The evaluation of nurse navigators in chronic and complex care

Clare Harvey, Janine Palmer, Desley Hegney, Eileen Willis, Adele Baldwin, Clare Rees, Brody Heritage, Shona Thompson, Rachel Forrest, Christopher O'Donnell, Marshall R, Sandy Mclellan, Jonathan Sibley, Jenni Judd, Bridget Ferguson, Anita Bamford-Wade, David Brain

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


Aim: With increasing age and chronicity in populations, the need to reduce the costs of care while enhancing quality and hospital avoidance, is important. Nurse-led co-ordination is one such model of care that supports this approach. The aim of this research was to assess the impact that newly appointed Navigators have on service provision; social and economic impact; nurses’ professional quality of life and compassion fatigue; and analysis of the change that has occurred to models of care and service delivery. Design: A concurrent mixed-method approach was selected to address the research aims. Methods: The research project was funded in July 2018 and will conclude in December 2020. Several cohorts will be studied including; patients assigned to a navigator, patients not assigned to a navigator, family members of patients assigned a navigator; and a sample sized estimated at 140 navigators. Discussion: This study provides a comprehensive international longitudinal and mixed method framework for evaluating the impact of nurse navigators on quality of care outcomes for patients with chronic conditions. Impact—What problem will the study address?: Even with specialty focused co-ordinated care, patients get lost in the system, increasing the incidence of non-compliance and exacerbation of condition. Navigators work with patients across service boundaries allowing for care that is patient responsive, and permitting variables in clinical, social and practical elements of care to be addressed in a timely manner. This novel nurse-led approach, supports hospital avoidance and patient self-management, while encouraging expansion and opportunity for the nursing and midwifery workforce.

Original languageEnglish
Pages (from-to)1792-1804
Number of pages13
JournalJournal of Advanced Nursing
Issue number8
Early online date29 Apr 2019
Publication statusPublished - Aug 2019


  • Chronic care
  • Co-ordinated care
  • Integrated care
  • Nurse navigators
  • Nurse-led care
  • integrated care
  • nurse-led care
  • chronic care
  • nurse navigators
  • co-ordinated care

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