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Nurse navigator. A concept analysis according to the Walker and Avant model.

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Title: Nurse navigator. A concept analysis according to the Walker and Avant model.
Alternate Title: Enfermero navegador. Un análisis de concepto según el modelo de Walker y Avant.
Enfermeiro navegador. Uma análise de conceito segundo modelo de Walker e Avant.
Authors: Moreira, Maysa Mayran Chaves1 maysa.mayran@gmail.com, Araújo, Dayara Ainne de Sousa1 dayara-ainne@hotmail.com, Diniz, Samara Dantas de Medeiros1 samaradantas1998@hotmail.com, Silva, Leilane Alice Moura da2 leilanealice.ms05@gmail.com, Fernandes, Maria Isabel da Conceição Dias1 Isabel.dias@ufrn.br, Martins, Quenia Camille Soares1 queniacamillesm@gmail.com
Source: Investigación & Educación en Enfermería. Jan-Apr2026, Vol. 44 Issue 1, p1-16. 16p.
Subjects: NURSES, NURSE-patient relationships, HEALTH literacy, HEALTH services accessibility, MORTALITY, OCCUPATIONAL roles, GREY literature, MEDICAL quality control, NURSING models, CINAHL database, CONTINUUM of care, NURSING, DESCRIPTIVE statistics, PATIENT-centered care, SYSTEMATIC reviews, MEDLINE, MEDICAL databases, COMMUNICATION, QUALITY of life, ONLINE information services, LENGTH of stay in hospitals, CONCEPTS, DATA analysis software, MEDICAL care costs
Abstract (English): Objective. To analyze the concept of nurse navigator in light of the Walker and Avant model. Methods. This is a concept analysis, based on the Walker and Avant model, operationalized through a scope review according to the JBI and PRISMA-ScR guidelines. The investigation follows other methodological stages for the construction and understanding of the "nurse navigator" concept. Results. The attributes that prevailed were care management, health literacy, overcoming barriers, assertive communication, bonding, specialized knowledge, continued care, quality of care and patient integration into health systems. Regarding the most frequent antecedents, the following stand out: vulnerable populations, health disparities, communication gaps, delays and fragmentation of care, and low therapeutic adherence. The main consequences were the reduction of costs and mortality, reduction of hospitalizations and time spent in hospital, improvements in access to healthcare, adherence to treatment, quality of life and satisfaction with care. Conclusion. The study defined the nurse navigator as the professional who manages care in a continuous way, capable of integrating it into the health system and strengthening the nurse-patient bond, reducing barriers and disparities, in addition to guaranteeing continuity and adherence to treatment. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Objetivo. Analizar el concepto de enfermero navegador a la luz del modelo de Walker y Avant. Métodos. Se trata de un análisis de concepto, basado en el modelo de Walker y Avant, operacionalizado a través de una revisión de alcance según las directrices del JBI y PRISMA-ScR. La investigación siguió los ocho pasos metodológicos para la construcción y comprensión del concepto "enfermero navegador". Resultados. Los atributos que prevalecieron fueron la gestión del cuidado, la alfabetización en salud, la superación de barreras, la comunicación asertiva, el vínculo, el conocimiento especializado, la atención continua, la calidad de la atención y la integración del paciente a los sistemas de salud. En cuanto a los antecedentes más frecuentes, se destacaron: poblaciones vulnerables, disparidades en salud, fallas de comunicación, demoras y fragmentación de la atención, y baja adherencia terapéutica. Las principales consecuencias fueron la reducción de costos y mortalidad, reducción de hospitalizaciones y tiempo de hospitalización, mejoras en el acceso a la salud, adherencia al tratamiento, calidad de vida y satisfacción con la atención. Conclusión. El estudio definió al enfermero navegador como el profesional que gestiona el cuidado de forma continua, capaz de integrarlo al sistema de salud y fortalecer el vínculo enfermero-paciente, reduciendo barreras y disparidades, además de garantizar la continuidad y la adhesión al tratamiento. