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Recommended Study Materials

General Resources

Blaseg KD, Daugherty P, Gamblin KA. Oncology Nurse Navigation: Delivering Patient- Centered Care Across the Continuum. Pittsburgh, PA: Oncology Nursing Society; 2014. ISBN‐10:1935864351.

Shockney LD. Team-Based Oncology Care: The Pivotal Role of Oncology Navigation. Cham, Switzerland: Springer International Publishing AG. 2018. ISBN 978-3-319-69037-7.

Oncology Patient Navigator Training: The Fundamentals.

Through a series of self-paced modules, the training walks participants through:
  • An overview of patient navigation and core competencies
  • The basics of healthcare
  • The basics of patient navigation
  • Enhancing communication
  • Professionalism
  • Enhancing practice

The Guide for Patient Navigators provides a supplement to the Oncology Patient Navigator Training as you move through the course.

Patient Care

Facilitate patient-centered care that is compassionate, appropriate, and effective for the treatment of cancer and the promotion of health.

  • Assist patients in accessing cancer care and navigating healthcare systems. Assess barriers to care and engage patients and families in creating potential solutions to financial, practical, and social challenges
  • Identify appropriate and credible resources responsive to patient needs (practical, social, physical, emotional, spiritual), taking into consideration reading level, health literacy, culture, language, and amount of information desired. For physical concerns, emotional needs, or clinical information, refer to licensed clinicians
  • Educate patients and caregivers on the multidisciplinary nature of cancer treatment, the roles of team members, and what to expect from the healthcare system. Provide patients and caregivers evidence-based information and refer to clinical staff to answer questions about clinical information, treatment choices, and potential outcomes
  • Empower patients to communicate their preferences and priorities for treatment to their healthcare team; facilitate shared decision-making in the patient's healthcare
  • Empower patients to participate in their wellness by providing self-management and health promotion resources and referrals
  • Follow up with patients to support adherence to agreed-upon treatment plan through continued nonclinical barrier assessment and referrals to supportive resources in collaboration with the clinical team.

Resources

US Department of Health & Human Services. Social Determinants of Health. n.d. https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

Freeman HP, Rodriguez RL. History and principles of patient navigation. Cancer. 2011;117 (15 Suppl):3539‐3542. doi: 10.1002/cncr.26262.

Health Affairs. Achieving Equity in Health. 2011. www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=53

National Cancer Institute. Cancer Health Disparities Definitions. 2015. https://www.cancer.gov/about-cancer/understanding/disparities

National Cancer Institute. Cancer Health Disparities. n.d.www.cancer.gov/cancertopics/disparities

Patient Navigation Research Program (PNRP). 2015. https://www.cancer.gov/about-nci/organization/crchd/disparities-research/pnrp

Paskett ED, Harrop PH, Wells KJ. Patient navigation: an update on the state of the science. CA Cancer J Clin. 2011;61(4):237‐249. doi: 10.3322/caac.20111.

Pratt‐Chapman ML, Kapp H, Willis A, Bires J. Catalyzing patient‐centered care: starting where you are and sharing what you know. Oncol Issues. 2014;30‐39.

Pratt-Chapman ML, Willis A, Masselink L. Core competencies for oncology patient navigators. Journal of Oncology Navigation & Survivorship. 2015;6(2).

Pratt‐Chapman ML, Willis LA, Masselink L. Core Competencies for Non‐Clinically Licensed Patient Navigators. Washington, DC: The George Washington University Cancer Institute Center for the Advancement of Cancer Survivorship, Navigation and Policy; 2014.

Vargas RB, Ryan GW, Jackson CA, et al. Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. Cancer. 2008;113(2):426‐433. doi: 10.1002/cncr.23547.

Wells KJ, Battaglia TA, Dudley DJ, et al. Patient navigation: state of the art, or is it science. Cancer. 2008;113(8):1999‐2010. doi: 10.1002/cncr.23815.

