Introduction
We are currently experiencing a new paradigm in healthcare, that of shared decision-making,
where the person becomes an active partner in care. Cancer is the second leading cause of
death in the world, and in the case of laryngeal cancer after total laryngectomy, functions
such as breathing and verbal communication are compromised, which is why the concept
of Nurse Navigator has emerged, in favour of promoting person-centred care.
Objective
Mapping the Nurse Navigator's competences; in promoting person-centered care, with the
aim of improving the quality of care and the person's satisfaction.
Methods
Scoping Review carried out using the JBI methodology, following the PCC version
(Population; Concept; Context). The research was carried out using databases such as
MEDLINE and CINAHL Complete, through EBSCOhost. Grey literature: Google
Schoolar. The publication period was between 2019 and 2024.
Results
A total of 568 articles were identified, of which 72 duplicates were removed and 470
excluded based on the eligibility criteria, after reading the title and abstract. Twenty-six
articles were selected for full reading, and 10 articles and 5 articles from grey literature were
included, using the same criteria, giving a total of 15 articles for analysis. The Nurse
Navigator coordinates continuous care, promotes therapeutic education, facilitates shared
decision-making and is considered the point person between the team, the family and the
person. Focused on person-centred care, they boost the person's self-confidence and
autonomy, identifying personal and system barriers and facilitating the journey from
diagnosis to end-of-life care.
Conclusion
This advanced practice nurse, in developing these competences, enhances the provision
of holistic care, where the person is an active partner in the decision-making process and
in care, contributing to an increase in their self-confidence, boosting an improvement in
quality of life and achieving health gains.
Keywords
Nursing Care; Oncological Disease; Total Laringectomy; Nurse Navigator.
Bibliography
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research/cjon/21/1/oncology-nurse-navigation-results-2016-role-delineation-study
Matilde dos Santos Loupa de Sousa1
orcid.org/0009-0008-6678-5695
Óscar Manuel Ramos Ferreira2
orcid.org/0000-0002-1703-347X
Sara Morais Pires3
orcid.org/0000-0001-6461-195X
1Escola Superior de Enfermagem de Lisboa - Master's
Student; Master's Degree in Medical-Surgical Nursing
- People in Chronic Situations. Portugal.
2Doctor in Education. Escola Superior de
Enfermagem de Lisboa (ESEL). Lisbon Centre for
Research, Innovation and Development in Nursing
(CIDNUR). Portugal.
3Master in Nursing. PhD student in Nursing at
UL/ESEL. Escola Superior de Enfermagem de Lisboa
(ESEL). Lisbon Centre for Research, Innovation and
Development in Nursing (CIDNUR). Portugal.
Corresponding author:
Matilde Sousa
E-mail: matildesousa@campus.esel.pt