Evidence into Practice

Evidence into Practice

The Importance of Operations Management, Organizational Development, and Health Economics

Cheryl Bellomo, MSN, RN, OCN, ONN-CG; Nicole DeLano, MSN, RN, ONN-CG; Tricia Strusowski, MS, RN 

Operations management has been described as an area of business management concerned with designing, controlling the processes of production by managing resources efficiently, and redesigning business operations in the production [ Read More ]

Evidence into Practice

Operations Management: Novice Navigator Case Study

Marian E. Gilmore, RN, OCN, ONN-CG; Pamela Goetz, BA, OPN-CG; Barbara McHale, RN, BS, OCN, ONN-CG, CBCN 

The staff at the Dana-Farber/Brigham and Women’s Cancer Center in clinical affiliation with South Shore Hospital, a community hospital in suburban Boston, recognized inefficiencies in their process for requesting a [ Read More ]

Evidence into Practice

Operations Management: Seasoned Navigator Case Study

Nicole Delano, MSN, RN, ONN-CG 

At a recent cancer committee meeting, the hospital’s chief oncology physician stated that the current flow process for patients attending all of their required appointment and tests was in need [ Read More ]

Evidence into Practice

Professional Roles and Responsibilities

Cheryl Bellomo, MSN, RN, OCN, ONN-CG 

The identification of barriers to care was a primary focus of patient navigation instituted in the 1990s by Harold P. Freeman, MD, to help explain delays in diagnosis as well [ Read More ]

Evidence into Practice

Novice Navigator: Case Scenario on Professional Roles and Responsibilities

Eugenia Artice, RN-BC, BSN; Pam Goetz, BA, OPN-GC; Marian E. Gilmore, RN, OCN, ONN-CG; Barbara McHale, RN, BS, OCN, ONN-CG, CBCN 

The leadership in oncology administration and the patient experience department at a community hospital identified coordination of care as an area for improvement for patients with brain cancer. The standard [ Read More ]

Evidence into Practice

Seasoned Navigator: Case Scenario on Professional Roles and Responsibilities

Tricia Strusowski, RN, MS 

Susan is a new navigator at her cancer center; she is assigned to patients with head and neck cancer. Her preceptor is Mary, a navigator with 10 years’ experience. Susan [ Read More ]

Evidence into Practice

Survivorship/End-of-Life Care

Cheryl Bellomo, MSN, RN, OCN, ONN-CG 

The continuum of care for cancer patients following active treatment includes the transition to survivorship and end-of-life care. Care transition refers to the movement that patients make between healthcare practitioners [ Read More ]

Evidence into Practice

Novice Navigator: Case Study on Survivorship/End of Life

Eugenia Artice, RN-BC, BSN; Pam Goetz, BA, OPN-GC; Marian E. Gilmore, RN, OCN, ONN-CG; Barbara McHale, RN, BS, OCN, ONN-CG, CBCN 

Survivorship care delivery varies in different healthcare settings depending on the staffing, patient populations, and geography. Medical care for patients with cancer who live in a rural area requires a [ Read More ]

Evidence into Practice

Seasoned Navigator: Case Scenario on Survivorship/End of Life

Cheryl Bellomo, MSN, RN, OCN; Nicole Delano, MSN, RN; Tricia Strusowki, MS, RN 

Navigators have an essential role in ensuring that quality survivorship care begins at diagnosis and continues throughout the balance of patients’ lives. To be able to address the needs of [ Read More ]

Evidence into Practice

Psychosocial Support Services/Assessment

Cheryl Bellomo, MSN, RN, OCN, ONN-CG 

Cancer care provides an array of biomedical treatment, but it must also address the psychological and social problems associated with the illness. The cancer experience can have a life-changing impact [ Read More ]

Evidence into Practice

Novice Navigator Psychosocial Assessment/Support Services Psychosocial Domain

Morgan Finn, RN; Kimberly Foster, MBA, BSN, RN; Marian E. Gilmore, RN, OCN; Pamela Goetz, BA; Barbara R. McHale, RN, BS, OCN, CBCN 

Delivering psychosocial support to every patient at pivotal points in their care can prove challenging due to several practical factors facing cancer programs across the country. As institutions strive to [ Read More ]