Willis A, Reed E, Pratt‐Chapman M, et al. Development of a framework for patient navigation: delineating roles across navigator types. Journal of Oncology Navigation & Survivorship. 2013;4(6):20‐26.

World Health Organization. Health Impact Assessment: The Determinants of Health. n.d. www.who.int/hia/evidence/doh/en/

Community Toolbox. Chapter 3. Assessing Community Needs and Resources: Section 8. Identifying Community Assets and Resources. n.d. http://ctb.ku.edu/en/tableof‐contents/assessment/assessing‐community‐needs‐and‐resources/identify‐communityassets/main

Knowledge for Practice

Demonstrate basic understanding of cancer, healthcare systems, and how patients access care and services across the cancer continuum to support and assist patients. NOTE: This domain refers to foundational knowledge applied across other domains.

  • Demonstrate basic knowledge of medical and cancer terminology
  • Demonstrate familiarity with and know-how to access and reference evidence-based information regarding cancer screening, diagnosis, treatment, and survivorship
  • Demonstrate basic knowledge of cancer, cancer treatment, and supportive care options, including risks and benefits of clinical trials and integrative therapies
  • Demonstrate basic knowledge of health system operations
  • Identify potential physical, psychological, social, and spiritual impacts of cancer and its treatment
  • Demonstrate general understanding of healthcare payment structure, financing, and where to refer patients for answers regarding insurance coverage and financial assistance

Resources

Penguin Prof Pages. [ThePenguinProf]. 2011. Medical Terminology www.youtube.com/watch?v=3fiEszFPRE8&feature=youtu.be

National Cancer Institute. Dictionary of Cancer Terms. n.d. www.cancer.gov/dictionary

Medicine.net's Cancer 101: A Visual Guide to Understanding Cancer. www.medicinenet.com/cancer_101_pictures_slideshow/article.htm

National Cancer Institute's What Is Cancer? www.cancer.gov/about-cancer/understanding/what-is-cancer

National Cancer Institute's Cancer Treatment. www.cancer.gov/about-cancer/treatment

American Cancer Society. What Is Cancer? 2015. www.cancer.org/cancer/cancerbasics/what‐is‐cancer

National Cancer Institute. BRCA1 & BRCA2: Cancer Risk & Genetic Testing. 2014. https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet

National Cancer Institute. Cancer Causes and Risk Factors. 2015. www.cancer.gov/cancertopics/causes

National Cancer Institute. Cancer Prevention Overview PDQ®. www.cancer.gov/cancertopics/pdq/prevention/overview/patient/page3

National Cancer Institute. Cancer Staging. 2015. www.cancer.gov/cancertopics/factsheet/detection/staging

National Cancer Institute. Genetic Testing for Hereditary Cancer Syndromes. 2013. https://www.cancer.gov/about-cancer/causes-prevention/genetics/genetic-testing-fact-sheet

National Cancer Institute. Screening. www.cancer.gov/about-cancer/screening

National Cancer Institute. Cancer Prevention Overview PDQ. www.ncbi.nlm.nih.gov/books/NBK65987/

National Cancer Institute. Clinical Trials. n.d. www.cancer.gov/clinicaltrials

American Society of Clinical Oncology. Deciding to Participate in a Clinical Trial. 2013. www.cancer.net/navigating‐cancer‐care/how‐cancer‐treated/clinicaltrials/deciding‐participate‐clinical‐trial

American Cancer Society. Cancer Treatment & Survivorship Facts & Figures. https://www.cancer.org/research/cancer-facts-statistics/survivor-facts-figures.html

Cancer.Net. ASCO Cancer Treatment Summaries and Survivorship Care Plans. www.cancer.net/survivorship/follow‐care‐after‐cancer‐treatment/asco‐cancertreatment‐summaries‐and‐survivorship‐care‐plans

Cancer.Net. Side Effects. 2015. www.cancer.net/navigating-cancer-care/side-effects

LIVESTRONG Foundation. [livestrongarmy]. 2013. Dating and Sex: A Video Series for Young Adults with Cancer [Video file]. www.youtube.com/watch?v=IkUIXLQRcoM&index=25&list=PL88EAB22E9D8ACD85.

