Developing Navigation Competencies to Care for Older Rural Adults with Advanced Illness.
Navigators help rural older adults with advanced illness and their families connect to needed resources, information, and people to improve their quality of life. This article describes the process used to engage experts - in rural aging, rural palliative care, and navigation - as well as rural community stakeholders to develop a conceptual definition of navigation and delineate navigation competencies for the care of this population. A discussion paper on the important considerations for navigation in this population was developed followed by a four-phased Delphi process with 30 expert panel members. Study results culminated in five general navigation competencies for health care providers caring for older rural persons and their families at end of life: provide patient/family screening; advocate for the patient/family; facilitate community connections; coordinate access to services and resources; and promote active engagement. Specific competencies were also developed. These competencies provide the foundation for research and curriculum development in navigation.
Faculty of Nursing,University of Alberta.
Wendy
W
Duggleby
University of British Columbia,Okanagan Campus,School of Nursing.
Carole A
CA
Robinson
School of Nursing,McMaster University.
Sharon
S
Kaasalainen
University of British Columbia,Okanagan Campus,School of Nursing.
Barbara
B
Pesut
Division of Palliative Care Medicine,Department of Oncology,University of Alberta.
Cheryl
C
Nekolaichuk
HammondCare and University of Sydney,Greenwich Hospital,Australia.
Roderick
R
MacLeod
International Association of Gerontology and Geriatrics,Department of Human Ecology,Department of Family Medicine,University of Alberta.
Norah C
NC
Keating
Faculty of Nursing,University of Alberta.
Anna
A
Santos Salas
Alberta Centre for Sustainable Rural Communities;Political Studies (Augustana Faculty) and REES (ALES),University of Alberta.
Lars K
LK
Hallstrom
Faculty of Nursing,University of Alberta.
Kimberly D
KD
Fraser
School of Geography and Earth Sciences,McMaster University.
Allison
A
Williams
Department of Sociology,University of Alberta.
Kelly
K
Struthers-Montford
Faculty of Nursing,University of Alberta.
Jennifer
J
Swindle
D000368:Aged; D000375:Aging; D002170:Canada; D002983:Clinical Competence; D003697:Delphi Technique; D006299:Health Services for the Aged / Q000592:standards*; D006801:Humans; D009313:National Health Programs; D010166:Palliative Care / Q000379:methods*; D062526:Patient Navigation / Q000592:standards*; D017060:Patient Satisfaction; D011788:Quality of Life; D019035:Rural Health Services / Q000592:standards*; D012424:Rural Population; D012720:Severity of Illness Index
adultes âgés (aînés); aging; competencies; compétences; navigation; older adults; palliative care; rural; rural -e -aux; soins palliatifs; vieillissment