Objectives: To identify the types of strategy used to coordinate care within primary health care (PHC) and between PHC, health services and health‐related services in Australia and other countries that have comparable health systems, and to describe what is known about their effectiveness; to review the implications for health policy and practice in Australia. Methods: We conducted a systematic review of the literature (January 1995 to March 2006) relating to care coordination in Australia, the United States, the United Kingdom, New Zealand, Canada and The Netherlands. Our review was supplemented by consultations with academic experts and policymakers. Results: Six types of strategy were identified at patient/provider level, falling into two groups: (i) communication and support for providers and patients, and (ii) structural arrangements to support coordination. These were broadly consistent with existing typologies. All were associated with improved health and/or patient satisfaction outcomes in more than 50% of studies, and interventions using multiple strategies were more successful than those using single strategies. Conclusions: The largely incremental approach to improving coordination of care in Australia has involved a broad range of strategy types but has also perpetuated existing structural problems. Reforms in governance, funding and patient registration in primary health care would provide a stronger base for effective care coordination.

Strategies to recruit and retain staff must take account of personal needs and aspirations. While there is room for state strategies to improve employment incentives, there is also considerable scope for local managers to improve the design and attractiveness of jobs.

The success of this new model of clinical placements is dependent on medical schools having a detailed understanding of the needs and expectations of GPs.

The objective was to test the feasibility of electronic medication charts in aged care facilities and the impact on general practitioner (GP) and staff work processes. The Illawarra Division of General Practice conducted a trial where GPs used a modified version of commercially available software to generate medication charts, in four residential aged care facilities. Semistructured, face-to-face interviews, log books and an issue register were used to evaluate the success of this trial. The system improved chart clarity, which was felt to have improved medication management accuracy. However, system usability was hindered by the location of the computer, the availability of prescription paper, and technical difficulties. The system is inexpensive and three facilities have continued to use it after the trial period. To show measurable improvements in medication management, a trial that includes all residents is needed. Aged care facilities need more computer equipment in order to adopt important innovations.• The use of electronic medication charts is likely to increase patient safety.• There is a lack of computer infrastructure in most aged care facilities which will hinder the adoption of important innovations.

Aims and objectives:To explore how nursing students perceive and use the conceptual Fundamentals of Care framework in case-based work in nursing education and furthermore to describe influencing factors on perceptions and use of the framework. Background:The Fundamentals of Care framework has been integrated in core courses in two Schools of Nursing in Region North Denmark in response to studies reporting that nursing students and newly graduated nurses lack the knowledge, skills and competencies to meet the challenges of delivering fundamental care in clinical practice. An integration of the framework in case-based work in nursing education has not previously been studied. Design and methods:The study design was focused ethnography. Data were collected using participant observations, focus group interviews and individual interviews. Four groups of four to five nursing students participating in case-based work sessions and three faculty members from two Schools of Nursing were included. The study adhered to COREQ. Results:The results show an uncertainty among the students about how to understand and use the conceptual framework in case-based work. The uncertainties derive from diversities in faculty members' perceptions and curricular planning among others. However, the framework appears to support the students' learning about what nursing is and requires. Conclusions:The study indicates that integrating Fundamentals of Care framework in case-based work may be one way of teaching nursing students the complexities of integrated fundamental nursing care. However, there is a need to consider how to support students in articulating Fundamentals of Care, and to draw attention to the influence of role models and curricular planning. Relevance to educational practice: The study provides knowledge relevant when customising future educational interventions regarding the integration of Fundamentals of Care in nursing education and may provide valuable knowledge of evaluation strategies. | 1969 VOLDBJERG Et aL. S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Voldbjerg SL, Lyng Larsen K, Nielsen G, Laugesen B. Exploring nursing students' use of the Fundamentals of Care framework in case-based work. J Clin

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The objective is to identify and synthesize findings from qualitative studies of older (over 65 years) hospitalized patients' experiences of the barriers and facilitators to their dialogues with healthcare providers (HCPs) concerning their health and well-being.Specifically, the review questions are.