Evidence into Practice

Seasoned Navigator Case Study Psychosocial Assessment/Support Services

Cheryl Bellomo, MSN, RN, OCN; Nicole Delano, MSN, RN; Tricia Strusowki, MS, RN 

The primary objective/reason for screening for psychosocial distress along the cancer continuum is to address patients’ perception of quality of life (QOL). Effective psychosocial care, consisting of a multidisciplinary team [ Read More ]

Evidence into Practice

Patient Advocacy/Patient Empowerment

Cheryl Bellomo, MSN, RN, OCN, ONN-CG 

A patient advocate can be defined as one who uses his or her role to promote and safeguard the well-being and the interests of patients within the community and the [ Read More ]

Evidence into Practice

Novice Navigator: Case Study Domain–Patient Advocacy

Morgan Finn, RN; Kimberly Foster, MBA, BSN, RN; Marian E. Gilmore, RN, OCN; Pam Goetz, BA; Barbara R. McHale, RN, BS, OCN, CBCN 

The National Coalition for Cancer Survivorship (NCCS) was founded in 1986 to make cancer patients view themselves as survivors, not victims, and to address the many issues that patients encounter [ Read More ]

Evidence into Practice

Seasoned Navigator: A Case Study on Patient Advocacy/Patient Empowerment

Cheryl Bellomo, RN, MSN, OCN, CN-BN; Deborah Christensen, RN, BSN, HNB-BC; Tricia Strusowski, RN, MS 

Navigators share the role of patient advocacy and patient empowerment by promoting patient rights, and the way of doing it is with the patient, not for the patient. Navigators should [ Read More ]

Evidence into Practice

Continuum of Care and Care Transitions

Cheryl Bellomo, RN, MSN, OCN, CN-BN, and Pamela Goetz, BA 

The scope of navigation has evolved from the Freeman model of community outreach and prevention to spanning the entire continuum of care for oncology patients. Navigators help individuals overcome barriers [ Read More ]

Evidence into Practice

National Cancer Institute Community Cancer Centers Program Navigation Assessment Tool

As all navigation programs are built uniquely, we encourage you to rate your program as you feel appropriate. The purpose of this form is not to gauge one program against [ Read More ]

Evidence into Practice

Novice Navigator: A Case Study on the Complexities of Care Coordination

Morgan Finn, RN; Kimberly Foster, MBA, BSN, RN; Marian E. Gilmore, RN, OCN; Pamela Goetz, BA; Barbara R. McHale, RN, BS, OCN, CBCN 

The case study for this discussion highlights the complexities of care coordination when patients arrive unprepared physically or mentally for the recommended medical treatments as determined by guidelines. It also [ Read More ]

Evidence into Practice

Seasoned Navigator: A Case Study on Care Transitions in Genomic Testing and Timely Treatment Decision-Making

Cheryl Bellomo, RN, MSN, OCN, CN-BN; Deborah Christensen, RN, BSN, HNB-BC; Tricia Strusowski, RN, MS 

Along with the diagnosis of breast cancer comes many decisions regarding treatment options. Oncotype DX, a genomic/gene expression assay, provides quantitative assessment of chemotherapy benefit and risk of distant recurrence [ Read More ]

Evidence into Practice

Continuum of Care and Care Transitions: A Combined Conclusion from Novice and Seasoned Navigators

Cheryl Bellomo, RN, MSN, OCN, CN-BN, and Pamela Goetz, BA 

The role of the navigator along the continuum of care is bidimensional in nature with a patient-centered (empowerment with education and knowledge) and health system (multidisciplinary) orientation to deliver timely, [ Read More ]

Evidence into Practice

Community Outreach and Prevention

Cheryl Bellomo, RN, MSN, OCN, CN-BN, and Pamela Goetz, BA 

In 1990, Harold P. Freeman, MD, noticed that African American women in the Harlem community had a higher incidence of breast cancer mortality.1 He observed delays in follow-up care after [ Read More ]

Evidence into Practice

Novice Navigator: A Case Study on Community Outreach for Head and Neck Cancers

Pamela Goetz, BA; Barbara R. McHale, RN, BS, OCN, CBCN; Marian Gilmore, RN, OCN; Morgan Finn, RN 

In this community outreach example, the daunting challenges of treatment, and the impact on quality of life, drive the questions, “How can we better serve these patients?” and “Is there [ Read More ]