Mayo Clinic. Cancer Survivors: Late Effects of Cancer Treatment. 2014. /www.mayoclinic.org/diseases-conditions/cancer/in-depth/cancer-survivor/art-20045524

National Cancer Institute. End‐of‐Life Care for People Who Have Cancer. 2015.  www.cancer.gov/about-cancer/advanced-cancer/care-choices/care-fact-sheet

Pfizer Oncology. Breast Cancer: A Story Half Told: A Call‐to‐Action to Expand the Conversation   to Include Metastatic Breast Cancer. 2014. www.pfizer.com/files/news/Statement_ofNeed.pdf

Patient Navigation Training Collaborative's Introduction to the Healthcare System. http://patientnavigatortraining.org/

Wadle R. Urgent Care Vs. Primary Care Physicians: What's the Difference? 2012. patch.com/michigan/birmingham/bp--urgent-care-vs-primary-care-physicians-whats-the-difference

American Cancer Society. The Health Care Law: How It Can Help People  With Cancer and Their Families. www.cancer.org/treatment/finding-and-paying-for-treatment/understanding-health-insurance/health-insurance-laws/the-health-care-law.html

Centers for Medicare & Medicaid Services. 2015 Poverty Guidelines. www.medicaid.gov/medicaid‐chip‐program‐information/bytopics/eligibility/ downloads/2015‐federal‐poverty‐level‐charts.pdf

Centers for Medicare & Medicaid Services. Type of Plan and Provider Network. www.healthcare.gov/choose‐a‐plan/plan‐types/

US Office of Personnel Management. Healthcare Plan Information: Plan Types. n.d. www.opm.gov/healthcare‐insurance/healthcare/plan‐information/plan‐types/

Practice-Based Learning and Improvement

Improve patient navigation process through continual self-evaluation and quality improvement. Promote and advance the profession.

  • Contribute to patient navigation program development, implementation, and evaluation
  • Use evaluation data (barriers to care, patient encounters, resource provision, population health disparities data, and quality indicators) to collaboratively improve navigation process and participate in quality improvement
  • Incorporate feedback on performance to improve daily work
  • Use information technology to maximize efficiency of patient navigator's time
  • Continually identify, analyze, and use new knowledge to mitigate barriers to care
  • Maintain comprehensive, timely, and legible records capturing ongoing patient barriers, patient interactions, barrier resolution, and other evaluation metrics, and report data to show value to administrators and funders
  • Promote navigation role, responsibilities, and value to patients, providers, and the larger community

Resources

Willis A, Reed E, Pratt-Chapman M, et al. Development of a framework for patient navigation:  delineating roles across navigator types. Journal of Oncology Navigation & Survivorship. 2013;4(6):20-26.

Willis A, Pratt‐Chapman M, Reed E, Hatcher E. Best practices in patient navigation and cancer survivorship: moving toward quality patient‐centered care.  Journal of Oncology Navigation & Survivorship. 2014;5(2).

Association of Community Cancer Centers' (ACCC) Patient Navigation Tools. www.accc-cancer.org/home/learn/Patient-Centered-Care/patient-navigation

Agency for Healthcare Research and Quality. Care Coordination Measures Atlas: Chapter 2: What is Care Coordination. 2014. www.ahrq.gov/professionals/prevention‐chroniccare/improve/coordination/atlas2014/chapter2.html

Bone LR, Edington K, Rosenberg J, et al. Building a navigation system to reduce cancer disparities among urban black older adults. Prog Community Health Partnersh. 2013;7(2):209‐218. doi: 10.1353/cpr.2013.0018.

