Impact of the Case Management Model through Community Liaison Nurses

Abstract

The objective of the present study is to assess the model’s impact on patients and their families in terms of outcomes and the efficiency results for the health system in Tenerife, Canary Islands, selecting a period of eight years from the time interval 2002–2018. The employed indicators were collected on a monthly basis. They referred to home care and its impact on clinical outcomes and on the use of resources. The comparison between the indicators’ tendencies with and without the liaison nurse model was done with the F-test by Snedecor. All these tests are bilateral, with a level of significance of p < 0.05. In those areas with community liaison nurse (CLN), improvements have been found in indicators that describe: (1) the management of the clinical status of patients, (2) the efficiency of the use of resources, and (3) the quality and compliance with the process that also includes home visits and social risk detection and management. It can be said that in the basic areas of primary health care where the work of the CLN develops there are improvements in the management of the patients’ clinical condition as well as in the quality and efficiency of care.

Emotional Universe of Nurse Case Managers Regarding Care for Elderly at Risk in Spain: A Hermeneutical Study

“…In addition, the NCM in our study recognize the positive impact of the team on their own work and satisfaction. This result is consistent with previous studies reporting how the satisfaction of NCM increased when their professional experience was recognized by other disciplines [ 2 , 59 ].…”

“…The role and collaborative process of nurse case managers (NCM) consist of the following five constitutive actions to meet health needs, as described in the scientific literature: to assess, plan, implement, coordinate, and value options and services [ 1 ]. This role involves rarely visible emotional phenomena, such as emotional labor, well-being, satisfaction, and inspiration that can derive from it [ 2 , 3 , 4 ]. This invisibility of their experience and affective impact is even larger when their work focuses on the complex care of older patients, in general, and those considered “elders at risk” (EAR, defined below) in particular.…”

“This Graft-vs.-Host Disease Determines My Life. That's It.”—A Qualitative Analysis of the Experiences and Needs of Allogenic Hematopoietic Stem Cells Transplantation Survivors in Germany

“…This system involves specialized nurses providing individually tailored advice on alloHSCT-survivors' supportive care post discharge, including constant low threshold counseling on survivorship issues during the recovery process post alloHSCT. A number of studies suggest that involving liaison nurses can improve the continuity of care and patient outcomes ( 51 , 52 ). One of the key elements of involving liaison nurses is that counseling already starts before alloHSCT to help build a solid and continuing relationship before further medical interventions are required.…”

Barriers and Facilitators of Communication in the Medication Reconciliation Process during Hospital Discharge: Primary Healthcare Professionals’ Perspectives

“…The main function of case management nurses is ensuring precise coordination and communication between the different levels of care [22]. However, and despite the benefits for interlevel coordination of the actions of the case management nurse, the number of such professionals in primary healthcare centres in Spain is insufficient [54,55]. Therefore, not all older people who are discharged after hospitalization can benefit from the coordination that the case management nurse can provide.…”