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

Abstract 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.