Community Toolbox. Chapter 23: Modifying Access, Barriers, and Opportunities. Section 6: Using Outreach to Increase Access. 2014. http://ctb.ku.edu/en/table‐of‐contents/implement/access‐barriersopportunities/outreach‐to‐increase‐access/main

Pratt‐Chapman M, Willis A, Masselink L. Core competencies for oncology patient navigators. Journal of Oncology Navigation & Survivorship. 2015;6(2).

Vargas RB, Ryan GW, Jackson CA, et al. Characteristics of the original patient navigation programs to reduce disparities in the diagnosis and treatment of breast cancer. Cancer. 2008;113(2):426‐433. doi: 10.1002/cncr.23547.

Kansas Cancer Partnership's Cancer Patient Navigation Program Toolkit. keepitsacred.itcmi.org/wp-content/uploads/sites/5/2017/12/Cancer_Patient_Navigation_Toolkit.pdf

Cancer Survival Toolbox. n.d. Weighing the Pros and Cons [Audio file]. www.canceradvocacy.org/resources/cancer‐survival‐toolbox/basic‐skills/making‐decisions/

Cancer.Net. Coping with Uncertainty. 2012. www.cancer.net/coping‐andemotions/managing‐emotions/coping‐uncertainty

Jacobsen J, Jackson VA. A communication approach for oncologists: understanding patient coping and communicating about bad news, palliative care, and hospice. J Natl Compr Canc Netw. 2009;7(4):475-480.

National Institute of Mental Health. Depression. n.d. www.nimh.nih.gov/health/topics/depression/index.shtml

National Institute of Mental Health. Generalized Anxiety Disorder. n.d. www.nimh.nih.gov/health/topics/generalized‐anxiety‐disorder‐gad/index.shtml

SkillsYouNeed. Building Rapport. n.d. www.skillsyouneed.com/ips/rapport.html

Interpersonal and Communication Skills

Demonstrate interpersonal and communication skills that result in the effective exchange of information and collaboration with patients, their families, and health professionals.

  • Assess patient capacity to self-advocate; help patients optimize time with their doctors and treatment team (eg, prioritize questions, clarify information with treatment team)
  • Communicate effectively with patients, families, and the public to build trusting relationships across a broad range of socioeconomic and cultural backgrounds
  • Employ active listening and remain solutions-oriented in interactions with patients, families, and members of the healthcare team
  • Encourage active communication between patients/families and healthcare providers to optimize patient outcomes
  • Communicate effectively with navigator colleagues, health professionals, and health- related agencies to promote patient navigation services and leverage community resources to assist patients
  • Demonstrate empathy, integrity, honesty, and compassion in difficult conversations
  • Know and support National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care to advance health equity, improve quality, and reduce health disparities
  • Apply insight and understanding about emotions and human responses to emotions to create and maintain positive interpersonal interactions

Resources

Balogh EP, Ganz PA, Murphy SB, et al. Patient‐centered cancer treatment planning: improving the quality of oncology care. Summary of an Institute of Medicine workshop. Oncologist.  2011;16(12):1800‐1805. doi: 10.1634/theoncologist.2011‐0252.

Beagley L. Educating patients: understanding barriers, learning styles, and teaching techniques. J Perianesth Nurs. 2011;26(5):331‐337. doi: 10.1016/j.jopan.2011.06.002.

Butterworth SW. Influencing patient adherence to treatment guidelines. J Manag Care Pharm. 2008;14(6 Suppl B):21‐24.

Cornett S. Assessing and addressing health literacy. Online J Issues Nurs. 2009;14(3):Manuscript 2. doi: 10.3912/OJIN.Vol14No03Man02.

Coulter A, Parsons S, Askham J. Where are the patients in decision‐making about their own care. 2008. www.who.int/management/general/decisionmaking/WhereArePatientsinDecisionMaking.pdf

Fraenkel L, McGraw S. What are the essential elements to enable patient participation in medical decision making. J Gen Intern Med. 2007;22(5):614-619. doi: 10.1007/s11606‐007-0149‐9.

