Effects of specialized community nursing care in patients with chronic obstructive pulmonary disease

Ketelaars, Corry A.J.; Abu‐Saad, Huda Huijer; Halfens, Ruud J.G.; Schlosser, M.; Mostert, R.; Wouters, Emiel F.M.

doi:10.1016/s0147-9563(98)90018-8

Cited by 16 publications

(27 citation statements)

References 24 publications

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“…It did not significantly change total functional status as measured by the St George's respiratory questionnaire. This result is similar to those of some previous reports 13 14and in contrast with those of other studies that showed no impact of education on functional status. 15 16Our study did not include specific intensive interventions shown to improve functional status, such as exercise training or continuous positive airways pressure.…”

Section: Discussionsupporting

confidence: 92%

Randomised controlled trial of home based care of patients with chronic obstructive pulmonary disease

Hermiz

Comino²,

Marks³

et al. 2002

BMJ

165

192

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Section: Discussionsupporting

confidence: 92%

Randomised controlled trial of home based care of patients with chronic obstructive pulmonary disease

Hermiz

Comino²,

Marks³

et al. 2002

BMJ

165

192

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show abstract

“…Four clusters emerged. Studies on home‐based respiratory care were most frequent (Ketelaars et al. 1998, Smith et al.…”

Section: Resultsmentioning

confidence: 99%

“…2006). Finally, there were studies on the impact of specialisation and the role of respiratory nurses in relation to patients’ outcomes (Ketelaars et al. 1996, 1998, Steinel & Madigan 2003, Coultas et al.…”

Section: Resultsmentioning

confidence: 99%

“…Main content of services were health assessment, teaching patients about the disease, disease management, breathing technique and medications, advice on activities of daily living (ADL), adoption of a healthy life style (e.g. smoking cessation), symptom identification, management of exacerbations, information on service referrals and availability of telephone contact with health professionals (Ketelaars et al. 1996, 1998, Smith et al.…”

Section: Resultsmentioning

confidence: 99%

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Nursing care in the chronic phase of COPD: a call for innovative disciplinary research

Jónsdóttir

2008

Journal of Clinical Nursing

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Nursing care in nurse clinics that focus on the chronic phase of COPD needs to be based on nursing knowledge, evidence based, comprehensive, family-centred, focused on health and the health experience and be situated within the service system. Diversity, creativity and nursing values should prevail when developing nurse clinics for the purpose of creating possibilities to attend to the whole of patients' and their families' needs and experiences.

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“…However, previously performed studies on the effectiveness of early assisted discharge showed that the use of generic community nurses had no effects on patient outcomes [18,19]. In addition, another study showed that in post-rehabilitation COPD patients, delivery of home care by specialised nurses showed no superior results over care delivered by generic nurses [20]. Any deficits in the disease-specific knowledge of generic community nurses could be solved by a special education program focussing on COPD, as was done in the study of Davison et al [18].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of health care providers’ role transition and satisfaction in hospital-at-home for chronic obstructive pulmonary disease exacerbations: a survey study

Utens

Goossens

Schayck

et al. 2013

BMC Health Serv Res

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BackgroundHospital-at-home is an accepted alternative for usual hospital treatment for patients with a Chronic Obstructive Pulmonary Disease (COPD) exacerbation. The introduction of hospital-at-home may lead to changes in health care providers’ roles and responsibilities. To date, the impact on providers’ roles is unknown and in addition, little is known about the satisfaction and acceptance of care providers involved in hospital-at-home.MethodsObjective of this survey study was to investigate the role differentiation, role transitions and satisfaction of professional care providers (i.e. pulmonologists, residents, hospital respiratory nurses, generic and specialised community nurses and general practitioners) from 3 hospitals and 2 home care organisations, involved in a community-based hospital-at-home scheme. A combined multiple-choice and open-end questionnaire was administered in study participants.ResultsResponse rate was 10/17 in pulmonologists, 10/23 in residents, 9/12 in hospital respiratory nurses, 15/60 in generic community nurses, 6/10 in specialised community nurses and 25/47 in general practitioners. For between 66% and 100% of respondents the role in early discharge was clear and between 57% and 78% of respondents was satisfied with their role in early discharge. For nurses the role in early discharge was different compared to their role in usual care. 67% of generic community nurses felt they had sufficient knowledge and skills to monitor patients at home, compared to 100% of specialised community nurses. Specialised community nurses felt they should monitor patients. 60% of generic community nurses responded they should monitor patients at home. 78% of pulmonologists, 12% of general practitioners, 55% of hospital respiratory nurses and 48 of community nurses was satisfied with early discharge in general. For coordination of care 29% of community nurses had an unsatisfied response. For continuity of care this was 12% and 10% for hospital respiratory nurses and community nurses, respectively.ConclusionA community-based early assisted discharge for COPD exacerbations is possible and well accepted from the perspective of health care providers’ involved. Satisfaction with the different aspects is good and the transfer of patients in the community while supervised by generic community nurses is possible. Attention should be paid to coordination and continuity of care, especially information transfer between providers.

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Effects of specialized community nursing care in patients with chronic obstructive pulmonary disease

Cited by 16 publications

References 24 publications

Randomised controlled trial of home based care of patients with chronic obstructive pulmonary disease

Randomised controlled trial of home based care of patients with chronic obstructive pulmonary disease

Nursing care in the chronic phase of COPD: a call for innovative disciplinary research

Evaluation of health care providers’ role transition and satisfaction in hospital-at-home for chronic obstructive pulmonary disease exacerbations: a survey study

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