Navegação de pacientes por enfermeiros no contexto das neoplasias de cabeça e pescoço: revisão integrativa

Fernando Conceição de Lima; Tais dos Passos Sagica; Antonio Jorge Silva Correa Júnior; Mary Elizabeth de Santana

doi:10.5294/aqui.2025.25.1.2

Authors

Fernando Conceição de Lima Author State University of Pará https://orcid.org/0000-0002-9418-3711
Tais dos Passos Sagica Author State University of Pará https://orcid.org/0000-0002-6871-0100
Antonio Jorge Silva Correa Júnior Translator University of São Paulo https://orcid.org/0000-0003-1665-1521
Mary Elizabeth de Santana Author State University of Pará https://orcid.org/0000-0002-3629-8932

DOI:

https://doi.org/10.5294/aqui.2025.25.1.2

Keywords:

Advanced practice nursing, Nursing, patient navigation, head and neck neoplasms, medical oncology

Abstract

Introduction: Patient navigation by nurses requires clinical experience, communication skills, and knowledge of healthcare systems. In oncology, expertise is needed to identify and address the range of biopsychosocial issues that patients may face throughout their treatment. Objective: To research the scientific evidence available on nurse navigation for patients with head and neck cancer. Materials and Methods: This is a six-stage integrative review. The inclusion criteria consisted of primary studies in Portuguese, English, and Spanish, and the use of the Escala de Evaluación de Artículos con Metodologías Heterogéneas para Revisiones Integrativas (Heterogeneous Methodology Article Rating Scale for Integrative Reviews) with the searches conducted in the second half of 2023, using the Rayyan software to organize and validate the instrument for data collection. Descriptors in Portuguese, English, and Spanish were used and the databases searched were BDEnf, Lilacs, Medline, Scopus, Web of Science, and Embase, as well as the SciELO repository of scientific works. Results: A total of 13 articles were obtained. Regarding the level of evidence, 6 (46.2 %) were Level VI, 4 (30.8 %) were Level II, and 3 (23.1 %) were Level IV. The following three categories emerged: Effectiveness of care processes (management and continuity of care); Advanced practices in the navigation of patients with head and neck cancers (HNCs) by nurses; and Result evaluation of the navigation of patients with HNCs by nurses. Conclusion: The navigation of patients with HNCs by nurses addresses the coordination and continuity of care, with a focus on health education, support for self-care practices, quality care, and follow-up without hurdles for the patient, family, and caregivers.

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