Kadın Sağlığı Alanında Hasta Navigasyonu ve Navigatör Hemşireliğin Kullanımı: Derleme

Öz

Hasta navigasyonu, kronik hastalığı olan kişiler için tanının doğrulanmasını hızlandırmak ve tedavinin baştan sona sürekliliğini sağlamak için tasarlanmış bir kavramdır. İlk hemşire navigatör figürü onkoloji hastalarına yönelik ortaya çıkmıştır. Navigatör hemşireliğin alanı kanserli hastaların yanı sıra kronik hastalığı olanlar, gebeler, palyatif bakım hastaları ve özel bakım gereksinimi olan yaşlıları da kapsayacak biçimde planlanmış ve uygulanmıştır. Navigatör hemşire, hasta ve ailelerine sağlık hizmeti yolculuklarında seyahat ederken yön sağlar, eğitir ve teşvik eder. Hastalık aşaması, tedavi seçenekleri, semptomlarla başa çıkabilme ve destek kaynakları ile ilgili bilgi sağlamada rehberlik etme, yönlendirme, disiplinler arası bağlantı sağlama görevleri vardır. Kadın sağlığı alanında navigatör hemşire doğum sonrası bakım arayan bir kadına yardımcı olmak için bir hasta rehberi, randevu almasına, ulaşım ve çocuk bakımını koordine etmesine, doğum kontrolü hakkında bilgilendirici broşürler ve danışmanlık vermesine yardımcı olabilir. Aynı zamanda jinekolojik onkoloji hastalarında navigatör hemşire taramaya erişimi artırmaya, teşhis süresini kısaltmaya ve özellikle sağlık eşitsizliği olan popülasyonlarda kanser sonuçlarını iyileştirmekte etkili olabilir. Bu çalışmanın amacı, Dünya’da ve Türkiye’de kadın sağlığı alanında navigatör hemşireliğin kullanımı ile ilgili araştırmaları gözden geçirmektir.

Anahtar Kelimeler

• Navigasyon
• navigatör hemşire
• kadın sağlığı
• multidisipliner bakım

Patient Navigation and the Use of Navigator Nurses in Women's Health: A Review Abstract

Öz

Patient navigation is a concept designed to expedite the diagnosis confirmation and ensure continuity of care for patients with chronic diseases. The first nurse navigator figure emerged for oncology patients. Navigator nursing was designed and implemented to include not only cancer patients, but also those with chronic diseases, pregnancies, palliative care patients, and elderly individuals with special care needs. The navigator nurse guides, educates, and encourages patients and families during their healthcare journey. They have tasks such as guiding, directing, and providing interdisciplinary connections in providing information on disease stage, treatment options, coping with symptoms, and support resources. In women's health, a navigator nurse in postpartum care can assist a woman seeking care by being a patient guide, coordinating appointments, transportation, and childcare, and providing informative brochures and counseling on birth control. At the same time, navigator nurses in gynecological oncology patients can increase access to screening, shorten diagnosis time, and be effective in improving cancer outcomes, especially in populations with health inequalities. The purpose of this study is to review research on the use of navigator nursing in women's health in the world and in Turkey.

Anahtar Kelimeler

• Navigation
• navigator nurse
• women
• multidisciplinary care

Kaynakça

1. Arnold, E., & Boggs, K. (2015). Interpersonal Relationships: Professional communication Skills for Nurses (7th ed.).
2. Baliski, C., McGahan, C. E., Liberto, C. M., Broughton, S., Ellard, S., Taylor, M., Bates, J., & Lai, A. (2014). Influence of nurse navigation on wait times for breast cancer care in a Canadian regional cancer center. American Journal of Surgery, 207(5), 686–692. https://doi.org/10.1016/j.amjsurg.2014.01.002
3. Berezowska, A., Passchier, E., & Bleiker, E. (2021). Professional patient navigation in a hospital setting: a randomized controlled trial. Supportive Care in Cancer, 29(4), 2111–2123. https://doi.org/10.1007/s00520-020-05721-5
4. Berrien, K., Ollendorff, A., & Menard, M. K. (2015). Pregnancy medical home care pathways ımprove quality of perinatal care and birth outcomes. North Carolina medical journal, 76(4), 263–266. https://doi.org/10.18043/ncm.76.4.263
5. Case, M. A. B. (2011). Oncology nurse navigator: ensuring safe passage. Clinical Journal of Oncology Nursing, 15(1), 33–40. https://doi.org/10.1188/11.CJON.33-40
6. Coskun, H., Sentüre, Ç., & Kavakli, Ö. (2016). Sağlık hizmetlerinde navigasyon uygulaması. Medical Journal of Bakirkoy, 12(4), 157–162. https://doi.org/10.5350/BTDMJB201612401
7. Freeman, H. P. (2013). The history, principles, and future of patient navigation: commentary. Seminars in Oncology Nursing, 29(2), 72–75. https://doi.org/10.1016/j.soncn.2013.02.002 Freeman, H. P., & Rodriguez, R. L. (2011). History and principles of patient navigation. Cancer, 117(SUPPL. 15), 3539–3542. https://doi.org/10.1002/cncr.26262 George, T. J., & Batra, K. (2022). Effect of a community-based multicomponent intervention on cervical cancer behavior among women - A randomized controlled trial. Journal of education and health promotion, 11, 329. https://doi.org/10.4103/jehp.jehp_1742_21
8. Hoelz, T. M., Sladek, M. L., & Michaelson, P. L. (2007). Blending nursing roles in oncology and imaging: An innovative strategy. Oncology Nursing Forum, 34(1), 27–31. https://doi.org/10.1188/07.ONF.27-31

