Case managers in adult and pediatric oncology

INTRODUCTION: The organizational model of Disease Units has gained prominence in the field of oncology, as it prioritizes patient-centered care and relies on the collaborative efforts of various medical professionals. In Disease Units, a nurse case manager facilitates smooth coordination among healthcare professionals and guides patients through their treatment journeys. This article aimed to comprehensively explore the contextual framework, defining characteristics, associated benefits, and prevalent challenges related to integrating nurse case managers in Disease Units. EVIDENCE ACQUISITION: Drawing from an extensive international literature review, this study synthesizes insights from 20 scholarly papers selected in July 2023 to clarify the multifaceted role of nurse case managers within this healthcare model. EVIDENCE SYNTHESIS: The analysis highlights that the effectiveness of a nurse case manager depends on a diverse skill set, encompassing both technical and nontechnical abilities. This role is strategic in providing comprehensive patient support, which affects the quality of life, treatment adherence, and managing the psychological and social aspects of care, contributing to establishing a patient-centered healthcare system. CONCLUSIONS: Regulatory adjustments and reforms are essential to facilitate the seamless integration of nurse case managers, aligning healthcare delivery with the evolving needs and expectations of patients and healthcare professionals.