Inott T, Kennedy BB. Assessing learning styles: practical tips for patient education. Nurs Clin North Am. 2011;46(3):313‐320, vi. doi: 10.1016/j.cnur.2011.05.006.

McCorkle R, Ercolano E, Lazenby M, et al. Self‐management: enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin. 2011;61(1):50‐62. doi: 10.3322/caac.20093.

National Council on Interpreting in Health Care. What's in a Word? A Guide to Understanding Interpreting and Translation in Health Care. 2010. www.ncihc.org/assets/documents/publications/Whats_in_a_Word_Guide.pdf

US Department of Health & Human Services. Health Literacy Basics. n.d. www.health.gov/communication/literacy/quickguide/factsbasic.htm

US Department of Health & Human Services. Improve the Usability of Health Information. n.d. www.health.gov/communication/literacy/quickguide/healthinfo.htm

National Cancer Institute. Communication in Cancer Care PDQ®. 2013. www.cancer.gov/cancertopics/pdq/supportivecare/communication/patient

Epstein RM, Street RL Jr. Patient‐Centered Communication in Cancer Care: Promoting Healing and Reducing Suffering. Bethesda, MD: National Cancer Institute. NIH Publication No. 07‐6225. 2007. http://appliedresearch.cancer.gov/areas/pcc/communication/pcc_monograph.pdf

Ausmed Education. How to Advocate for Your Patient. 2014. www.ausmed.com.au/blog/entry/how‐to‐advocate‐for‐your‐patient

Center for Advancing Health. A New Definition of Patient Engagement: What Is Engagement and Why Is It Important? 2010. www.cfah.org/file/CFAH_Engagement_Behavior_Framework_current.pdf

Hagan TL, Donovan HS. Self‐advocacy and cancer: a concept analysis. J Adv Nurs. 2013;69(10):2348-2359.

Kaur JS. How should we "empower" cancer patients? Cancer. 2014;120(20):3108‐3110. doi: 10.1002/cncr.28852.

Blair IV, Steiner JF, Havranek EP. Unconscious (implicit) bias and health disparities: where do wego from here? Permanente J. 2011;15(2):71‐78.

Cleveland Clinic. 2013. Empathy: The Human Connection to Patient Care [Video file]. http://health.clevelandclinic.org/2013/03/empathy‐exploring‐human‐connection‐video/

Devine PG, Forscher PS, Austin AJ, Cox WT. Long‐term reduction in implicit race bias: a prejudice habit‐breaking intervention. J Exp Soc Psychol. 2012;48(6):1267-1278.

Kwintessential. Ten Tips for Cross Cultural Communication. 2014. www.kwintessential.co.uk/cultural‐services/articles/ten‐tips‐cross‐culturalcommunication.html

Leavitt R. Developing Cultural Competence in a Multicultural World. American Physical Therapy Association. 2011. www.apta.org/Courses/Text/DevelopingCulturalCompetence/

National Coalition for Cancer Survivorship. Cancer Survival Toolbox. n.d. www.canceradvocacy.org/resources/cancer‐survival‐toolbox/

US Department of Health & Human Services. Office of Minority Health. Think Cultural Health. CLAS & the CLAS Standards. n.d. www.thinkculturalhealth.hhs.gov/content/clas.asp

Professionalism

Demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles.

