Assessment of Interprofessional Collaborative Practices and Outcomes in Adults With Diabetes and Hypertension in Primary Care

Lee, Jeannie K.; McCutcheon, Livia R.M.; Fazel, Maryam; Cooley, Janet; Slack, Marion

doi:10.1001/jamanetworkopen.2020.36725

Cited by 54 publications

(56 citation statements)

References 69 publications

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“…Of particular note is that the percentage of patients at blood pressure goal improved remarkably over the course of the study from 50.8% to 84.6%. In congruence with previously published research [ 24 , 32 , 33 , 40 , 41 ], our study findings showed a clinically significant reduction both in SBP (9.0 mmHg) and DBP (4.9 mmHg). As reported by the European Society of Cardiology, meta-analyses of RCTs have shown that a 10 mmHg reduction in SBP or a 5 mmHg reduction in DBP has a strong clinical impact on all major CV events, all-cause mortality, stroke, coronary events, and heart failure, hence rendering our study findings highly relevant [ 38 ].…”

Section: Discussionsupporting

confidence: 93%

“…The obtained results indicate that provision of the pharmaceutical care practice in the primary healthcare setting in Croatia improves patients’ clinical parameters such as blood pressure, TC, LDL-C, and HbA1c, and reduces healthcare utilisation. The results of this study are consistent with previous research, indicating improvements in clinical outcomes and avoidance of healthcare service utilisation in the CMM group [ 9 ] and interprofessional collaborative practices in general [ 40 ]. Furthermore, this is the first quasi-experimental study with the inclusion of a non-random control group that used the methodology of Cipolle et al [ 36 ] in the provision of pharmaceutical care to older CV patients.…”

Section: Discussionsupporting

confidence: 91%

“…The other clinical outcomes, LDL-C and HbA1c, also substantially improved, consistent with findings published elsewhere [19,20,23,24,26,31,34,40]. Moreover, although the LDL baseline values were lower in the intervention group, this study demonstrated a significant improvement in LDL-C compared to the control group.…”

Section: Discussionsupporting

confidence: 90%

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Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study

Brajković

Bosnar

Prkačin

et al. 2022

IJERPH

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The objective of this study was to evaluate the impact of comprehensive medication management (CMM) services on healthcare utilisation and cardiovascular risk factors among older patients with established cardiovascular diseases (CVDs). This quasi-experimental study that was performed at the Croatian primary care ambulatory clinic included patients aged 65 to 80 years. Patients were divided into intervention (65 patients) and control groups (68 patients) and were followed-up for one year. Pharmacists provided face-to-face consultations to patients from the intervention group. Groups were compared with regards to the clinical parameters (blood pressure, HbA1c, LDL, TC) and healthcare utilisation (hospital admission, emergency visits, unplanned GP visits). The CMM intervention significantly improved systolic blood pressure (p = 0.038), diastolic blood pressure (p = 0.001), total cholesterol (p = 0.014), low-density lipoprotein cholesterol (p = 0.005), and glycosylated haemoglobin (p = 0.045) in comparison with the control group. Patients included in CMM services had statistically and clinically lower systolic (−9.02 mmHg, p < 0.001) and diastolic blood pressure (−4.99 mmHg, p < 0.001) at the end of the study. The number of hospital admissions and unplanned GPs visits were 3.35 (95% CI 1.16–10.00) and 2.34 (95% CI 1.52–3.57) times higher in the control group compared to the intervention group, respectively. This study demonstrated that pharmacists providing CMM services can significantly contribute to better clinical outcomes and lower healthcare utilisation, thus potentially contributing to total healthcare savings.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 91%

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Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study

Brajković

Bosnar

Prkačin

et al. 2022

IJERPH

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“…Tais dificuldades perpassam, em boa parte, pelos desafios impostos por concepções de masculinidade que modulam o comportamento desse grupo social (18) . No entanto, é necessário que os enfermeiros persistam na realização de intervenções de apoio ao autocuidado de homens com diabetes, especialmente em perspectiva interprofissional e colaborativa, pois, quando participam de intervenções dessa natureza, são identificados benefícios, como redução de fatores de risco cardiometabólicos (19) .…”

Section: Resultsunclassified

Efeitos Do Autocuidado Apoiado Por Enfermeiros Em Homens Com Diabetes Mellitus Tipo 2

Arruda

Marcon

Peruzzo

et al. 2022

Rev. baiana enferm.

