TL;DR: An oncology nurse navigator program is designed to proactively address patients' and families' psychosocial, information, and care coordination needs and tested its effectiveness in providing high-quality cancer care through a randomized, controlled trial.
Abstract: Although the burden of a cancer diagnosis for patients is profound, healthcare systems often fail to address patients' and families' psychosocial, information, and care coordination needs. The authors of this article designed an oncology nurse navigator program to proactively address these care gaps and tested the program's effectiveness in providing high-quality cancer care through a randomized, controlled trial. The program's model was informed by research synthesizing the perspectives of patients, families, clinicians, and experts throughout the country. The authors systematically incorporated feedback from participating clinical departments to improve the effectiveness of the program. This article details the intervention to help inform other systems interested in implementing an oncology nurse navigator program.
TL;DR: In this article, the authors identify barriers to and enhancers of completion of breast cancer treatment from the perspective of participants in a breast health navigator program, using focus group methodology and telephone interview.
Abstract: Purpose/objectives to identify barriers to and enhancers of completion of breast cancer treatment from the perspective of participants in a breast health navigator program. Research approach qualitative, using focus group methodology and telephone interview. Setting two teaching hospital ambulatory cancer centers. Participants women enrolled in the breast navigator program, including patients who completed (n = 13) and did not complete (n = 1) breast cancer treatment. Methodologic approach researchers used semistructured, open-ended questioning to guide the interviews and elicit identification of barriers to and enhancers of treatment. A flexible approach was used and the interviews were recorded. Content analysis was used to identify themes. Main research variables perceived barriers and enhancers of breast cancer treatment. Findings the most common theme was the value of the education and information received from the navigator. Several participants saw this as the essence of the role. Assistance with managing symptoms, access to financial and community resources, and the team approach were completion enhancers. Conclusions completion of breast cancer therapy and care can be improved by recognizing the value the nurse navigator role brings to the patient experience and enhancing that role. Interpretation the intentional presence of the oncology nurse and the nursing emphasis on culturally appropriate education and care can be seen as key competencies of the navigator. As the concept of the navigation process is expanded to other cancers, oncology nurses are particularly well positioned to advocate for the navigator role as a nursing domain.
TL;DR: In-the-field navigation by peers seems to enhance service engagement, recovery, and quality of life in Latinos with serious mental illness in a randomized controlled trial.
Abstract: Objective:The impact of a peer navigator program (PNP) on efforts to address the health needs of Latinos with serious mental illness was examined in a randomized controlled trial.Methods:Latinos wi...
TL;DR: Results from the program evaluation of one public library's Cultural Navigator Program are illustrated to illustrate how communities and public institutions can promote integration and relationship-building between newly arrived immigrants and long-time residents.
TL;DR: In this article, the DVD navigator program has been enhanced to better synchronize with DVD player applications, such as restricted/parental controlled content viewing, generation and assignment of unique identifiers to the content source, and an improved user and player application environment for starting and stopping playback.
Abstract: In accordance with certain aspects of the present invention, enhancements have been developed to further extend the performance of a generic DVD navigator component. Here, the DVD navigator program has been enhanced to better synchronize with DVD player applications. As such, better control mechanisms for the player application are provided. For example, improved enforcement of restricted/parental controlled content viewing, generation and assignment of unique identifiers to the content source, and an improved user and player application environment for starting and stopping playback are provided.