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Objetivo. Analisar o conceito de enfermeiro navegador à luz do modelo de Walker e Avant. Métodos. Trata-se de uma análise de conceito, baseada no modelo de Walker e Avant, operacionalizada mediante revisão de escopo conforme as diretrizes do JBI e PRISMA-ScR. A investigação seguiu as oito etapas metodológicas para à construção e compreensão do conceito "enfermeiro navegador". Resultados. Os atributos que prevaleceram foram a gestão do cuidado, letramento em saúde, superação de barreiras, comunicação assertiva, formação de vínculo, conhecimento especializado, cuidado contínuo, qualidade dos cuidados e integração do paciente nos sistemas de saúde. Quanto os antecedentes mais frequentes, destacaram-se: populações vulneráveis, disparidades em saúde, falhas na comunicação, atrasos e fragmentação do cuidado, e baixa adesão terapêutica. Os principais consequentes foram a redução de custos e da mortalidade, diminuição de internações e do tempo de hospitalização, melhorias no acesso à saúde, na adesão ao tratamento, na qualidade de vida e na satisfação do cuidado. Conclusão. O estudo definiu o enfermeiro navegador como o profissional que gerencia o cuidado de forma contínua, capaz de integrá-los ao sistema de saúde e fortalecer o vínculo enfermeiro-paciente, reduzindo barreiras e disparidades, além de garantir a continuidade e adesão do tratamento. [ABSTRACT FROM AUTHOR]
Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Label: Title
  Group: Ti
  Data: Nurse navigator. A concept analysis according to the Walker and Avant model.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Enfermero navegador. Un análisis de concepto según el modelo de Walker y Avant.<br />Enfermeiro navegador. Uma análise de conceito segundo modelo de Walker e Avant.
– Name: Author
  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Moreira%2C+Maysa+Mayran+Chaves%22">Moreira, Maysa Mayran Chaves</searchLink><relatesTo>1</relatesTo><i> maysa.mayran@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Araújo%2C+Dayara+Ainne+de+Sousa%22">Araújo, Dayara Ainne de Sousa</searchLink><relatesTo>1</relatesTo><i> dayara-ainne@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Diniz%2C+Samara+Dantas+de+Medeiros%22">Diniz, Samara Dantas de Medeiros</searchLink><relatesTo>1</relatesTo><i> samaradantas1998@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Silva%2C+Leilane+Alice+Moura+da%22">Silva, Leilane Alice Moura da</searchLink><relatesTo>2</relatesTo><i> leilanealice.ms05@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Fernandes%2C+Maria+Isabel+da+Conceição+Dias%22">Fernandes, Maria Isabel da Conceição Dias</searchLink><relatesTo>1</relatesTo><i> Isabel.dias@ufrn.br</i><br /><searchLink fieldCode="AR" term="%22Martins%2C+Quenia+Camille+Soares%22">Martins, Quenia Camille Soares</searchLink><relatesTo>1</relatesTo><i> queniacamillesm@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Investigación+%26+Educación+en+Enfermería%22">Investigación & Educación en Enfermería</searchLink>. Jan-Apr2026, Vol. 44 Issue 1, p1-16. 16p.
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  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22NURSES%22">NURSES</searchLink><br /><searchLink fieldCode="DE" term="%22NURSE-patient+relationships%22">NURSE-patient relationships</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+literacy%22">HEALTH literacy</searchLink><br /><searchLink fieldCode="DE" term="%22HEALTH+services+accessibility%22">HEALTH services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22MORTALITY%22">MORTALITY</searchLink><br /><searchLink fieldCode="DE" term="%22OCCUPATIONAL+roles%22">OCCUPATIONAL roles</searchLink><br /><searchLink fieldCode="DE" term="%22GREY+literature%22">GREY literature</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+quality+control%22">MEDICAL quality control</searchLink><br /><searchLink fieldCode="DE" term="%22NURSING+models%22">NURSING models</searchLink><br /><searchLink fieldCode="DE" term="%22CINAHL+database%22">CINAHL database</searchLink><br /><searchLink fieldCode="DE" term="%22CONTINUUM+of+care%22">CONTINUUM of care</searchLink><br /><searchLink fieldCode="DE" term="%22NURSING%22">NURSING</searchLink><br /><searchLink fieldCode="DE" term="%22DESCRIPTIVE+statistics%22">DESCRIPTIVE statistics</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT-centered+care%22">PATIENT-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22SYSTEMATIC+reviews%22">SYSTEMATIC reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+databases%22">MEDICAL databases</searchLink><br /><searchLink fieldCode="DE" term="%22COMMUNICATION%22">COMMUNICATION</searchLink><br /><searchLink fieldCode="DE" term="%22QUALITY+of+life%22">QUALITY of life</searchLink><br /><searchLink fieldCode="DE" term="%22ONLINE+information+services%22">ONLINE information services</searchLink><br /><searchLink fieldCode="DE" term="%22LENGTH+of+stay+in+hospitals%22">LENGTH of stay