provider surveys.
- The study focused on two specific cancer patient groups.
Main Results:
- A notable reduction in the time from initial visit to first therapy was observed in the hematology cohort.
- Both patient groups experienced decreased times from contact to first visit and from visit to treatment initiation.
- High satisfaction scores were reported by patients regarding navigator interactions and care quality.
- Providers expressed high satisfaction with the navigation program.
- Clinical trial enrollment rates were not significantly increased by the navigation program.
Conclusions:
- Oncology nurse navigation effectively reduces treatment delays for patients with hematologic malignancies.
- The program enhances patient and provider satisfaction within cancer care.
- While improving timely access to care, oncology nurse navigation did not boost clinical trial participation.
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