O'Leary Bernadine
Screening Navigator, Population Screening-Cancer Care Program, NL Health Services,
Can Oncol Nurs J. 2025 Jul 1;35(4):620-628. eCollection 2025.
Emerging trends in oncology nursing literature indicate an increasing need for specialized roles. The increasing complexity of cancer care presents a unique opportunity to expand the cancer patient navigator role to population cancer screening programs. Existing oncology nurse navigation competencies can be leveraged to improve cancer screening participation and reduce waiting times for access to diagnostic and treatment pathways. By expanding the scope of practice for oncology nurse navigators to include roles such as community engagement and improved access to care, nurse navigators in cancer screening programs can play a pivotal role in reducing cancer burden and improve health outcomes at a population level. In 2019, Newfoundland and Labrador's (NL) Provincial Cancer Care Program introduced a Screening Navigator position within its Population Screening Programs and specified community engagement and outreach as key requirements within the role. In 2021, a second screening navigator position was added. This article will highlight the expanded responsibilities of oncology nurse navigators in NL's Population Screening Program to facilitate improved participant access, continuity of screening and diagnostic pathways and community engagement. By expanding the navigator scope to include cancer screening, community engagement, and improved access to care, oncology nurse navigators play a key role in reducing cancer burden and improve health outcomes at a population level.
肿瘤护理文献中的新趋势表明,对专业角色的需求日益增加。癌症护理的日益复杂性为将癌症患者导航员的角色扩展到人群癌症筛查项目提供了独特的机会。现有的肿瘤护理导航能力可用于提高癌症筛查参与率,并减少进入诊断和治疗途径的等待时间。通过扩大肿瘤护理导航员的实践范围,使其包括社区参与和改善就医机会等角色,癌症筛查项目中的护理导航员可以在减轻癌症负担和改善人群健康结果方面发挥关键作用。2019年,纽芬兰和拉布拉多省(NL)的省级癌症护理项目在其人群筛查项目中设立了筛查导航员职位,并将社区参与和外展活动指定为该职位的关键要求。2021年,又增加了第二个筛查导航员职位。本文将重点介绍NL人群筛查项目中肿瘤护理导航员的扩展职责,以促进改善参与者的就医机会、筛查和诊断途径的连续性以及社区参与。通过将导航员的范围扩大到包括癌症筛查、社区参与和改善就医机会,肿瘤护理导航员在减轻癌症负担和改善人群健康结果方面发挥着关键作用。