9. Holsapple, S., & Jensen, M. (2014). A Model Program for Patient Navigation: Using the justice system to offer a health care ıntervention to ımprove birth outcomes-understanding constrained choice and drug treatment Court. Journal of Applied Social Science, 8(1), 41–60. https://doi.org/10.1177/1936724413482902
10. İnciser Paşalak Ş(2020) . Kemoterapi alan jinekolojik kanserli hastalarda Semptom Yönetim Modeli’nin etkinliğinin değerlendirilmesi [Yayımlanmamış doktora tezi]. Koç Üniversitesi Sağlık Bilimleri Enstitüsü.
11. Jeyathevan, G., Lemonde, M., & Cooper Brathwaite, A. (2017). The role of oncology nurse navigators in enhancing patient empowerment within the diagnostic phase for adult patients with lung cancer. Canadian Oncology Nursing Journal, 27(2), 164–170. https://doi.org/10.5737/23688076272164170
12. Kominiarek, M. A., Summerlin, S., Martinez, N. G., & Yee, L. M. (2019). postpartum patient navigation and postpartum weight retention. AJP reports, 9(3), e292–e297. https://doi.org/10.1055/s-0039-1694700
13. Krok-Schoen, J. L., Oliveri, J. M., & Paskett, E. D. (2016). Cancer care delivery and women’s health: The role of patient navigation. Frontiers in Oncology, 6(2), 1–10. https://doi.org/10.3389/fonc.2016.00002
14. Ludman, E. J., McCorkle, R., Bowles, E. A., Rutter, C. M., Chubak, J., Tuzzio, L., Jones, S., Reid, R. J., Penfold, R., & Wagner, E. H. (2015). Do depressed newly diagnosed cancer patients differentially benefit from nurse navigation? Gen Hosp Psychiatry, 37(3), 236–239. https://doi.org/10.1016/j.genhosppsych.2015.02.008.Do
15. Martinez, N. G., Yee, L. M., & Miller, E. S. (2022). Is postpartum patient navigation uniquely beneficial for women with antenatal depressive symptoms?. American journal of perinatology, 39(11), 1189–1195. https://doi.org/10.1055/s-0040-1721696
16. McKenney, K. M., Martinez, N. G., & Yee, L. M. (2018). Patient navigation across the spectrum of women’s health care in the United States. American Journal of Obstetrics and Gynecology, 218(3), 280–286. https://doi.org/10.1016/j.ajog.2017.08.009
17. McMurray, A., & Cooper, H. (2017). The nurse navigator: An evolving model of care. Collegian, 24(2), 2–8. https://doi.org/10.1016/j.colegn.2016.01.002
18. Mertz, B. G., Dunn-Henriksen, A. K., Kroman, N., Johansen, C., Andersen, K. G., Andersson, M., Mathiesen, U. B., Vibe-Petersen, J., Dalton, S. O., & Envold Bidstrup, P. (2017). The effects of individually tailored nurse navigation for patients with newly diagnosed breast cancer: a randomized pilot study. Acta Oncologica, 56(12), 1682–1689. https://doi.org/10.1080/0284186X.2017.1358462
19. Nanjaiah, R., V., R., & Khan, M. A. (2017). Quality of life in gynaecologic cancer subjects attending a tertiary care centre. International Journal Of Community Medicine And Public Health, 4(5), 1644–1651. https://doi.org/10.18203/2394-6040.ijcmph20171777
20. Oh, J., & Ahn, S. (2021). Effects of nurse navigators during the transition from cancer screening to the first treatment phase: a systematic review and meta-analysis. Asian Nursing Research, 15(5), 291–302. https://doi.org/10.1016/j.anr.2021.10.001
21. Öztoprak, P. U., Koç, G., & Erkaya, S. (2023). Evaluation of the effect of a nurse navigation program developed for postpartum mothers on maternal health: A randomized controlled study. Public health nursing (Boston, Mass.), 40(5), 672–684. https://doi.org/10.1111/phn.13226
