Findings from the National Navigation Roundtable: A call for competency‐based patient navigation training

Valverde, Patricia; Burhansstipanov, Linda; Patierno, Steven R.; Gentry, Sharon S.; Dwyer, Andrea; Wysocki, Karla; Patterson, Angela; Krebs, Linda U.; Sellers, Jean B.; Johnston, Danelle

doi:10.1002/cncr.32470

Cited by 11 publications

(25 citation statements)

References 16 publications

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“…We report a novel training program for caregiver navigators that builds general and protocol-specific content and skills [ 10 , 21 ] in key competencies [ 12 ] using multiple strategies, ranging from traditional didactics to interview-based learning to role-playing. Based on adult learning theories [ 29 ], our training encouraged self-reflection and allowed navigators to direct their own learning to meet their specific needs, while scaffolded by the research team.…”

Section: Discussionmentioning

confidence: 99%

“…Our training program was designed to both socialize and convey new knowledge and skills to the caregiver navigators. Key navigation competencies were identified, which map to nationally recognized navigation competencies [ 12 ]. Competencies were adapted by combining the original communication and team interaction competencies to focus more broadly on communication and interpersonal skills.…”

Section: Methodsmentioning

confidence: 99%

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Training cancer caregiver navigators: experiences from implementing the eSNAP and caregiver navigator intervention

Reblin

D’Almeida

Barrios-Monroy

et al. 2022

Support Care Cancer

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Patient navigation is increasingly common in cancer care. While navigation programs often involve informal family caregivers, few navigation interventions specifically target the family caregiver. We developed the eSNAP and Caregiver Navigator Intervention to help cancer family caregivers identify and capitalize on informal and formal social support resources. While the skill set for patient navigators may be adequate for supporting caregivers, other skills and areas of knowledge expertise are needed. In addition, sparse documentation of navigator training best practices creates further challenges for dissemination and implementation. Our goal is to describe the education and training of cancer caregiver navigators within key competencies used to prepare and support navigators to deliver our manualized intervention. Nationally recognized navigation competencies, related to developing a sensitivity to ethical, cultural, and professional issues, knowledge development, skills development, and practice-based learning, were identified and adapted. Performance goals were identified within each competency. Training activities were selected to support competency development. Based on adult learning theories, we emphasize multiple learning strategies, including experiential learning and critical reflection. Two caregiver navigators engaged in initial training between December, 2019 and February, 2020. Initial training was supervised by study leadership, who coordinated with experts and stakeholders. Navigators completed initial training. We describe lessons learned. To ensure that navigators are well-equipped to provide effective services, evidence-based training programs that include navigation and protocol-specific competencies are needed. Given the lack of detailed training programs in the literature, we created a flexible, multimodal learning approach that other teams may adopt.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Training cancer caregiver navigators: experiences from implementing the eSNAP and caregiver navigator intervention

Reblin

D’Almeida

Barrios-Monroy

et al. 2022

Support Care Cancer

View full text Add to dashboard Cite

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“…16 The review by the National Navigation Roundtable Workforce Development Task Force also emphasizes the need for training for all levels of PN training (licensed or nonlicensed) as well as training that can target particular aspects of patient navigation. 13 As the oncology PN role continues to expand and becomes integrated into the healthcare team, evidence-based training for PNs is needed to reduce variation in practice, clarify role expectations, and support professional development. 6,13 Our findings can be used to clarify the role of the PN and serve as an evidence-based foundation to develop and test training curriculum for PNs in interpersonal communication and guide evaluation of patient navigation programs.…”

Section: Personalized Patient Care Through Assessment and Communicationmentioning

confidence: 99%

“…13 As the oncology PN role continues to expand and becomes integrated into the healthcare team, evidence-based training for PNs is needed to reduce variation in practice, clarify role expectations, and support professional development. 6,13 Our findings can be used to clarify the role of the PN and serve as an evidence-based foundation to develop and test training curriculum for PNs in interpersonal communication and guide evaluation of patient navigation programs. The need for training for PNs revolves around the same premise for creating patient navigation programs: continuing to promote positive cancer care outcomes and reduce cancer care disparities by eliminating barriers to care and facilitating timely delivery of services.…”

