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Volume 2 Journal of Molecular Cancer Cancer & Primary Healthcare 2019
May 20-21, 2019
Cancer Research & Oncology
Primary Healthcare and Medicare Summit May 20-21, 2019 | Rome, Italy
25 th Global Meet on
World Congress on
&
The process of oncology nurse practitioner patient navigation: A grounded theory
approach
Frances Johnson
Carl R. Darnall Army Medical Center, USA
Introduction: Nurse practitioner (NP) navigation, in general, has been shown to achieve cost effective quality
care, while saving millions of dollars. Research though scant has shown that oncology nurse practitioner
navigators’ improve clinical outcomes. For purposes of this study, oncology NP (ONP) navigators are nurse
practitioners with a certification in oncology who utilize navigation processes to care for cancer patients along
any aspect of the cancer care continuum. Navigation process is defined as a series of actions or steps taken in
order to achieve a particular end.
Method: Twenty ONP navigators were interviewed though the use of a semi-structured interview utilizing
grounded theory methodology.
Results: This resulted in a well-defined set of concepts and theoretical framework for the process of ONP
navigation which lays the groundwork for program evaluation and role delineation.
Conclusions: A navigation process has been identified for ONP navigators. Researchers have concluded
that an understanding of the structure and process requirements for planning a care innovation is the basis
for safe and effective patient care. Implications for further research would center upon further defining the
categories of this navigation process for program. Oncology related triage tools are of crucial importance as
the best of care plans can be thwarted by an inept triage process. Additionally, research has indicated a need to
define the value of the NP role in terms of delivering patient outcomes (Grainne, Plummer, O’Brien, & Boyd,
2011). Identification of standardized outcome measures will serve to promote interprofessional collaboration
on a global basis. The findings indicate that not all of the participants guided the patient entirely through
the cancer. This definition of navigation processes can serve to promote clarification of the navigation role,
and serve as the basis for nurse practitioner training and development. Finally the basic social process that
centered on the core category was staying connected to the patient and to the system.
J Mol Cancer, Volume 2