scholarly journals The Process of Oncology Nurse Practitioner Patient Navigation: Triage an Essential Process

2019 ◽  
Vol 4 (2) ◽  
Keyword(s):  
Grounded Theory ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Cancer Care ◽  
Patient Navigation ◽  
Care Delivery ◽  
Theory Approach ◽  
Full Time ◽  
Oncology Nurse ◽  
Grounded Theory Approach

One of the most daunting challenges faced in the health care delivery system is the complexity of cancer care, and the process of care coordination, a subcomponent of patient navigation. A study was undertaken to identify a central navigation process utilized by nurse practitioners practicing oncology. The data in this article is a component of a larger study entitled: The Process of Oncology Nurse Practitioner Patient Navigation: A Grounded Theory Approach. Utilizing a grounded theory approach N = 20 oncology nurse practitioners (ONP) were recruited. To be eligible for the study the ONP had to have a: 1) license to practice in their respective state; 2) certification to practice as an oncology nurse; 3) minimum of 5 years full time experience in oncology nursing; and 4) English speaking. The participants were recruited by: 1) word of mouth networking with peers: 2) Soliciting volunteers through public announcements at professional nursing conferences; 3) Contacting authors of oncology NP navigation articles or convention pamphlets via telephone or e-mail; 4) Posting information soliciting oncology NP volunteers on blogs or websites of professional organizations with organizational director approval; and, 5) Recruiting by snowball sampling. Telephone interviews were conducted utilizing an open-ended questionnaire. Data analysis and coding revealed the central navigation processes. The triage process was carried out in a variety of unique settings, and utilized in some instances within navigation subsystems. Key triage paths were identified along the cancer continuum; documenting the need for ONP navigators to strategically place these systems in areas along the cancer continuum, to expedite timely delivery of patient care. Literature search revealed that cancer specific triage tools are lacking. Implications for research and practice include the development of these tools for cancer care. Of critical importance is the need to identify service gaps in cancer care, and strategically place triage systems, to offset these service gaps. Practical application of the research findings in relationship to current literature is integrated for discussion.

scholarly journals The Process of Oncology Nurse Practitioner Patient Navigation: A Grounded Theory Approach

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Program Evaluation ◽  
Grounded Theory ◽  
Cancer Patients ◽  
Clinical Outcomes ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Patient Navigation ◽  
Structured Interview ◽  
Theory Approach ◽  
Oncology Nurse

Nurse practitioner (NP) navigation, in general, has been shown to achieve cost effective quality care, while saving millions of dollars [1]. Research though scant has shown that oncology nurse practitioner navigators’ improve clinical outcomes [2]. For purposes of this proposal, oncology NP navigators are nurse practitioners with a certification in oncology who utilize navigation processes to care for cancer patients along any aspect of the cancer care continuum. Navigation process is defined as “a series of actions or steps taken in order to achieve a particular end” [3]. To date there are no standard measures of the process of oncology patient navigation or related clinical outcomes. Development of process and outcome measures is critically important in that the development of these measures is necessary for navigator program evaluation. The purpose of the study is to answer the question: What processes do oncology NP navigators use in caring for cancer patients? Twenty oncology nurse practitioner navigators were interviewed though the use a semi-structured interview utilizing grounded theory methodology. This resulted in a well-defined set of concepts and theoretical framework for the process of ONP navigation which lays the groundwork for program evaluation and role delineation.

The grounded theory of “trust building”

2017 ◽  
Vol 26 (3) ◽  
pp. 753-766 ◽  
Author(s):  
Monir Ramezani ◽  
Fazlollah Ahmadi ◽  
Eesa Mohammadi ◽  
Anoshirvan Kazemnejad
Keyword(s):  
Grounded Theory ◽  
Nursing Students ◽  
Spiritual Care ◽  
Care Delivery ◽  
Staff Nurses ◽  
Trust Building ◽  
Positive Thinking ◽  
Theory Approach ◽  
Grounded Theory Approach ◽  
Study Setting

Background: Despite the growing importance of spiritual care, the delivery of spiritual care is still an area of disagreement among healthcare providers. Objective: To develop a grounded theory about spiritual care delivery based on Iranian nurses’ perceptions and experiences. A grounded theory approach: A qualitative study using the grounded theory approach. Participants and research context: Data were collected through holding 27 interviews with 25 participants (17 staff nurses, 3 physicians, 3 patients, 1 family member, and 1 nurse assistant). The study setting was the Imam Khomeini Hospital Complex. Sampling was started purposively and continued theoretically. Data analysis was performed by the method proposed by Strauss and Corbin. Ethical consideration: The study was approved by the Ethics Committee of Tarbiat Modares University and the agreement of the administrators of the study setting was got before starting the study. Results: The core category of the study was “Trust building” which reflected the nature of spiritual care delivery by nurses. Trust building was the result of eight main categories or strategies including creating a positive mentality at hospital admission, understanding patients in care circumstances, having a caring presence, adhering to care ethics, developing meaningful relationships, promoting positive thinking and energy, establishing effective communication with patients, and attempting to create a safe therapeutic environment. Poor interprofessional coordination negatively affected this process while living toward developing greater cognizance of divinity and adhering to the principles of professional ethics facilitated it. The outcome of the process was to gain a sense of partial psychological security. Conclusion: The “Trust building” theory can be used as a guide for describing and expanding nurses’ roles in spiritual care delivery, developing care documentation systems and clinical guidelines, and planning educational programs for nursing students and staff nurses.

