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Nurse Navigator: development of a program for Brazil.

Fernanda Felipe Pautasso1, Thafarel Camargo Lobo2, Cecília Dias Flores2

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Summary

A new patient navigation program was developed for Brazilian cancer patients, adapting a US model. This program aims to improve care delivery and define navigator roles within the Brazilian healthcare system.

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Area of Science:

  • Oncology
  • Healthcare Management
  • Patient Care

Background:

  • Patient navigation models are crucial for optimizing cancer care delivery.
  • Adapting international models to local realities is essential for effective implementation.
  • Brazil's High Complexity Centers face unique challenges in cancer patient management.

Purpose of the Study:

  • To develop a patient navigation program tailored to the Brazilian context.
  • To adapt the George Washington University Cancer Institute's model for a Brazilian High Complexity Center.
  • To define the roles and attributions of patient navigators within the program.

Main Methods:

  • Convergent care research methodology was employed.
  • The George Washington University model was adapted through distinct research phases.
  • A Navigation Needs Assessment Scale was developed and validated using the Delphi Technique.

Main Results:

  • The Navigation Program was successfully developed and adapted for Brazilian oncology.
  • Head and neck cancer patients were identified for initial program inclusion.
  • A validated scale was created to assess patient needs and guide navigation support.

Conclusions:

  • A functional patient navigation program was established, adapted to Brazilian healthcare realities.
  • Clear attributions for patient navigators were defined.
  • The developed program provides a framework for enhanced cancer patient support in Brazil.