Section: Personalized Patient Care Through Assessment and Communicationmentioning

confidence: 99%

“…Research exploring the relational dimensions of patient navigation indicate that interpersonal communication is fundamental to the PN’s ability to successfully assist patients in identifying barriers to care 4,8–10 . There is also growing national recognition that interpersonal communication is integral to the patient navigation process and should be considered a core competency domain for all types of PNs (lay or medically licensed) 11–13 . Patient navigators have also acknowledged improving communication with patients as a need for professional development 11 .…”

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confidence: 99%

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Using Concept Mapping to Explore Interpersonal Communication Components of Patient Navigation in Breast Cancer Care

et al. 2022

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BackgroundResearch exploring the relational dimensions of patient navigation identifies interpersonal communication as fundamental to the patient navigator’s (PN’s) ability to reduce barriers to care and improve cancer care outcomes. Although interpersonal communication is a core competency for PNs, its key components are commonly understudied and overlooked.ObjectiveThe purpose of this study was to identify the key interpersonal communication components of patient navigation in breast cancer care that patients, PNs, and PN administrators perceived to impact the patient-navigator relationship.MethodsThis study used concept mapping, a community-engaged research method. Participants completed 3 concept mapping activities: brainstorming, sorting and rating, and interpretation.ResultsA total of 31 persons participated in the study: 13 patients, 14 PNs, and 4 PN administrators. The concept mapping analysis produced a 6-cluster concept map, and each concept was named through a group consensus process. Among the 6 concepts, both patients and PNs emphasized the importance of “Empathetic, Comprehensive, and Compassionate Support,” “Bridge to Clinical Education and Supportive Resources,” and “Ongoing Individualized Coordination of Care” as the most important components for facilitating the patient-navigator relationship.ConclusionPatients, PNs, and PN administrators all emphasized the essential role of interpersonal communication in the PN-patient relationship and how it is woven into every aspect of the PN role.Implications for PracticeAs a core competency, we need to work toward the development and testing of evidence-based training to support their professional development and ultimately promote positive cancer care outcomes.

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Evolution of a longitudinal, multidisciplinary, and scalable patient navigation matrix model

et al. 2020

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This Longitudinal patient navigation Matrix Model was developed to overcome barriers across the cancer care continuum by offering prepatients, patients, and their families with support services. The extraordinary heterogeneity of patient needs during cancer screening, risk assessment, treatment, and survivorship as well as the vast heterogeneity of oncology care settings make it nearly impossible to follow a static navigation model. Our model of patient cancer navigation is unique as it enhances the traditional model by being highly adaptable based on both patient and family needs and scalable based on institutional needs and resources (eg, clinical volumes, financial resources, and community-based resources). This relatively new operational model for system-wide and systematic navigation incorporates a carefully cultivated supportive care program that evolved over the last decade from a bottom up approach that identified patient and family needs and developed appropriate resources. A core component of this model includes shifting away from department-centric operations.This model does not require a patient to opt in or independently be able to report their needs or ask for services-it is an opt out model. The multidisciplinary "crosstraining" model can also facilitate reimbursement and sustainability by clarifying the differentiating actions that define navigation services: identification of barriers to quality care and specific actions taken to overcome those barriers, across the full continue of cancer care from community engagement to survivorship or end-of-life care. K E Y W O R D Spatient navigation,

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Findings from the National Navigation Roundtable: A call for competency‐based patient navigation training

Abstract: The National Navigation Roundtable Workforce Development Task Group calls for training based on standardized patient navigation core competencies.

Cited by 11 publications

References 16 publications

Training cancer caregiver navigators: experiences from implementing the eSNAP and caregiver navigator intervention

Training cancer caregiver navigators: experiences from implementing the eSNAP and caregiver navigator intervention

Using Concept Mapping to Explore Interpersonal Communication Components of Patient Navigation in Breast Cancer Care

Evolution of a longitudinal, multidisciplinary, and scalable patient navigation matrix model

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