Comparing clinical and nonclinical cancer patient navigators: A national study in the United States.

Comparing clinical and nonclinical cancer patient navigators: A national study in the United States.
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比较临床和非临床癌症患者导航器:美国的一项全国性研究。

DOI:
10.1002/cncr.33880
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发表时间:
2022-07-01
期刊:
影响因子:
6.2
通讯作者:
Calhoun, Elizabeth
Calhoun, Elizabeth
中科院分区:
医学1区
文献类型:
--
作者:
Wells, Kristen J.;Wightman, Patrick;Aguilar, Rosa Cobian;Dwyer, Andrea J.;Garcia-Alcaraz, Cristian;Saavedra Ferrer, Elba L.;Mohan, Prashanthinie;Fleisher, Linda;Franklin, Elizabeth F.;Valverde, Patricia A.;Calhoun, Elizabeth

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进行了一项全国性的调查,以检查临床和非临床肿瘤导航员在他们的服务提供,参与癌症护理连续体,个人特征和程序特征之间的差异。使用便利抽样,527名肿瘤导航员参与并完成了在线调查。使用描述性统计、卡方统计和t检验比较非临床(例如,社区卫生工作者)和临床(例如,护士导航员)导航员关于提供各种导航服务、个人特征、参与癌症护理连续体和程序特征。大多数参与者是临床导航员(76.1%)。与非临床导航员相比,临床导航员更有可能拥有学士学位或更高学位(88.6%对69.6%,p<.001),由运营预算资助(84.4%对35.7%,p<.001),并且不太可能在社区组织或非营利组织工作(2.0%对36.5%,p<.001)。临床导航员更可能执行基本导航(p<.001)、护理协调(p<.001)、治疗支持(p<.001)和临床试验/同行支持(p =.005)。临床导航员更有可能从事治疗(p<.001),生命结束(p<.001)和姑息治疗(p =.001)导航。越来越多的迹象表明,临床和非临床肿瘤导航仪执行不同的功能,并在不同的环境中工作。非临床导航员可能更有可能面临工作不稳定,因为他们大多由赠款资助,并在非营利组织工作。越来越多的迹象表明,临床和非临床肿瘤导航仪执行不同的功能,并在不同的环境中工作。非临床导航员可能更有可能面临工作不稳定,因为他们大多由赠款资助,并在非营利组织工作。
A nationwide survey was conducted to examine differences between clinical and non-clinical oncology navigators in their service provision, engagement in the cancer care continuum, personal characteristics, and program characteristics. Using convenience sampling, 527 oncology navigators participated and completed an online survey. Descriptive statistics, chi-square statistics, and t tests were used to compare non-clinical (e.g., community health worker) and clinical (e.g., nurse navigators) navigators on the provision of various navigation services, personal characteristics, engagement in the cancer care continuum, and program characteristics. Most participants were clinical navigators (76.1%). Compared to non-clinical navigators, clinical navigators were more likely to have a bachelor’s degree or higher (88.6% versus 69.6%, p<.001), be funded by operational budgets (84.4% versus 35.7%, p<.001), and less likely to work at a community-based organization or non-profit (2.0% versus 36.5%, p<.001). Clinical navigators were more likely to perform basic navigation (p<.001), care coordination (p<.001), treatment support (p<.001), and clinical trial/peer support (p =.005). Clinical navigators were more likely to engage in treatment (p<.001), end of life (p<.001), and palliative care (p =.001) navigation. There is growing indication that clinical and non-clinical oncology navigators perform different functions and work in different settings. Non-clinical navigators may be more likely to face job insecurity, as they are mostly funded by grants and work in non-profit organizations. There is growing indication that clinical and non-clinical oncology navigators perform different functions and work in different settings. Non-clinical navigators may be more likely to face job insecurity, as they are mostly funded by grants and work in non-profit organizations.
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