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肿瘤医疗的领航者:患者导航员角色的概念分析

Pilots of oncology health care: a concept analysis of the patient navigator role.

作者信息

Pedersen Allison, Hack Thomas F

机构信息

Faculty of Nursing, University of Manitoba, Winnipeg, Canada.

出版信息

Oncol Nurs Forum. 2010 Jan;37(1):55-60. doi: 10.1188/10.ONF.55-60.

DOI:10.1188/10.ONF.55-60
PMID:20044339
Abstract

PURPOSE/OBJECTIVES: To summarize the current scientific literature pertaining to the role of the patient navigator in oncology using the concept analysis framework developed by Walker and Avant.

DATA SOURCES

Published research articles, clinical articles, and Internet sources on patient navigator roles and programs. Literature was obtained from CINAHL, PubMed, PsycINFO, the Cochrane Library, and Google Scholar, incorporating reports in English from 1990-2008.

DATA SYNTHESIS

Patient navigation has received a plethora of attention as healthcare programs strive to streamline care and address current gaps in service delivery. The literature revealed that the role of the patient navigator remains context-specific and has been filled by a variety of individuals, including nurses, social workers, peer supporters, and lay individuals.

CONCLUSIONS

The role of a patient navigator includes removing barriers to care, improving patient outcomes, and ameliorating the overall quality of healthcare delivery.

IMPLICATIONS FOR NURSING

By examining the role of the patient navigator depicted in the scientific literature, nurses can gain insight into not only the features of navigation but also the current systematic gaps that call for navigation services. This article examines the numerous functions of a patient navigator and exemplifies the significance of the role in various domains.

摘要

目的/目标:运用沃克和阿凡特开发的概念分析框架,总结当前关于患者导航员在肿瘤学中作用的科学文献。

数据来源

关于患者导航员角色和项目的已发表研究文章、临床文章及网络资源。文献取自护理学与健康领域数据库、医学期刊数据库、心理学文摘数据库、考克兰图书馆和谷歌学术,纳入了1990年至2008年的英文报告。

数据综合

随着医疗保健项目努力简化护理流程并解决当前服务提供中的差距,患者导航已受到广泛关注。文献表明,患者导航员的角色仍因具体情况而异,由包括护士、社会工作者、同伴支持者和非专业人员在内的各种人员担任。

结论

患者导航员的作用包括消除护理障碍、改善患者预后以及提升医疗服务的整体质量。

对护理的启示

通过研究科学文献中所描述的患者导航员的角色,护士不仅可以深入了解导航的特点,还能了解当前需要导航服务的系统差距。本文探讨了患者导航员的众多功能,并举例说明了该角色在各个领域的重要性。

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