A community virtual ward model to support older persons with complex health care and social care needs

Lewis, Clare; Moore, Zena; Doyle, Frank; Martín, A; Patton, Declan; Nugent, Linda

doi:10.2147/cia.s130876

Cited by 33 publications

(107 citation statements)

References 27 publications

Supporting

Mentioning

104

Contrasting

Unclassified

Order By: Relevance

“…A virtual ward delivers hospital-level care to patients in the community through telemedicine. Through the provision of timely multidisciplinary care, virtual ward models have reduced emergency department presentations and hospital admissions [ 8 , 9 ]. These outcomes are desirable in a pandemic, where the judicious use of limited health care resources is critical.…”

Section: Introductionmentioning

confidence: 99%

A Virtual Ward Model of Care for Patients With COVID-19: Retrospective Single-Center Clinical Study

Ferry¹,

Moloney²,

Spratt³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

Background COVID-19 has necessitated the implementation of innovative health care models in preparation for an influx of patients. A virtual ward model delivers clinical care remotely to patients in isolation. We report on an Australian cohort of patients with COVID-19 treated in a virtual ward. Objective The aim of this study was to describe and evaluate the safety and efficacy of a virtual ward model of care for an Australian cohort of patients with COVID-19. Methods Retrospective clinical assessment was performed for 223 patients with confirmed COVID-19 treated in a virtual ward in Brisbane, Australia, from March 25 to May 15, 2020. Statistical analysis was performed for variables associated with the length of stay and hospitalization. Results Of 223 patients, 205 (92%) recovered without the need for escalation to hospital care. The median length of stay in the virtual ward was 8 days (range 1-44 days). In total, 18 (8%) patients were referred to hospital, of which 6 (33.3%) were discharged after assessment at the emergency department. Furthermore, 12 (5.4%) patients were admitted to hospital, of which 4 (33.3%) required supplemental oxygen and 2 (16.7%) required mechanical ventilation. No deaths were recorded. Factors associated with escalation to hospital care were the following: hypertension (odds ratio [OR] 3.6, 95% CI 1.28-9.87; P=.01), sputum production (OR 5.2, 95% CI 1.74-15.49; P=.001), and arthralgia (OR 3.8, 95% CI 1.21-11.71; P=.02) at illness onset and a polymerase chain reaction cycle threshold of ≤20 on a diagnostic nasopharyngeal swab (OR 5.0, 95% CI 1.25-19.63; P=.02). Conclusions Our results suggest that a virtual ward model of care to treat patients with COVID-19 is safe and efficacious, and only a small number of patients would potentially require escalation to hospital care. Further studies are required to validate this model of care.

show abstract

Section: Introductionmentioning

confidence: 99%

A Virtual Ward Model of Care for Patients With COVID-19: Retrospective Single-Center Clinical Study

Ferry¹,

Moloney²,

Spratt³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Of the 37 articles included in this review, 27 used quantitative 16,27–51 and 10 used qualitative methodologies. 52–61 Almost half ( n = 18) of the studies were conducted in the US 28,29,32,33,36,39–42,44–48,50,59,62 followed by Australia ( n = 5) 27,53–55,58 and Canada ( n = 4).…”

Section: Resultsmentioning

confidence: 99%

“…52–61 Almost half ( n = 18) of the studies were conducted in the US 28,29,32,33,36,39–42,44–48,50,59,62 followed by Australia ( n = 5) 27,53–55,58 and Canada ( n = 4). 38,57,60,63 The remaining studies were conducted in the UK, 52 Germany, 49 Ireland, 30 Belgium, 35 Netherlands, 57,61 Norway, 51 Japan, 31 and China. 16,43 Half of the included studies ( n = 19) were published between 2010 and 2013, 29,32,34,36,38,39,41,42,44–47,49,54,58–61 with the other half published from 2014 onwards.…”

Section: Resultsmentioning

confidence: 99%

Case Management Models and Continuing Care: A Literature Review across nations, settings, approaches, and assessments

Gallant

Cassidy

et al. 2020

Home Health Care Management & Practice

View full text Add to dashboard Cite

Older adults accessing continuing care often have multiple chronic conditions. Research suggests that case management is a promising approach to reduce health care expenditure and improve patient outcomes. To optimize healthcare delivery, an examination of existing case management models and their effectiveness is essential. This literature review was conducted using Joanna Briggs Institute (JBI) methods to explore case management models for older adults accessing continuing care services. Searches were conducted in PubMed and CINAHL from 2010 to 2018. A total of 37 articles were included in this review. Approaches to case management are diverse with respect to composition of care providers, method of care provision, and location of care. Findings from 27 quantitative studies demonstrated that nurse-led and interdisciplinary team case management models that include home visits can effectively reduce hospital admission/readmission while lowering costs. Mixed results were found on the impact of case management on patient satisfaction, ED visits, quality of life, length of stay, self-efficacy, social integration and caregiver burden. Among 10 qualitative studies, 3 facilitators for quality case management were identified that include receiving care at home, building trusting relationships, and improving self-efficacy. Based on these findings, we conclude that nurse-led and interdisciplinary team case management can effectively reduce hospital admission of frail older adults while lowering costs, particularly within home care settings.

show abstract

“…Increased clinical research capacity was evident from the research outputs generated. These included research findings disseminated through peer-reviewed journals (Cusack et al., 2017; Lewis et al., 2017; Nolan et al., 2015; O’Brien et al., 2017; Rodger et al., 2015; Vilinsky et al., 2016), findings presented at regional and national conferences, increased engagement with research via PhDs pursued, networks developed, and ongoing projects. Good organisation, strong leadership and embedded sustainability have been noted as important elements of effective RCB (Moore et al., 2012; Segrott et al., 2006).…”

Section: Discussionmentioning

confidence: 99%

Research excellence across clinical healthcare: a novel research capacity building programme for nurses and midwives in a large Irish region

Fullam

Cusack

Nugent

2018

Journal of Research in Nursing

View full text Add to dashboard Cite

Background: A lack of support and research skills development has contributed to low research output by clinically based nurses and midwives in Ireland, including those in specialised and advanced roles. A novel research capacity building (RCB) programme was developed to address existing barriers. The programme was developed and implemented using Cooke's principles of RCB. Nurses and midwives participated from acute hospital, community, public health, mental health, older adult, intellectual disability, addiction and palliative care settings. Aims: This paper provides an evaluation of the Research Excellence Across Clinical Healthcare (REACH) programme from 2013-2016. Methods: Document analysis was used to evaluate RCB activities and outputs. Data were extracted from programme reports, conference proceedings, paper references, and workshop and conference sign-in/evaluation forms. Results: Individuals (n ¼ 17) and small research groups (n ¼ 4) were supported. Increased research capacity was demonstrated through dissemination of research in peer-reviewed journals, posters and oral presentations at national and international conferences. Sustainability was demonstrated by progression of participants to PhD (n ¼ 3) and research projects that remain ongoing (n ¼ 5). Skills development was facilitated by the organisation of workshops and

show abstract

A community virtual ward model to support older persons with complex health care and social care needs

Cited by 33 publications

References 27 publications

A Virtual Ward Model of Care for Patients With COVID-19: Retrospective Single-Center Clinical Study

A Virtual Ward Model of Care for Patients With COVID-19: Retrospective Single-Center Clinical Study

Case Management Models and Continuing Care: A Literature Review across nations, settings, approaches, and assessments

Research excellence across clinical healthcare: a novel research capacity building programme for nurses and midwives in a large Irish region

Contact Info

Product

Resources

About