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      Atuação do Nurse Navigator: revisão integrativa Translated title: Actuación del Nurse Navigator: revisión integrativa Translated title: Role of the Nurse Navigator: integrative review

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          Abstract

          Resumo OBJETIVO Conhecer a produção científica sobre o enfermeiro atuando na oncologia com a função de navegador de pacientes, Nurse Navigator. MÉTODOS Revisão integrativa com buscas nas bases de dados LILACS, MEDLINE/PubMed, SCOPUS, SciELO, Web of Science e Science Direct, utilizando os descritores: patient; navigation; nurse; professional; cancer; oncology; navigator e navigators. RESULTADOS Identificaram-se 17 artigos. Estes foram agrupados conforme a abordagem temática: Processos Assistenciais; Pacientes; e Profissionais de Saúde. Evidenciou-se que o conhecimento científico produzido sobre Nurse Navigator concentra-se nos Estados Unidos, Austrália, Canadá, Suécia e Dinamarca, países onde os primeiros Programas de Navegação de Pacientes foram implantados. Não houveram estudos publicados em periódicos ou populações locais. CONCLUSÕES A atuação do Nurse navigator, proporciona um diferencial para a qualidade assistencial dos serviços. Apesar de serem recentes as pesquisas internacionais abordando o tema, ficou claro que ainda se faz necessária a realização de mais estudos acerca do papel deste profissional.

          Translated abstract

          Resumen OBJETIVO Conocer la producción científica sobre enfermero actuando en oncología con la función de navegador de pacientes, Nurse Navigator. MÉTODOS Revisión integradora con búsqueda en bases de datos LILACS, MEDLINE/PubMed, SCOPUS, SciELO, Web of Science y Science Direct, utilizando descriptores: patient; navigation; nurse; professional; cancer; oncology; navigator y navigators. RESULTADOS Se identificaron 17 artículos. Se agruparon conforme abordaje temático: Procesos Asistenciales; Pacientes; y Profesionales de Salud. Se evidenció que el conocimiento científico producido sobre Nurse Navigator se concentra en Australia, Estados Unidos, Canadá, Suecia y Dinamarca, países donde se implantaron los primeros Programas de Navegación de Pacientes. No hay estudios publicados en periódicos o poblaciones locales. CONCLUSIONES La actuación del Nurse navigator, proporciona un diferencial para la calidad asistencial de los servicios. A pesar de recientes las investigaciones internacionales abordando el tema, se hace necesaria la realización de más estudios acerca del papel de este profesional.

          Translated abstract

          Abstract OBJECTIVE To identify scientific literature on oncology nurses who provide patient navigation services as nurse navigators. METHODS Integrative review of literature searches in the databases LILACS, MEDLINE/PubMed, SCOPUS, SciELO, Web of Science and Science Direct based on the descriptors patient; navigation; nurse; professional; cancer; oncology; navigator; and navigators. RESULTS Seventeen articles were identified and grouped according to the following thematic approach: Care Processes; Patients; and Health Workers. It was observed that scientific literature on nurse navigators mostly comes from the United States, Australia, Canada, Sweden, and Demark, where the first nurse navigator programmes were introduced. No studies were found in local journals or populations. CONCLUSIONS The nurse navigator offer a unique service for the provision of quality care. Although international research is recent, further studies on the role of these professionals are clearly needed.

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          Patient navigation: state of the art or is it science?

          First implemented in 1990, patient navigation interventions are emerging today as an approach to reduce cancer disparities. However, there is lack of consensus about how patient navigation is defined, what patient navigators do, and what their qualifications should be. Little is known about the efficacy and cost-effectiveness of patient navigation. For this review, the authors conducted a qualitative synthesis of published literature on cancer patient navigation. By using the keywords 'navigator' or 'navigation' and 'cancer,' 45 articles were identified in the PubMed database and from reference searches that were published or in press through October 2007. Sixteen studies provided data on the efficacy of navigation in improving timeliness and receipt of cancer screening, diagnostic follow-up care, and treatment. Patient navigation services were defined and differentiated from other outreach services. Overall, there was evidence of some degree of efficacy for patient navigation in increasing participation in cancer screening and adherence to diagnostic follow-up care after the detection of an abnormality. The reported increases in screening ranged from 10.8% to 17.1%, and increases in adherence to diagnostic follow-up care ranged from 21% to 29.2% compared with control patients. There was less evidence regarding the efficacy of patient navigation in reducing either late-stage cancer diagnosis or delays in the initiation of cancer treatment or improving outcomes during cancer survivorship. There were methodological limitations in most studies, such as a lack of control groups, small sample sizes, and contamination with other interventions. Although cancer-related patient navigation interventions are being adopted increasingly across the United States and Canada, further research will be necessary to evaluate their efficacy and cost-effectiveness in improving cancer care. (c) 2008 American Cancer Society.
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            History and principles of patient navigation.

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              Revisão integrativa: conceitos e métodos utilizados na enfermagem

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                Author and article information

                Journal
                rgenf
                Revista Gaúcha de Enfermagem
                Rev. Gaúcha Enferm.
                Universidade Federal do Rio Grande do Sul. Escola de Enfermagem (Porto Alegre, RS, Brazil )
                0102-6933
                1983-1447
                2018
                : 39
                : e2017-0102
                Affiliations
                [1] Porto Alegre Rio Grande do Sul orgnameSanta Casa de Misericórdia de Porto Alegre orgdiv1Unidade de Promoção da Saúde e Prevenção de Doenças Brazil
                [2] Porto Alegre Rio Grande do Sul orgnameUniversidade Federal de Ciências da Saúde de Porto Alegre orgdiv1Programa de Pós- Graduação em Ensino na Saúde Brazil
                Article
                S1983-14472018000100503 S1983-1447(18)03900000503
                10.1590/1983-1447.2018.2017-0102
                30043944
                4bb3ed64-f3c7-4e83-8286-15549d4d134a

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 24 May 2017
                : 25 August 2017
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 0
                Product

                SciELO Revista de Enfermagem

                Categories
                Revisão Integrativa

                Enfermagem,Navegação de pacientes,Paciente,Oncologia,Nursing,Patient navigation,Patient,Medical oncology,Enfermería,Navegación de pacientes,Oncología médica

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