Nurse Navigation
cancer, fatigue, breast cancer
CANCER, BREAST CANCER
Previous nurse navigation intervention studies rarely demonstrated substantial symptom reduction, such as studies on patients with breast cancer or mixed cancer (including breast) that found no significant effects of nurse navigation on distress, fatigue, quality of life, and health care use (n = 251)The main strength of this RCT is that, to our knowledge, it was the first to test the effect of a manualized nurse navigation program on female patients with high distress levels at diagnosis, thus minimizing a floor effect, and it was also the first to examine long-term effects over 18 months. Previous nurse navigation interventions were only superficially described and covered a variety of techniques, including addressing needs,The REBECCA intervention may work through several pathways: systematic screening for patient-reported outcome symptoms may enhance the detection and professional management of the symptoms.