Programa de navegação Onco-Hematologica: proposta facilitadora para a transição do cuidado

Abstract

To contribute to cancer patient-centered care, the Navigation Program was created with the objective of collaborating with early diagnosis, reducing the time to start treatment, solving interfaces that make it difficult for patients to access the health service, and guaranteeing the adherence to the therapeutic approach. Objective: To collectively build with nurses and nursing technicians from an outpatient service a navigation program for onco- hematological patients based on the theory of care transition. Method: This is a research with a qualitative approach whose methodological strategy is action research, carried out in a chemotherapy outpatient clinic for onco-hematological patients, inserted in a large university hospital complex, located in the city of Salvador-Bahia. The selection of participants took place through convenience and included 12 nursing professionals, 7 nurses and 5 nursing technicians The inclusion criteria were: being a nurse or technician working in the institution's onco- hematology service and, as exclusion criteria: nurses and nursing technicians who cover work schedules and are not part of the unit's permanent nursing staff; Nurses and nursing technicians who may change sectors during the research period. Data were collected through a semi- structured face-to-face interview and four virtual workshops. The thematic content analysis technique proposed by Bardin was used to categorize the material collected in the workshops. The ethical aspects were based on the norms of Resolution no 466/12 and 510/16, the work was submitted and approved by the Research Ethics Committee of the Complexo Hospitalar Universitário Professor Edgard Santos (HUPES) (CAAE: 48003021.7.0000.0049). Results: They will be presented through two manuscripts. The first entitled “Theory of Care Transition in Oncology Navigation: Perceptions of Nursing Professionals” allowed to know the perception of the nursing team about the transition theory of care and about the navigation program for patients. The second manuscript, “Navigation program in the light of the transition theory of care” was delimited in four thematic axes: nature and conditions for the transition of onco- hematologic patients; transition response patterns for a browser program; transitional care based on the navigation program; creation of a browser program template. Conclusion: The study made it possible to collectively create with nurses and nursing technicians a navigation program for onco-hematologic patients, adapted to the reality of an outpatient unit of a public institution, meeting the needs of patients and favoring the organization of activities carried out by the team, based on Afaf Meleis' theory of care transition