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Designing and Piloting Nurses Led- Navigation System Using Digital Technologies /

Shereen Fouad Mohamad Nabwy,

Designing and Piloting Nurses Led- Navigation System Using Digital Technologies / / تصميم وتجريب نظام الملاحة بقيادة الممرضون باستخدام التقنيات الرقمية Shereen Fouad Mohamad Nabwy ; Supervisor Dr. Magda Abd Alhamid Abd Al Fattah , Dr. Ahmed Mahmoud Fakhry - 155 + (125) Leaves : illustrations ; 30 cm. + CD.

Thesis (Ph.D)-Cairo University, 2023.

Bibliography: pages 155-170.

Background: Chorionic disease care requires nurse-led interventions. Therefore, a nurse-
led patient navigation system was developed in which enable the trained nurses to give
advice and referred to other professionals during the process of recovery and rehabilitation
from chronic diseases. Aim: The current study aims to designing and piloting nurses led-
navigation system using digital technologies. Design: A quasi experimental design was
utilized in this study with pre-test, intervention, and post-test measurements undertaken
immediately and after six months of giving the training program. Setting: This study was
conducted at selected hospital which affiliated to armed forces. Sample: A Convenience
sample of a (No.30) of nurse manger & a (No.30) of staff nurse was recruited to carry out
the present study and (No.30) of jury member who validated the proposed system. Tools:
data was collected by demographic and work - related characteristics form, auditing the
presence of navigation checklist, technologies availability checklist, system validity
checklist, patient navigation knowledge test (pre, post and retention test) and nurse
navigator practice observational checklist (pre- immediate – evaluative follow-up).
Results: These findings revealed that proposed patient navigation system showed total
agreement among expert jury members and an improvement in the knowledge scores of
nurses in the immediate posttest and follow-up post test scores when compared to pre- test
scores. As well, statistically significant differences were found between the nurse’s
utilization for patient navigation in their area of practice throughout pre, immediate post
and follow up, as they had highest scores immediately post program relative to program
pre implementation. Conclusion: The implementation of patient navigation system and
program improved the nurse's knowledge and improved their navigating practice in their
area. Recommendations: implement patient navigation system in Egyptian hospital also
providing a training program for the different level of nurses to develop competence in
patient navigation practice. Background: Chorionic disease care requires nurse-led interventions. Therefore, a nurse-led patient navigation system was developed in which enable the trained nurses to give advice and referred to other professionals during the process of recovery and rehabilitation from chronic diseases. Aim: The current study aims to designing and piloting nurses led- navigation system using digital technologies. Design: A quasi experimental design was utilized in this study with pre-test, intervention, and post-test measurements undertaken immediately and after six months of giving the training program. Setting: This study was conducted at selected hospital which affiliated to armed forces. Sample: A Convenience sample of a (No.30) of nurse manger & a (No.30) of staff nurse was recruited to carry out the present study and (No.30) of jury member who validated the proposed system. Tools: data was collected by demographic and work - related characteristics form, auditing the presence of navigation checklist, technologies availability checklist, system validity checklist, patient navigation knowledge test (pre, post and retention test) and nurse navigator practice observational checklist (pre- immediate – evaluative follow-up). Results: These findings revealed that proposed patient navigation system showed total agreement among expert jury members and an improvement in the knowledge scores of nurses in the immediate posttest and follow-up post test scores when compared to pre- test scores. As well, statistically significant differences were found between the nurse’s utilization for patient navigation in their area of practice throughout pre, immediate post and follow up, as they had highest scores immediately post program relative to program pre implementation. Conclusion: The implementation of patient navigation system and program improved the nurse's knowledge and improved their navigating practice in their area. Recommendations: implement patient navigation system in Egyptian hospital also providing a training program for the different level of nurses to develop competence in patient navigation practice.




Text in English and abstract in Arabic & English.


Nursing Administration

Patient navigation system digital technology nurse navigator

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