Provide an overview of navigation in three disparate populations: rural, Native American/Alaska Native, and low- to middle-income countries. Discuss gaps in care and opportunities to improve cancer care. A literature search was conducted in PubMed and on Google Scholar using search terms, nurse navigation, cancer, disparit*, low- to middle-income countries, Native American, American Indian, and rural. Peer-reviewed research studies, review articles, databases and websites of professional organizations, and historical books were reviewed to provide an overview of oncology nurse navigation in underserved communities. Experiences in working with these populations over the past 30 years were also provided to support current literature. Forty references were included in this overview of nurse navigation in underserved communities. Nurse navigation in these disparate areas is in its infancy. While some programs exist and outcomes have been positive, their dissemination is sparse. A need exists to expand nurse navigation into these areas to provide care for these underserved communities. Oncology nursing navigation for each of these underserved communities requires a culturally sensitive approach. Many of these approaches are universal to cultural competency and can be applied to most disparate populations. Nurses comprise the largest workforce around the globe and are well-equipped to develop navigation programs in some of the most disparate communities around the world. To do so, it is important to use a foundation of building trust, embracing individual differences, providing culturally sensitive education and resources for growth, and good communication.

中文翻译：

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服务欠缺社区的肿瘤科护士导航：机遇和未来方向

提供三个不同人群的导航概述：农村、美洲原住民/阿拉斯加原住民和低收入到中等收入国家。讨论护理方面的差距以及改善癌症护理的机会。在 PubMed 和 Google Scholar 上使用搜索词、护士导航、癌症、差异*、低收入到中等收入国家、美洲原住民、美洲印第安人和农村进行文献检索。回顾了同行评审的研究、评论文章、专业组织的数据库和网站以及历史书籍，以提供服务不足社区肿瘤护士导航的概述。还提供了过去 30 年与这些人群合作的经验来支持当前的文献。服务欠缺社区护士导航概述中包含了四十篇参考文献。这些不同领域的护士导航还处于起步阶段。尽管存在一些计划并且取得了积极的成果，但它们的传播却很少。需要将护士导航扩展到这些地区，以便为这些服务不足的社区提供护理。每个服务不足的社区的肿瘤护理导航都需要采取文化敏感的方法。其中许多方法对于文化能力来说是通用的，可以应用于大多数不同的人群。护士是全球规模最大的劳动力队伍，他们具备在世界上一些最不同的社区开发导航计划的能力。为此，重要的是要建立信任、拥抱个体差异、提供文化敏感的教育和成长资源以及良好的沟通的基础。