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Improving Cancer Survivorship Care Plan Delivery with Nurse Navigation.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Improving Cancer Survivorship Care Plan Delivery with Nurse Navigation./
作者:	Causey, Lindsey C.
面頁冊數:	1 online resource (52 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-11, Section: A.
Contained By:	Dissertations Abstracts International84-11A.
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30313816click for full text (PQDT)
ISBN:	9798379551469

Improving Cancer Survivorship Care Plan Delivery with Nurse Navigation.
Causey, Lindsey C.

Improving Cancer Survivorship Care Plan Delivery with Nurse Navigation. - 1 online resource (52 pages)

Source: Dissertations Abstracts International, Volume: 84-11, Section: A.

Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2023.

Includes bibliographical references

PURPOSE: This study evaluated the impact of a focused Survivorship Oncology Nurse Navigator (SONN) combined with the established Advanced Practice Provider (APP) SCP delivery team on improving survivorship care plan delivery in a cancer center serving a large rural population.SIGNIFICANCE: In the United States, there are more than 15 million cancer survivors who experience late and long-term physical, psychosocial and spiritual effects following initial cancer therapy. Cancer survivorship care plans (SCP) helping patients transition to life after cancer and providing important screening and educational recommendations. Nurse navigators can coordinate SCP visit completion by reducing barriers to care, facilitating timely care access, and improving patient outcomes.METHODS: We obtained institutional support to provide a SONN and evaluated the impact on SCP visit completion rates, including survivorship education and coordination. We measured the rate of completion for 5 different malignancies (breast, gynecologic, prostate, head & neck, and skin) in the 3 months prior to the SONN and 3 months after comparing rates of SCP visit completion, education, SONN led SCP compared with APP-led SCP visits. We also evaluated the screening rate for Social Determinants of Health and percentage of patients receiving their SCP in their primary language.FINDINGS AND INTERPRETATION: The SCP completion rate increased 70% (from 49 to 159) with 64 visits provided by the SONN and 95 visits provided by three APPs. Patients who received education prior to their SCP visit were more likely to complete their SCP visit (94%). SDOH rate of screening improved to 89% (142 of 159) and all seven patients who were not primary English speaking received their SCPs in their translated language.DISCUSSION AND IMPLICATIONS: Adding a SONN improved SCP visit completion by reducing barriers to care and improving care coordination. Pre-visit education had the highest impact on SCP completion rate. The hybrid model using both APPs and the SONN to deliver SCPs allowed the top-of-license practice and improved care access. As the care team continues to provide this hybrid care model, additional research on long term outcomes can give the survivorship program further direction as healthcare delivery moves towards a value-based model.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798379551469Subjects--Topical Terms:

528444
Nursing.
Subjects--Index Terms:

Cancer nursingIndex Terms--Genre/Form:

542853
Electronic books.

Improving Cancer Survivorship Care Plan Delivery with Nurse Navigation.
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