Nursing Policy Research Institute, Yonsei University College of Nursing, Seoul, Korea.
Cancer Nurs. 2011 Sep-Oct;34(5):376-84. doi: 10.1097/NCC.0b013e3182025007.
Care coordination has received increased attention in recent years because it critically affects patient safety and care quality across services and settings.
The effectiveness of systematically developed nurse navigator interventions for newly diagnosed cancer patients was evaluated.
Seventy-eight patients participated in a nonequivalent control group pretest-posttest design study. The study design spanned a 3-month period for all participants. Patient outcome measures included quality of life, satisfaction with care, and length of hospital stay.
Participants in the experimental program reported significant increases in several components of quality of life and with satisfaction with care and experienced fewer hospital stay days compared with the control group.
This study provides evidence that standardized nurse navigator programs can improve patient outcomes in cancer care.
Positive outcomes of the reduced length of stay and improved quality of life and patient satisfaction may help transform the cancer care delivery model toward more nurse-initiated cost-effective model.
近年来，护理协调受到了越来越多的关注，因为它对跨服务和环境的患者安全和护理质量具有至关重要的影响。
评估为新诊断癌症患者系统开发的护士导航员干预措施的有效性。
78 名患者参加了一项非等效对照组前后测设计研究。所有参与者的研究设计跨度为 3 个月。患者的结局指标包括生活质量、护理满意度和住院时间。
与对照组相比，实验组的患者报告生活质量的几个组成部分、对护理的满意度均有显著提高，且住院天数更少。
本研究为标准化护士导航员计划可以改善癌症护理患者结局提供了证据。
住院时间缩短、生活质量提高和患者满意度提高的积极结果可能有助于将癌症护理的提供模式转变为更具成本效益的以护士为主导的模式。
