Developing a new model of care for patients with chronic musculoskeletal pain

Abstract

The nurse consultant's role was pivotal in the implementation of the chronic pain service.

Together we are more effective: Nursing team members’ experiences of development work on patient education

“…Similarly, the exchange, gathering and sharing of implicit, explicit and cultural knowledge within the teams increased. This is significant since the utilization of expertise is important in the development of nursing [6,16,25,26] as the combined knowledge, skills of co-operating team members inevitably exceeds their individual knowledge and skills. In addition to processing information, the participants indicated that multiprofessional learning, responsibility and commitment were central to good teamwork, again in accordance with previous findings [8,11,12,19] .…”

“…Successful patient education requires seamless co-operation between healthcare units throughout the whole service process, and the employment of similar educational practices by all nursing staff within a given healthcare network [4,5] . The continuity of treatment for patients with long-term illnesses is promoted including by patient-based operation, flawless information flow, well-founded treatment programs and recommendations as well as multidisciplinary co-operation and staff training [3,6] . Hence, evaluating care pathways, developing operation models, strengthening healthcare personnel's education skills, and enhancing co-operation between primary and special healthcare units, are all important aspects of development in the field of healthcare [5,7,9,15] .…”

Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies

“…59 They may be responsible for the patient from admission to discharge, 80 without the patient seeing a doctor. 77 In other cases, nurses were in charge of the development and implementation of a specific specialist service, such as a chronic musculoskeletal pain service 42 or a mental health liaison service. 81 Steers et al, 82 based on a review of the evidence of providing palliative care in community hospitals in the UK, concluded that GPs generally acknowledged their dependence on nursing staff to support them to make timely management decisions following the admission of patients.…”

“…Examples include a treatment and diagnostic centre for gynaecology, 64 and a nurse-consultant-led clinic for patients with chronic musculoskeletal pain, 42 both set in the UK. Several studies reported on outpatient services that were developed in collaboration with larger hospitals, such as services for people with eating disorders, which used videoconferencing to connect participants in community hospital sites and a specialist service within a large urban hospital for weekly therapy sessions.…”

“…Community hospitals provide a wide range of services, across a broad spectrum of care provision, from preventative 38,39 and primary care 40,41 through to outpatient services, [42][43][44] inpatient medical care, 21,45 surgery, 46,47 minor injury care 48 and accident and emergency (A&E) care. 40,49 Within these broad areas, there was considerable diversity of the types of services provided, and a number of studies further reported on the implementation of new types and methods of service provision not previously available within the community hospital setting, such as point-of-care testing, 41 fracture clinics 50 or chemotherapy.…”