Evidence into Practice

Seasoned Navigator: A Case Study on Community Outreach and Prevention for Lung Cancer Screening

Cheryl Bellomo, RN, MSN, OCN, CN-BN; Deborah Christensen, RN, BSN, HNB-BC; Tricia Strusowski, RN, MS 

Along the continuum of cancer care for many patient populations, navigators play an essential role in community outreach and prevention. To be effective, navigators must have core knowledge of the [ Read More ]

Evidence into Practice

My Path to Oncology Nursing: Advancing Our Education to Fulfill Our Dreams

Deborah Christensen, BSN, RN, OCN, HNB-BC 

Masterful storyteller, Rachel Naomi Remen, MD, Clinical Professor of Family & Community Medicine, University of California San Francisco School of Medicine, CA, reminds readers of Kitchen Table Wisdom that a [ Read More ]

Evidence into Practice

How 7 Nurses Maximize Their AONN+ Membership—This Is Your Invitation to Join Our Evidence into Practice Subcommittee

Pam Goetz 

Seven Academy of Oncology Nurse & Patient Navigators (AONN+) members want you to know about a membership benefit that you might have overlooked. Everyone knows about the newsletter, the conference, [ Read More ]

Evidence into Practice

A Coincidence Turns into a Career

Penny Daugherty, RN, MS, OCN 

I became a nurse almost by coincidence, even as I realize it was meant to be. I was at home with my third child who, at age 6 months, was nursing [ Read More ]

Evidence into Practice

Britta Newcomer, RN, BSN, OCN

Britta Newcomer, RN, BSN, OCN 

The house was dark and silent in the early morning hours of that mid-October day in 1978. Just 6 weeks into the University of South Florida (USF) nursing program, today [ Read More ]

Evidence into Practice

Staci K. Oertle, ANP-BC, MSN, OCN

Staci K Oertle, ANP-BC, MSN, OCN 

As I embarked on my nursing career more than 25 years ago, I remember having feelings of both  excitement and anxiety. I had just graduated with a degree as a [ Read More ]

Evidence into Practice

Barbara McHale, RN, BS, OCN, CBCN

Barbara R. McHale, BS, RN, OCN, CBCN 

My initial encounter with patients with cancer began at the end of my first year of nursing school. I was assigned to a medical–surgical floor, and was given a patient [ Read More ]

Evidence into Practice

Jennifer R. Klemp, PhD, MPH, MA

Associate Professor of Medicine, Division of Clinical Oncology, Director, Cancer Survivorship, Cancer Risk Counselor, University of Kansas Cancer Center; Founder, CEO, Cancer Survivorship Training, Inc. Just like many other nurse [ Read More ]

Evidence into Practice

Danelle Johnston, RN, MSN, OCN, CBCN

Danelle Johnston, RN, BSN, OCN, CBCN 

From the time I was a young girl I knew I wanted to pursue a career in the “helping profession” and mix that with my love for the sciences. What [ Read More ]

Evidence into Practice

Pam Goetz, BA

Anne Willis, MA 

My introduction to the world of cancer came when I was in college, via a phone call from my mother who was 3000 miles away. For weeks she had delayed [ Read More ]

Evidence into Practice

Mandi Pratt-Chapman, MA

Mandi Pratt-Chapman, MA, Associate Center Director, Patient-Centered Initiatives & Health Equity, GW Cancer Center, Washington, DC 

My experience with cancer began when I was told as a teenager that my stepbrother had osteosarcoma. I was very confused. The idea of my sibling having a life-threatening illness [ Read More ]

Evidence into Practice

Sharon Gentry, RN, MSN, AOCN, CBCN

Sharon S. Gentry, RN, MSN, AOCN, CBCN, ONN-CG
Breast Nurse Navigator
Novant Health Derrick L. Davis Cancer Center
Winston-Salem, NC 

I have traveled the road to nurse navigation via roles of a CNA, staff nurse, patient educator, clinical trial site coordinator, clinical manager, and case manager at the same hospital [ Read More ]

Evidence into Practice

About Elaine Sein, RN, BSN, OCN, CBCN

Elaine Sein, RN, BSN, OCN, CBCN 

Senior Project Manager Fox Chase Cancer Center Partners Chair, Quality, Outcomes, and Performance Improvement Committee Academy of Oncology Nurse Navigators I began my journey in oncology nursing more than 40 [ Read More ]