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Analysis of nurse navigators’ activities for hospital discharge coordination: a mixed method study for the case of cancer patients

Author

Listed:
  • Fatima Yatim

    (IGR - Institut Gustave Roussy, EHESP - École des Hautes Études en Santé Publique [EHESP])

  • Paula Cristofalo

    (EHESP - École des Hautes Études en Santé Publique [EHESP], IDM - Institut du Management - EHESP - École des Hautes Études en Santé Publique [EHESP], EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité)

  • Marie Ferrua

    (IGR - Institut Gustave Roussy)

  • Anne Girault

    (EHESP - École des Hautes Études en Santé Publique [EHESP], EA MOS - EA Management des Organisations de Santé - EHESP - École des Hautes Études en Santé Publique [EHESP] - PRES Sorbonne Paris Cité)

  • Marilène Lacase
  • Mario Dipalma

    (IGR - Institut Gustave Roussy, DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy)

  • E. Minvielle

    (IGR - Institut Gustave Roussy, EHESP - École des Hautes Études en Santé Publique [EHESP], DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy)

Abstract

Background: Modern cancer care requires the development of clinical pathways to enhance coordination, but there are few descriptive studies about the content of coordination activities. More specifically, little is known about hospital discharge coordination, although this is seen as a sensitive phase of clinical pathway. Purpose: The purpose of this study was to identify and quantify the categories of activities performed by nurse navigators for hospital discharge coordination. Methods: Patients supported within the Coordinating Outpatient Care department (COC) at Gustave Roussy (Villejuif, France). Study conducted over two consecutive phases (Feb-September 2014): (1) a qualitative phase to identify the categories of coordination activities (interviews with patients plus, focus groups with nurse navigators—NNs); (2) a quantitative phase to quantify the relative share of each category. The calls received through the telephone platform of COC (made by both patients and primary care providers) were systematically reported (caller; reason for the call; procedure performed) and then analyzed. Results: Qualitative phase: 17 interviews with patients, plus 2 focus groups with NNs. Quantitative phase: 543 calls analyzed. The callers were patients or their relatives (38 %), private nurses (35 %), medical device providers (20 %), and other primary care providers (e.g., pharmacists, family physicians) (7 %). Five categories of coordination activities identified: (F1) Patient monitoring (29 %); (F2) Helping to navigate (24 %); (F3) Managing technical problems (17 %); (F4) Explaining care protocols (16 %); (F5) Collecting and transmitting the patient medical record information (14 %). Conclusions: The majority of requirements are related to organizational issues (e.g., navigation, lack of information, appointments). Nurse navigators' training and qualification must therefore combine both clinical and managerial skills.

Suggested Citation

  • Fatima Yatim & Paula Cristofalo & Marie Ferrua & Anne Girault & Marilène Lacase & Mario Dipalma & E. Minvielle, 2017. "Analysis of nurse navigators’ activities for hospital discharge coordination: a mixed method study for the case of cancer patients," Post-Print hal-03769421, HAL.
    • Handle: RePEc:hal:journl:hal-03769421
    DOI: 10.1007/s00520-016-3474-x
    Note: View the original document on HAL open archive server: https://cnam.hal.science/hal-03769421
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    References listed on IDEAS

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    1. Allen, Davina, 2014. "Re-conceptualising holism in the contemporary nursing mandate: From individual to organisational relationships," Social Science & Medicine, Elsevier, vol. 119(C), pages 131-138.
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    Cited by:

    1. Olivier Mir & Marie Ferrua & Aude Fourcade & Delphine Mathivon & Adeline Duflot-Boukobza & Sarah Dumont & Eric Baudin & Suzette Delaloge & David Malka & Laurence Albiges & Patricia Pautier & Caroline , 2022. "Digital remote monitoring plus usual care versus usual care in patients treated with oral anticancer agents: the randomized phase 3 CAPRI trial," Post-Print hal-03773192, HAL.
    2. Acero, Maria-Ximena & Minvielle, Etienne & Waelli, Mathias, 2023. "Understanding the activity of oncology nurse coordinators: An elaboration of a framework based on an abductive approach," Health Policy, Elsevier, vol. 130(C).

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