May 2016 VOL 7, NO 4

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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, seamless care. Within the multidisciplinary team, the navigator works as an advocate, care provider, educator, counselor, and facilitator to ensure that every patient receives comprehensive, timely, and quality healthcare services. In building collaboration among the multidisciplinary team members, coordinating execution of the treatment plan, and empowering patients, the navigator guides patients through the complicated steps along the cancer care continuum and through transitions of care with the goal of achieving the best possible outcomes.

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