in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22CONCEPTS%22">CONCEPTS</searchLink><br /><searchLink fieldCode="DE" term="%22DATA+analysis+software%22">DATA analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care+costs%22">MEDICAL care costs</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Objective. To analyze the concept of nurse navigator in light of the Walker and Avant model. Methods. This is a concept analysis, based on the Walker and Avant model, operationalized through a scope review according to the JBI and PRISMA-ScR guidelines. The investigation follows other methodological stages for the construction and understanding of the "nurse navigator" concept. Results. The attributes that prevailed were care management, health literacy, overcoming barriers, assertive communication, bonding, specialized knowledge, continued care, quality of care and patient integration into health systems. Regarding the most frequent antecedents, the following stand out: vulnerable populations, health disparities, communication gaps, delays and fragmentation of care, and low therapeutic adherence. The main consequences were the reduction of costs and mortality, reduction of hospitalizations and time spent in hospital, improvements in access to healthcare, adherence to treatment, quality of life and satisfaction with care. Conclusion. The study defined the nurse navigator as the professional who manages care in a continuous way, capable of integrating it into the health system and strengthening the nurse-patient bond, reducing barriers and disparities, in addition to guaranteeing continuity and adherence to treatment. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Analizar el concepto de enfermero navegador a la luz del modelo de Walker y Avant. Métodos. Se trata de un análisis de concepto, basado en el modelo de Walker y Avant, operacionalizado a través de una revisión de alcance según las directrices del JBI y PRISMA-ScR. La investigación siguió los ocho pasos metodológicos para la construcción y comprensión del concepto "enfermero navegador". Resultados. Los atributos que prevalecieron fueron la gestión del cuidado, la alfabetización en salud, la superación de barreras, la comunicación asertiva, el vínculo, el conocimiento especializado, la atención continua, la calidad de la atención y la integración del paciente a los sistemas de salud. En cuanto a los antecedentes más frecuentes, se destacaron: poblaciones vulnerables, disparidades en salud, fallas de comunicación, demoras y fragmentación de la atención, y baja adherencia terapéutica. Las principales consecuencias fueron la reducción de costos y mortalidad, reducción de hospitalizaciones y tiempo de hospitalización, mejoras en el acceso a la salud, adherencia al tratamiento, calidad de vida y satisfacción con la atención. Conclusión. El estudio definió al enfermero navegador como el profesional que gestiona el cuidado de forma continua, capaz de integrarlo al sistema de salud y fortalecer el vínculo enfermero-paciente, reduciendo barreras y disparidades, además de garantizar la continuidad y la adhesión al tratamiento. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Objetivo. Analisar o conceito de enfermeiro navegador à luz do modelo de Walker e Avant. Métodos. Trata-se de uma análise de conceito, baseada no modelo de Walker e Avant, operacionalizada mediante revisão de escopo conforme as diretrizes do JBI e PRISMA-ScR. A investigação seguiu as oito etapas metodológicas para à construção e compreensão do conceito "enfermeiro navegador". Resultados. Os atributos que prevaleceram foram a gestão do cuidado, letramento em saúde, superação de barreiras, comunicação assertiva, formação de vínculo, conhecimento especializado, cuidado contínuo, qualidade dos cuidados e integração do paciente nos sistemas de saúde. Quanto os antecedentes mais frequentes, destacaram-se: populações vulneráveis, disparidades em saúde, falhas na comunicação, atrasos e fragmentação do cuidado, e baixa adesão terapêutica. Os principais consequentes foram a redução de custos e da mortalidade, diminuição de internações e do tempo de hospitalização, melhorias no acesso à saúde, na adesão ao tratamento, na qualidade de vida e na satisfação do cuidado. Conclusão. O estudo definiu o enfermeiro navegador como o profissional que gerencia o cuidado de forma contínua, capaz de integrá-los ao sistema de saúde e fortalecer o vínculo enfermeiro-paciente, reduzindo barreiras e disparidades, além de garantir a continuidade e adesão do tratamento. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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