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Related Experiment Videos

Exploring nurse navigators' contribution to integrated care: a qualitative study.

Clare Hannan-Jones1, Charlotte Young2, Geoffrey Mitchell3

  • 1School of Public Health, The University of Queensland, 288 Herston Road, Herston, Qld 4006, Australia.

Australian Journal of Primary Health
|September 3, 2019
PubMed
Summary

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Nurse navigators (NNs) bridge primary and secondary care, coordinating patient needs and fostering professional collaboration. Their role enhances integrated care across settings, improving healthcare system sustainability.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Integrated Care Models

Background:

  • Integrated care models are crucial for seamless healthcare delivery across diverse settings.
  • Nurse navigation (NN) is an emerging model requiring further exploration within primary and secondary healthcare.
  • Understanding the multifaceted roles of nurse navigators is essential for optimizing healthcare coordination.

Purpose of the Study:

  • To examine nurse navigation as an integrated care model across primary and secondary healthcare settings.
  • To explore nurse navigators' (NNs) understandings, perceptions, and current practices.
  • To illustrate the complexity and breadth of the NN role in fostering system-wide integration.

Main Methods:

  • A two-phase qualitative study was conducted in Queensland, Australia.

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  • Phase one involved a focus group with seven nurse navigators (NNs).
  • Phase two included in-depth interviews with three NNs to examine current practice.
  • Main Results:

    • NNs' roles encompassed patient and population care, clinical integration, care coordination, and professional integration.
    • Key activities included fostering interdisciplinary collaboration and promoting integrated care across settings.
    • Effective NN practice was enabled by established relationships, trust, and shared communication among stakeholders.
    • NNs operated horizontally across traditional clinical boundaries, mitigating some system shortfalls.

    Conclusions:

    • Nurse navigation is a complex and diverse role that significantly contributes to integrated care.
    • NNs transcend traditional boundaries, fostering collaboration and improving healthcare system sustainability.
    • The study highlights the potential of nurse navigation to support broader, system-wide healthcare integration.