The nurse pivot-navigator associated with more positive cancer care experiences and higher patient satisfaction

Abstract

Background and objectives: Growing evidence indicates that the nurse navigator-pivot (NN)*, is key to optimizing care processes and outcomes. However, large scale studies are needed to examine how patients exposed to NNs (as opposed to non-NN) differentially perceived their cancer care experiences. Method: Participants (N = 2,858) treated for cancer in the last six months at university-affiliated cancer centres in Montréal, Québec, completed the Ambulatory Oncology Patient Satisfaction Survey (AOPSS). Results: Cancer care experiences and satisfaction were significantly higher in the NN group (n = 2,003) for all six care domains (Ds from 3.32 to 8.95) and all four nursing functions (Ds from 5.64 to 10.39) when compared to the non-NN group (n = 855). Discussion: The NN role is significantly related to enhanced cancer care experiences and higher patient satisfaction. Future research should explore potential causal effects between NNs and care processes, as well as patient outcomes. *NN includes both terms: nurse navigator and nurse pivotKey words: cancer, oncology, nurse navigator, nurse pivot, patient satisfaction, patient cancer care experiences