November 2019 Vol 10, No 11


Breast cancer is a highly emotional diagnosis; patient experience should be monitored to limit emotional distress.


Young women (20-39 years old) with a gynecologic oncology diagnosis have “increased anxiety, depression, and distress” when compared with older cancer survivors.

Over the course of 2 years, Saint Luke’s Hospital Koontz Center for Advanced Breast Cancer hosted 3 weekend-long therapeutic retreats for women with metastatic breast cancer and their significant others.



Tools that help to characterize patient acuity have been used in healthcare for decades and have proved successful as a means of determining staffing needs, improving patient care, and controlling costs.

Since the inception of navigation programs in 2001, a variety of programs have been developed across the country.


The role of the breast nurse navigator (BNN) during the treatment phase of the care continuum involves educating patients and families and assisting them with overcoming barriers to care by linking them to appropriate resources.


The American Cancer Society (ACS) recently completed a quality improvement program pilot designed to test the feasibility and effectiveness of coaching-based navigation among ACS lay navigators; 6 sites were selected for the pilot.

As navigation programs grow, orientation programs must support different learning styles of new navigators.



In 2017, Saint Luke’s Hospital Koontz Center for Advanced Breast Cancer in Kansas City, MO, began hosting biannual weekend therapeutic retreats for women with metastatic breast cancer and their spouses or caretakers.


Limited literature exists in exploring the navigator’s point of view during a transition in management. A quality transition is vital for navigator’s identity, well-being, empowerment, satisfaction, and retention.



There is limited literature available that compares nurse navigator (NN) roles in a single-facility model (SFM) and the role after transitioning to a multifacility model (MFM).




Community Care Physicians (CCP) is a practice located in Upstate New York that comprises 430 providers and 30+ subspecialties.

In February 2019, to more fully support prostate cancer patients with sexual health and urinary recovery posttreatment, Sutter Medical Center Sacramento implemented a nurse navigator to facilitate patient participation in a survivorship support group and education around symptom management.


The program began with a general focus navigation model (breast, lung, gastrointestinal cancers), then transitioned to a breast navigation only model in March 2018 due to patient volumes and navigator bandwidth.


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Journal of Oncology Navigation & Survivorship
JONS

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