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Objetivo: avaliar os efeitos do autocuidado apoiado desenvolvido por enfermeiros sobre o conhecimento referente à doença, autocuidado, ajustamento psicológico e autoeficácia de homens com Diabetes Mellitus tipo 2. Método: ensaio clínico randomizado (REBEC: RBR-46zk89; ClinicalTrials: NCT02974413), que envolveu dez clusters, 73 homens de 40 a 70 anos, com Diabetes Mellitus tipo 2, distribuídos nos Grupos Intervenção (n=30) e Controle (n=43). Intervenção realizada individualmente ou em grupo. Utilizaram-se Equações de Estimações Generalizadas para comparações intra e intergrupos. Resultados: efeito estatisticamente significante só foi observado em relação ao aumento do conhecimento sobre a doença (p<0,001), especialmente na participação individual (p=0,005). Referente ao tipo de participação, evidenciou-se, de forma não significante, melhor ajustamento psicológico e autocuidado para os participantes da intervenção em grupo. Conclusão: o autocuidado apoiado por enfermeiro melhorou o conhecimento de homens com Diabetes Mellitus tipo 2 e, de forma não significante, promoveu ajustamento psicológico e autocuidado na participação em grupo. Descritores: Saúde do homem. Diabetes Mellitus. Autocuidado. Atenção Primária à Saúde. Enfermagem. Objective: to evaluate the effects of supported self-care developed by nurses on knowledge related to disease, self-care, psychological adjustment and self-efficacy of men with type 2 Diabetes Mellitus. Method: randomized clinical trial (REBEC: RBR-46zk89; ClinicalTrials: NCT02974413), which involved ten clusters, 73 men aged 40 to 70 years, with Type 2 Diabetes Mellitus, distributed in the Intervention (n=30) and Control (n=43) groups. Intervention performed

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“…In this way, studies show the importance of strong implementation strategies involving partnerships between all professionals of the Basic Health Units, as it could be possible to have a broad portrait of the community and the consequent development and encouragement of the use of specific techniques and processes to promote quality health (23) . The expansion of strategies for other sexual and gender minorities (lesbians, gays, bisexuals, and transsexuals) can be encouraged since this population has less adherence to preventive exams for fear of stigma and discrimination.…”

Section: Catalyzing Change […] Regarding the Prevention Of Cervical And Breast Cancer From Time To Time I'll Do An Educational Practice [mentioning

confidence: 99%

Nurse’s competences in promoting women’s health in light of the Galway Consensus

et al. 2022

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Objectives: to identify nurses’ competences in promoting women’s health. Methods: descriptive study with a qualitative approach that adopted the Galway Consensus as a theoretical-methodological framework. Data collection was performed through semi-structured interviews. Results: most of the Galway Consensus’ competence domains were present in the nurses’ interventions related to health promotion in women’s care. “Assessment of needs” and “Implementation” were the most highlighted domains, followed by “Leadership” and “Impact assessment”. The domain “Defending/Advocating Rights” was not identified. Final Considerations: within the nurses’ work with women, some of the Galway Consensus domains of competencies for health promotion were present. However, there is a need, in the context of continuous health education, to expand strategies and enhance the development and application of these health promotion competences.

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Assessment of Interprofessional Collaborative Practices and Outcomes in Adults With Diabetes and Hypertension in Primary Care

Cited by 54 publications

References 69 publications

Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study

Healthcare Utilisation and Clinical Outcomes in Older Cardiovascular Patients Receiving Comprehensive Medication Management Services: A Nonrandomised Clinical Study

Efeitos Do Autocuidado Apoiado Por Enfermeiros Em Homens Com Diabetes Mellitus Tipo 2

Nurse’s competences in promoting women’s health in light of the Galway Consensus

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