3710McMaster University, Hamilton, Canada.
Can J Nurs Res. 2022 Jun;54(2):199-210. doi: 10.1177/08445621211066765. Epub 2022 Jan 11.
Healthcare systems are complex and as a result patients may experience fragmentation of services. Indigenous populations experience increasingly disproportionate health disparities compared to non-Indigenous populations. Patient navigation is known as a patient-centered approach to empower individuals to connect with appropriate services. Literature surrounding the Indigenous Patient Navigator (IPN) remains sparse necessitating this scoping review. Purpose: To map the current state of the role of the IPN internationally within Canada, United States, Australia and New Zealand.
Estalished methodological framework by Arksey and O'Malley and the PRISMA extension for scoping reviews was used.
A total of 820 articles were reviewed from four databases, yielding sixteen articles.
The absence of published literature surrounding the IPN role in Australia and New Zealand was surprising considering similar histories of colonization. The term navigator was used most often and was typically used when describing lay/peer roles. Professional roles were described using specific role descriptions. Six IPN roles were identified including: (1) social service navigation, (2) wholistic support of Indigenous people, (3) advocacy/building capacity, (4) health assessment, (5) administrative navigation, and (6) outreach. Additionally, barriers and enablers IPNs address are identified. This scoping review will assist to promote and reinforce the IPN role.
医疗保健系统复杂，因此患者可能会经历服务的碎片化。与非原住民相比，原住民群体的健康差距越来越大。患者导航被认为是一种以患者为中心的方法，可以使个人能够获得适当的服务。围绕原住民患者导航员（IPN）的文献仍然很少，因此需要进行这一范围界定综述。目的：在加拿大、美国、澳大利亚和新西兰，绘制国际上 IPN 角色的现状。
采用 Arksey 和 O'Malley 的既定方法框架和 PRISMA 扩展进行范围界定综述。
从四个数据库中总共审查了 820 篇文章，得出了 16 篇文章。
令人惊讶的是，考虑到类似的殖民历史，在澳大利亚和新西兰，关于 IPN 角色的发表文献的缺乏。导航员一词使用最频繁，通常用于描述非专业/同行角色。专业角色则使用特定的角色描述来描述。确定了六个 IPN 角色，包括：（1）社会服务导航，（2）对原住民的全面支持，（3）倡导/能力建设，（4）健康评估，（5）行政导航，以及（6）外展。此外，还确定了 IPN 解决的障碍和促成因素。本范围界定综述将有助于促进和加强 IPN 角色。
