Keywords
Nurses
Program
Surgical procedures
Orthopedic procedures
How to Cite
Abstract
Objective: To describe the trajectory for the implementation of a Navigation Program for patients undergoing complex spinal surgery. Method: Descriptive study, an experience report, carried out in a large hospital located in Southern Brazil. Results: Implementation took place between September 2023 and February 2024. The trajectory included the structuring of workflows, training of the navigator nurse, and adherence to institutional policy. Central strategies involved conducting multidisciplinary boards for the individualization of patient care. We observed improved rehabilitation, pain control, and reduction of postoperative complications. Early detection of risks increased the perception of safety among navigated patients. Conclusion: The implementation of the Navigation Program in complex spinal surgeries has proven to be an effective strategy in organizing care and ensuring perioperative patient safety. The experience demonstrates that the nurse's leadership, combined with managerial and clinical competencies, is the key element for the program's sustainability and for integrated care centered on the patient's individuality. The model proves to be applicable and inspiring for the development of new initiatives in highly complex care pathways.
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