September 2011 VOL 2, NO 5


Esta en Sus Manos! It’s in Your Hands!

Lenore McGonigle, MEd 

Background: In the United States, health disparities exist in mammography rates for Latinas compared with other ethnic groups. In addition, breast cancer is the most commonly diagnosed and the leading [ Read More ]


Nurse Management and Evaluation of a Computed Tomography Lung Screening Program in a Community Hospital Setting

Pamela C. Matten, RN, BSN, OCN 

Background: As the most lethal cancer in the world, lung cancer presents an enormous healthcare challenge. Recent research from the National Lung Screening Trial indicates “Screening with the use of [ Read More ]


Screening Mammograms at No Cost for Uninsured Women in Suburban/Rural Counties

Barbara Quast, RN 

Objectives: (1) Provide low-income uninsured women, aged 40 years and older, living in suburban/rural counties, with screening mammograms, at no cost, with funding from the Bridge Breast Network. (2) Complete [ Read More ]

Original Research

From Breast Cancer Screening to Definitive Diagnosis: Strategies for Successfully Serving the Underserved

Dawn Parsons, RN, OCN 

Background: Uninsured patients receive half the care of their insured counterparts, leading to poorer health outcomes as a result of delayed diagnoses. Breaks in cancer care impact survival rates and [ Read More ]

Original Research

Incidence and Characteristics of BRAF V600E Mutation in Colorectal Cancer with Mismatch Repair Protein Defect Due to Loss of MLH1: A Prospective Evaluation of 104 Consecutive Patients

Sameer Mahesh, MD 

Background: Mismatch repair (MMR) protein –deficient colorectal cancer (CRC), which accounts for 15% to 20% of all CRC, can be sporadic or genetic, due to Lynch syndrome (LS). Loss of [ Read More ]

Original Research

Testing an Optimal Model of Patient-Centered Cancer Care

Beth Lapham, BA 

Objective: The early phases of cancer care have received relatively little research attention. The period of time surrounding the diagnosis and shortly thereafter involves information-seeking, momentous decision-making, and navigation among [ Read More ]

Original Research

Influencing Factors for a Contralateral Prophylactic Mastectomy

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

Background: Patients with unilateral breast cancer sometimes choose contralateral prophylactic mastectomy as a surgical choice. The rates of contralateral prophylactic mastectomy have increased over the past decade, despite knowledge that [ Read More ]

Tracking Processes

A Path to Improving the Continuum of Care: Developing a Survivorship Clinic

A. Vance, RN 

Background: Anne Arundel Medical Center’s (AAMC) tumor registry data indicated a growing population of cancer survivors. A survivor needs assessment and literature review was conducted. We found that survivors are [ Read More ]

Tracking Processes

Boston Medical Center Cancer Care Patient Navigation Program: Tracking Processes Across the Continuum of Care

Sheldon Reeves, PN 

Background: Our patient navigation (PN) program is based at Boston Medical Center (BMC), a private, not-for-profit academic medical center and the primary teaching affiliate for Boston University School of Medicine. [ Read More ]

Tracking Processes

Time Interval as a Quality Measure: What Is Our Baseline Prior to Nurse Navigator Implementation?

Miral Amin, MD 

Background: There are various outcome measures to evaluate the quality of multidisciplinary care for breast cancer patients. The National Consortium of Breast Centers defines “quality” of breast cancer care as [ Read More ]

Tracking Processes

“No Woman Left Behind” Patient Navigation

Barbara R. McHale, BS, RN, OCN, CBCN 

Background: This program was designed and implemented to ensure that medically underserved women who fall between the cracks in the healthcare system receive the care they deserve. The organization looked [ Read More ]

Tracking Processes

Effects of a Multidisciplinary Breast Cancer Clinic in an Appalachian-Based Medical Center

Jennifer A. Ingham, CNP 

Background: Adena Health System is a not-for-profit 250-bed institution that provides healthcare for a 13-county region in southeast Appalachian Ohio. Access to healthcare in rural settings is an ongoing challenge. [ Read More ]

Tracking Processes

Outcomes Management in Oncology Patient Navigation

Elizabeth Hassen, RN, MSN, OCN 

Background: Navigators educate and assist patients through their continuum of care from diagnosis, during treatment, and throughout survivorship. At Spartanburg Regional Healthcare System, the success of the breast and lung [ Read More ]

Tracking Processes

Nurse Navigation for Surveillance of Nodules Found on Nonscreening Imaging

Gean Brown, RN, OCN 

Objective: To ensure appropriate follow-up for the multiple incidental pulmonary nodules found on imaging studies. Materials and Methods: A lung nurse navigator program was established at Middlesex Hospital in 2005. [ Read More ]

AONN 2011 Second Annual Meeting Coverage

A Professional Model for Practice: Kolcaba’s Comfort Theory and the Breast Health Nurse Navigator

Sharon Lieb Inzetta, RN, MS 

Background: Currently there is no standard definition for a patient navigator. Defining a breast health nurse navigator (BHNN) and adopting a theoretical framework1 and model development to guide professional practice [ Read More ]

AONN 2011 Second Annual Meeting Coverage

Demonstrating Patient-Centered Care at Billings Clinic

Karyl Blaseg, RN, MSN, OCN 

Background: The American College of Surgeons’ Commission on Cancer currently is revising its cancer program standards. Three new standards have been drafted that pertain to patient navigation, psychosocial distress screening, [ Read More ]

Patient Education and Assistance

The Use of Interval Education in the Navigation of Breast Cancer Patients

Jane Zubia, RN, OCN, CBPN I-C; 

Background: Feedback from breast cancer survivors via survey followed by a focus group revealed that the information given to them as newly diagnosed breast cancer patients was overwhelming—too much information, [ Read More ]

Patient Education and Assistance

Education to Create Well-Informed Patients in a Women-Only Hospital Setting

Carol Paschall, RN; 

Background: At St. Joseph’s Women’s Hospital, we realized that patients were having trouble navigating the system, especially breast and surgical patients. In the past, breast patients were sent to our [ Read More ]

Patient Education and Assistance

Patient Navigators Can Provide Education for Cancer Patients Effectively Regarding Treatment Compliance and Available Support Services If Standard Operating Procedures and Treatment Algorithms Are in Place

Katie A. Finn, PN 

Background: Patient navigators (PNs) have become valued members of the cancer multidisciplinary team as they help patients work their way through diagnosis and treatment, and into survivorship. Our PN model [ Read More ]

Patient Education and Assistance

From Clinical Trials to Commercial Use: A Nurse Navigation Strategy to Promote Early Intervention and Consistent Management of Adverse Reactions in the Outpatient Setting

Eileen Dehm, RN, BSN 

Background: The clinical foundation of most academic medical centers is their clinical trials. These highly regulated programs offer controlled access to investigational drugs to patients who have failed standard-of-care therapy. [ Read More ]


Seasons of Survival

Kenneth Miller, MD 

More than 25 years ago, Dr Fitzhugh Mullan described the seasons of survival in a narrative of his personal experience of being diagnosed and treated for cancer and facing the [ Read More ]

Letters from Lillie

A Community Connected

Lillie D. Shockney, RN, BS, MAS, ONN-CG 

Dear Colleague, I enthusiastically write to you today regarding our Second Annual Navigation and Survivorship Conference, the official national meeting of the Academy of Oncology Nurse Navigators (AONN). In this [ Read More ]