scholarly journals Filling the Gap: Development of the Oncology Nurse Practitioner Workforce

2010 ◽  
Vol 6 (1) ◽  
pp. 2-6 ◽  
Author(s):  
Brenda Nevidjon ◽  
Paula Rieger ◽  
Cynthia Miller Murphy ◽  
Margaret Quinn Rosenzweig ◽  
Michele R. McCorkle ◽  
...  
Keyword(s):  
Nurse Practitioner ◽  
Cancer Care ◽  
Care Delivery ◽  
Care Needs ◽  
Oncology Nurse ◽  
The Us ◽  
New Strategy ◽  
Oncology Care ◽  
Potential Cancer

A new strategy for oncology care delivery that includes increasing the numbers and expanding the roles of nonphysician practitioners is critically important to meet the current and potential cancer care needs of the US population.

Win Friends and Influence People

2011 ◽  
Vol 20 (4) ◽  
pp. 432-442 ◽  
Author(s):  
Vanessa Hill ◽  
Kathleen M. Carley
Keyword(s):  
Grounded Theory ◽  
Cultural Values ◽  
Participant Observation ◽  
Survey Methods ◽  
Theory Approach ◽  
Full Time ◽  
Employment Relationships ◽  
Perceived Importance ◽  
Full Time Employment ◽  
Grounded Theory Approach

Organizational culture research has primarily focused on organizations characterized by permanent, full-time employment relationships. The workplace is increasingly characterized by multiple employment relationships. It is not clear that current understandings of culture capture what occurs in these organizations. Employing participant observation and survey methods, the authors use a grounded theory approach to explore the transmission of cultural values and practices in a temporary placement agency, an organization characterized by multiple employment relationships. The authors find that successful purveyors of cultural values are characterized by how well they are liked and their perceived importance to their coworkers’ success rather than traditional means of culture management, such as policy and hierarchical authority.

Primary care nurse practitioners providing survivorship cancer care.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 14-14
Author(s):  
Margaret Quinn Rosenzweig ◽  
Sara Klein ◽  
Mary Connolly ◽  
Rose Hoffmann
Keyword(s):  
Primary Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Cancer Care ◽  
Hospice Care ◽  
Course Evaluation ◽  
Care Nurse ◽  
Primary Care Nurse ◽  
Oncology Nurse ◽  
Oncology Practice

14 Background: The Oncology Nurse Practitioner Web Education Resource (ONc-PoWER) is an online course developed specifically for nurse practitioners (NPs) in their first year of oncology practice paired with an onsite mentor (physician, nurse practitioner or physician assistant). Based on the Oncology Nursing Society’s Competencies for Entry to Practice, the course consists of 5 interactive modules: 1) the new patient visit 2) presenting a patient with cancer 3) cancer visits across the continuum of care 4) palliative and hospice care 5) self-care and professional development. The purpose of this study was to examine the NPs and mentors experience with the learning activities and to what degree the learning objectives were met. Methods: Dyads of NPs and mentors completed the course over 4-6 months. There are items for course evaluation with Likert scaled responses of 1) did not meet objective 2) somewhat met objective 3) met objective 4) more than met objective 5) exceeded objective expectation. Results: Enrollment is ongoing. Thirty NPs new to practice and 22 oncology mentors have completed evaluations thus far. Responses overall are favorable. Conclusions: The ONcPoWER web enhanced oncology orientation program was favorably evaluated by nurse practitioners new to cancer care and their mentors. This method of electronic orientation could standardize the exposure of essential basic cancer care competencies at entry to oncology nurse practitioner practice and, with some edits to content, for community based primary care nurse practitioners caring for cancer survivors. [Table: see text]

scholarly journals Oncology Nurse Practitioner
 Web Education Resource
(ONc-PoWER): An Evaluation of a Web-Enhanced Education Resource for Nurse Practitioners Who Are New to Cancer Care

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Rosemary L. Hoffmann, PhD, RN, CNL ◽  
Sara Klein, MS, BSN, RN ◽  
Mary Connolly, BSN, RN ◽  
Margaret Quinn Rosenzweig, PhD, FNP-BC, AOCNP, FAAN
Keyword(s):  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Cancer Care ◽  
Oncology Nurse ◽  
Education Resource
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