A Guide to Implementing Best Practices in Person ... - cancerview.ca
A Guide to Implementing Best Practices in Person ... - cancerview.ca
A Guide to Implementing Best Practices in Person ... - cancerview.ca
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Navigation: A <strong>Guide</strong> <strong>to</strong> <strong>Implement<strong>in</strong>g</strong> <strong>Person</strong>-Centred Care September 2012Additional Activities <strong>in</strong> Virtual NavigationAccord<strong>in</strong>g <strong>to</strong> reports gathered from across Canada <strong>in</strong> the fall of 2011 about developments<strong>in</strong> Navigation, several prov<strong>in</strong>ces <strong>in</strong>di<strong>ca</strong>ted <strong>in</strong>terest <strong>in</strong> creat<strong>in</strong>g personal healthportals <strong>to</strong> enhance patients’ ability <strong>to</strong> self-navigate. The portals are expected <strong>to</strong> improvepatient engagement and self-management of <strong>ca</strong>re, and improve the patient experienceby provid<strong>in</strong>g easy access <strong>to</strong> credible <strong>ca</strong>ncer <strong>in</strong>formation (Cancer Journey,2011).Chapter 4: Practice ChangeEarly <strong>in</strong> Cancer Journey’s mandate, a national work<strong>in</strong>g group was brought <strong>to</strong>gether <strong>to</strong>develop the Navigation Grid (see Appendix A). The grid provides a def<strong>in</strong>ition and visionfor Navigation, and describes the characteristics, scope of practice, skill and tra<strong>in</strong><strong>in</strong>grequirements, and possible outcomes for professional and peer/lay Navigation. Thedocument def<strong>in</strong>es the vision for Navigation as follows:Navigation is part of an <strong>in</strong>tegrated system of <strong>ca</strong>ncer service delivery.Naviga<strong>to</strong>rs work with the person and family and their <strong>in</strong>terdiscipl<strong>in</strong>aryteam <strong>to</strong> assess needs, provide supportive <strong>ca</strong>re, answer questions, identifyand address any barriers <strong>to</strong> quality <strong>ca</strong>re, and facilitate access <strong>to</strong>needed resources and services. Navigation aims <strong>to</strong> improve both coord<strong>in</strong>ation<strong>in</strong> services and cont<strong>in</strong>uity throughout <strong>ca</strong>ncer <strong>ca</strong>re, as well asquality of life for the person and family throughout the <strong>ca</strong>ncer journey.To achieve a vision of person-centred <strong>ca</strong>re, a change <strong>in</strong> health <strong>ca</strong>re culture is requiredand this change <strong>ca</strong>n only be achieved by chang<strong>in</strong>g practice. Health <strong>ca</strong>re professionalsmust broaden their perspectives <strong>to</strong> see the whole person and work collaboratively <strong>to</strong>meet the full range of each patient’s needs. The <strong>in</strong>terprofessional team needs <strong>to</strong> work<strong>in</strong> partnership with the naviga<strong>to</strong>r, the <strong>ca</strong>ncer patient and their family <strong>to</strong> ensure that<strong>ca</strong>re is responsive and tailored <strong>to</strong> the specific needs of each patient and family.To reach this vision of person-centred <strong>ca</strong>re, a programmatic approach <strong>to</strong> Navigationshould be used. A programmatic approach is the planned and systematic process ofimplement<strong>in</strong>g an evidence-based <strong>in</strong>tervention that engages all relevant stakeholderswith<strong>in</strong> and outside of the <strong>in</strong>stitution. Stakeholders share a common vision and objectiveand have a clear perspective on the results of the <strong>in</strong>itiative. A programmatic approachis a process that aims <strong>to</strong> embed the <strong>in</strong>tervention <strong>in</strong> a comprehensive and susta<strong>in</strong>edmanner, where the f<strong>in</strong>al result is systemic change <strong>in</strong> health <strong>ca</strong>re <strong>ca</strong>pacity,practices and performance (Swerrison, Duckett and Daly, 2001; Walters, 2011).A programmatic approach is recommended for implement<strong>in</strong>g Navigation be<strong>ca</strong>use chang<strong>in</strong>gpractices is a complex process. Navigation is a means of improv<strong>in</strong>g health-relatedquality of life and patient outcomes, while also enhanc<strong>in</strong>g professional practice basedon research evidence. Achiev<strong>in</strong>g these aims is a signifi<strong>ca</strong>nt amount of work that requires24