22. Pautasso, F. F., De Medeiros Zelmanowicz, A., Dias Flores, C., Catalina, R., & Caregnato, A. (2018). Role of the Nurse Navigator: integrative review Atuação do Nurse Navigator: revisão integrativa Actuación del Nurse Navigator: revisión integrativa. Rev Gaúcha Enferm, 39, 1–10. www.seer.ufrgs.br/revistagauchadeenfermagem
23. Saltbæk, L., Karlsen, R. V., Bidstrup, P. E., Høeg, B. L., Zoffmann, V., Horsbøl, T. A., Holländer, N. H., Svendsen, M. N., Christensen, H. G., Dalton, S. O., & Johansen, C. (2019). MyHealth: specialist nurse-led follow-up in breast cancer. A randomized controlled trial–development and feasibility. Acta Oncologica, 58(5), 619–626. https://doi.org/10.1080/0284186X.2018.1563717
24. Sharon, S. G. (2016). Overview of professional roles and responsibilities. https://www.jons-online.com/issues/2016/july-2016-vol-7-no-6/1457-overview-of-professional-roles-and-responsibilities
25. Shejila, C. H., Mamatha, S. P., & Donald, J. F. (2015). Oncology nurse navigator programme - a Narrative Review. Journal of Health and Allied Sciences NU, 05(01), 103–107. https://doi.org/10.1055/s-0040-1703877
26. Sullivan, K. A., Schultz, K., Ramaiya, M., Berger, M., Parnell, H., & Quinlivan, E. B. (2015). Experiences of women of color with a nurse patient navigation program for linkage and engagement in HIV care. AIDS Patient Care and STDs, 29, S49–S54. https://doi.org/10.1089/apc.2014.0279
27. Thygesen, M. K., Pedersen, B. D., Kragstrup, J., Wagner, L., & Mogensen, O. (2012). Gynecological cancer patients differentiated use of help from a nurse navigator: A qualitative study. BMC Health Services Research, 12(168), 2–11. https://doi.org/10.1186/1472-6963-12-168
28. Toprak, F. Ü., & Vural, G. (2016). Jinekolojik onkolojide navigasyon ve navigatör hemşirenin rolleri. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 19(1), 65–70.
29. Trevillion, K., Singh-Carlson, S., Wong, F., & Sherriff, C. (2015). An evaluation report of the nurse navigator services for the breast cancer support program. Canadian Oncology Nursing Journal = Revue Canadienne de Nursing Oncologique, 25(4), 409–414. https://doi.org/10.5737/23688076254409414 Türk Dil Kurumu. (2024, 29 Ağustos). Türkçe Sözlük. https://sozluk.gov.tr/
30. Wagner, E. H., Ludman, E. J., Aiello Bowles, E. J., Penfold, R., Reid, R. J., Rutter, C. M., Chubak, J., & McCorkle, R. (2014). Nurse navigators in early cancer care: A randomized, controlled trial. Journal of Clinical Oncology, 32(1), 12–18. https://doi.org/10.1200/JCO.2013.51.7359
31. Yee, L. M., Martinez, N. G., Nguyen, A. T., Hajjar, N., Chen, M. J., & Simon, M. A. (2017). Using a patient navigator to ımprove postpartum care in an urban women's health clinic. Obstetrics and gynecology, 129(5), 925–933. https://doi.org/10.1097/AOG.0000000000001977
32. Zwingerman, R., Melenchuk, K., McMahon, E., Liu, K. E., Siren, A., Laferriere, N., & Greenblatt, E. M. (2020). Expanding urgent oncofertility services for reproductive age women remote from a tertiary level fertility centre by use of telemedicine and an on-site nurse navigator. Journal of Cancer Education, 35(3), 515–521. https://doi.org/10.1007/s13187-019-01490