  • Apply knowledge of the difference in roles between clinically licensed and nonlicensed professionals and act within professional boundaries
  • Build trust by being accessible, accurate, supportive, and acting within scope of practice
  • Use organization, time management, problem solving, and critical thinking to assist patients efficiently and effectively
  • Demonstrate responsiveness to patient needs within scope of practice and professional boundaries
  • Know and support patient rights
  • Demonstrate sensitivity and responsiveness to a diverse patient population, including, but not limited to, diversity in gender, age, culture, race, religion, abilities, and sexual orientation
  • Demonstrate a commitment to ethical principles pertaining to confidentiality, informed consent, business practices, and compliance with relevant laws, policies, and regulations (eg, HIPAA, agency abuse reporting rules, Duty to Warn, safety contracting)
  • Perform administrative duties accurately and efficiently

Resources

Strom‐Gottfried K. Straight Talk About Professional Ethics. 2nd ed. Chapter 5. Chicago, IL: Lyceum Books. 2014:136‐155. ISBN‐10: 1935871463.

Watson Caring Science Institute. Caring Science Theory and Research. 2010. http://watsoncaringscience.org/about‐us/caring‐science‐definitions‐processes‐theory/

Wells KJ, Battaglia TA, Dudley DJ, et al. Patient navigation: state of the art or is it science? Cancer. 2008;113(8):1999‐2010. doi: 10.1002/cncr.23815.

Pratt‐Chapman ML, Willis LA, Masselink L. Core competencies for oncology patient navigators. Journal of Oncology Navigation & Survivorship. 2015;6(2).

Pratt‐Chapman ML, Willis LA, Masselink L. Core Competencies for Non‐Clinically Licensed Patient Navigators. Washington, DC: The George Washington University Cancer Institute Center for the Advancement of Cancer Survivorship, Navigation and Policy; 2014.

National Conference of State Legislatures. Mental Health Professionals' Duty to Warn. 2013. www.ncsl.org/research/health/mental‐health‐professionals‐duty‐towarn.aspx

Santa Clara University. Ethical Decision Making: A Framework for Ethical Decision Making. 2009. www.scu.edu/ethics/practicing/decision/

Center for Public Health Practice and Colorado School of Public Health. Patient Navigation. 2014. www.publichealthpractice.org/training‐category/patientnavigation

Garvey KA, Penn JV, Campbell AL, et al. Contracting for safety with patients: clinical practice and forensic implications. J Am Acad Psychiatry Law. 2009;37(3):363‐370.

Daum K. 8 Things Really Efficient People Do. 2013. www.inc.com/kevindaum/8‐things‐really‐efficient‐people‐do.html.

Hou SI, Roberson K. A systematic review on US‐based community health navigator (CHN) interventions for cancer screening promotion‐‐comparing community‐ versus clinic‐based navigator models. J Cancer Educ. 2015;30(1):173‐186. doi: 10.1007/s13187‐014‐0723‐x.

Swinscoe A. Five Ways to Become More Agile and Responsive to Your Customers' Needs. 2014.  www.forbes.com/sites/adrianswinscoe/2014/03/18/five‐ways‐tobecome‐more‐agile‐and‐responsive‐to‐your‐customers‐needs/

Systems-Based Practice

Demonstrate an awareness of and responsiveness to the larger context and system of healthcare, as well as the ability to call effectively on other resources in the system to provide optimal healthcare.

  • Support a smooth transition of patients across screening, diagnosis, active treatment, survivorship, and/or end-of-life care, working with the patient's clinical care team
  • Advocate for quality patient care and optimal patient care systems
  • Organize and prioritize resources to optimize access to care across the cancer continuum for the most vulnerable patients

Resources

Clements D, Dault M, Priest A. Effective teamwork in healthcare: research and reality. Healthc Pap. 2007;7 Spec No:26‐34.

Lee JI, Cutugno C, Pickering SP, et al. The patient care circle: a descriptive framework for understanding care transitions. J Hosp Med. 2013;8(11):619‐626. doi: 10.1002/jhm.2084.

Marcus LJ. A culture of conflict: lessons from renegotiating health care. J Health Care Law & Policy. 2002;5(20):447‐478.

Marcus LJ, Barry CD, McNulty EJ. The walk in the woods: a step‐by‐step method for facilitating interest‐based negotiation and conflict resolution.  Negotiation J. 2012;28(3):337‐349.

