IDEAS home Printed from https://ideas.repec.org/p/hal/journl/hal-03769421.html
   My bibliography  Save this paper

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
    as

    Download full text from publisher

    File URL: https://cnam.hal.science/hal-03769421/document
    Download Restriction: no

    File URL: https://libkey.io/10.1007/s00520-016-3474-x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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).
    2. 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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fatima Yatim & Marie Ferrua & Paula Cristofalo & Anne Girault & Marilene Lacaze & Mario Di Palma & Etienne Minvielle, 2017. "Analysis of nurse navigators’ activities for hospital discharge coordination: a mixed method study for the case of cancer patients," Post-Print hal-03769102, HAL.
    2. Liberati, Elisa Giulia & Gorli, Mara & Scaratti, Giuseppe, 2016. "Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care," Social Science & Medicine, Elsevier, vol. 150(C), pages 31-39.
    3. Liberati, Elisa Giulia, 2017. "Separating, replacing, intersecting: The influence of context on the construction of the medical-nursing boundary," Social Science & Medicine, Elsevier, vol. 172(C), pages 135-143.
    4. Jennifer Tocher & Barbara Neades & Graeme D. Smith & Daniel Kelly, 2019. "The role of specialist nurses for organ donation: A solution for maximising organ donation rates?," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 2020-2027, May.
    5. Mette Geil Kollerup & Tine Curtis & Birgitte Schantz Laursen, 2018. "Improving posthospital medication management in a Danish municipality: A process evaluation," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3603-3612, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:hal:journl:hal-03769421. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.