Evaluation of a Patient Navigation Program
Evaluation of a Patient Navigation Program
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DOI：
10.1188/11.cjon.41-48
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发表时间：
2011-02-01
影响因子：
1.1
通讯作者：
Cook, Paul F.
中科院分区：
文献类型：
--
作者：
Koh, Catherine;Nelson, Joan M.;Cook, Paul F.
这项研究在 6 个月内对 55 名患者进行了患者导航计划，在获得癌症护理的及时性、障碍的解决和满意度方面检验了患者导航计划的价值和有效性。虽然在统计上不显着，但项目实施后诊断性活检与癌症专家首次咨询之间的时间间隔从平均 14.6 天减少到 12.8 天。诊断性活检与开始癌症治疗之间的时间间隔也从 30 天缩短至 26.2 天（无统计学意义）。此外，71% 的患者障碍在治疗开始时已得到解决。总体而言，患者对他们的导航护理体验非常满意。对护理质量指标的一致评估和监测对于进一步制定该计划和指导资源分配至关重要。应鼓励参与患者导航计划的肿瘤科护士评估其在这一发展概念中的重要性和影响。护士应寻求能够优化有效利用其专业知识和技能的角色，以造福癌症护理过程中的患者。
This study examined the value and effectiveness of a patient navigation program in terms of timeliness of access to cancer care, resolution of barriers, and satisfaction in 55 patients over a six-month period. Although not statistically significant, the time interval between diagnostic biopsy to first consultation with a cancer specialist after program implementation was reduced from an average of 14.6 days to 12.8 days. The time interval between diagnostic biopsy to initiation of cancer treatment also was reduced from 30 days to 26.2 days (not statistically significant). In addition, 71% of patient barriers were resolved by the time treatment was initiated. Overall, patients were highly satisfied with their navigated care experience. Consistent evaluation and monitoring of quality-of-care indicators are critical to further develop the program and to direct resource allocation. Oncology nurses participating in patient navigation programs should be encouraged to evaluate their importance and impact in this developing concept. Nurses should seek roles that allow them to optimize the effective use of their specialized knowledge and skills to the benefit of patients along the cancer care continuum.