Interprofessional Collaboration

Demonstrate ability to engage in an interprofessional team in a manner that optimizes safe, effective patient- and population-centered care.

  • Work with other health professionals to establish and maintain a climate of mutual respect, dignity, diversity, ethical integrity, and trust
  • Use knowledge of one's role and the roles of other health professionals to appropriately assess and address the needs of patients and populations served to optimize health and wellness
  • Participate in interprofessional teams to provide patient- and population-centered care that is safe, timely, efficient, effective, and equitable

Resources

Mitchell R, Parker V, Giles M, White N. Review: toward realizing the potential of diversity in composition of interprofessional health care teams: an examination of the cognitive and psychosocial dynamics of interprofessional collaboration. Med Care Res Rev. 2010;67(1):3‐26. doi: 10.1177/1077558709338478.

O'Daniel M, Rosenstein A. 2008. Chapter 33. Professional Communication and Team Collaboration. In: Hughes RG, ed. Patient Safety and Quality: An Evidence‐Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality. http://www.ncbi.nlm.nih.gov/books/NBK2637/.

Roth LM, Markova T. Essentials for great teams: trust, diversity, communication ... and joy. J Am Board Fam Med. 2012;25(2):146‐148. doi: 10.3122/jabfm.2012.02.110330.

Personal and Professional Development

Demonstrate qualities required to sustain lifelong personal and professional growth.

  • Set learning and improvement goals. Identify and perform learning activities that address one's gaps in knowledge, skills, attitudes, and abilities
  • Demonstrate healthy coping mechanisms to respond to stress; employ self-care strategies
  • Manage possible and actual conflicts between personal and professional responsibilities
  • Recognize that ambiguity is part of patient care and respond by utilizing appropriate resources in dealing with uncertainty

Resources

Academy of Oncology Nurse & Patient Navigators Standardized Metrics Source. https://aonnonline.org/metrics-source-document/

American Society for Quality. Plan‐Do‐Check‐Act (PDCA) Cycle. n.d. http://asq.org/learn‐about‐quality/project‐planning‐tools/overview/pdca‐cycle.html

Carroll JK, Humiston SG, Meldrum SC, et al. Patients' experiences with navigation for cancer care. Patient Educ Couns. 2010;80(2):241‐247. doi: 10.1016/j.pec.2009.10.024.

Commission on Cancer. American College of Surgeons. Accreditation Committee Clarifications  for Standards 3.1 Patient Navigation Process and 3.2 Psychosocial Distress Screening. 2014. www.facs.org/publications/newsletters/coc‐source/specialsource/standard3132.

National Institutes of Health. PROMIS. n.d. www.nihpromis.org/patients/measures?AspxAutoDetectCookieSupport=1.

Wilcox B, Bruce SD. Patient navigation: a "win‐win" for all involved. Oncol Nurs Forum.  2010;37(1):21‐25. doi: 10.1188/10.ONF.21‐25.

Cantillon P, Sargeant J. Giving feedback in clinical settings. BMJ. 2008;337:a1961. doi: 10.1136/bmj.a1961.

Grant A. Take Charge of Your Professional Development. 2011. http://money.usnews.com/money/careers/articles/2011/08/17/take‐charge‐of‐your‐professionaldevelopment.

The George Washington University Human Resources. Dealing with Ambiguity. n.d. https://ode.hr.gwu.edu/dealing‐ambiguity.

UC Berkeley. Goal‐Setting: Developing a Vision & Goals for Your Career Plan. n.d. http://hrweb.berkeley.edu/learning/career‐development/goal‐setting/career‐plan‐vision

The George Washington University Oncology Patient Navigator Training: The Fundamentals. http://gwcehp.learnercommunity.com/cancer-institute

Shockney LD. Team-Based Oncology Care: The Pivotal Role of Oncology Navigation. Cham, Switzerland: Springer International Publishing AG. 2018. ISBN 978-3-319-69037-7.

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