“In Our Corner”: A Qualitative Descriptive Study of Patient Engagement in a Community-Based Care Coordination Program

Abstract

The purpose of this study was to explore participants' experience in the Health Quality Partners (HQP) Care Coordination Program that contributed to their continued engagement. Older adults with multiple chronic conditions often have limited engagement in health care services and face fragmented health care delivery. This can lead to increased risk for disability, mortality, poor quality of life, and increased health care utilization. A qualitative descriptive design with two focus groups was conducted with a total of 20 older adults enrolled in HQP's Care Coordination Program. Conventional content analysis was the analytical technique. The overarching theme resulting from the analysis was "in our corner," with subthemes "opportunities to learn and socialize" and "dedicated nurses," suggesting that these are the primary contributing factors to engagement in HQP's Care Coordination Program. Study findings suggest that nurses play an integral role in patient engagement among older adults enrolled in a care coordination program.

How home health nurses plan their work schedules: A qualitative descriptive study

“…Therefore, being respectful of patient's preferences helps establish a trusting nurse–patient relationship (Leslie & Lonneman, ) and can subsequently improve patient experience and satisfaction. The findings of this study suggest that the nurse–patient relationship promoted patient commitment to engage with the nurse and reach goals, which is consistent with the existing literature on nurse–patient relationship in a community setting (Sefcik et al., ).…”

A state‐of‐the‐art review of the experience of care coordination interventions for people living with multimorbidity

“…Two studies were focused on specific cultural populations in Australia, Canada and New Zealand (Askew et al, 2016; Sheridan et al, 2019). Eight articles focused on older adults living with multimorbidity (Brown, Stainer, Stewart, Clacy, & Parker, 2008; Greenfield et al, 2014; Hjelm, Holst, Willman, Bohman, & Kristensson, 2015; Newbould et al, 2012; Scholz Mellum, Martsolf, Glazer, Tobias, & Martsolf, 2018; Sefcik et al, 2018; Spoorenberg et al, 2015; Yeager et al, 2018). Eight articles reported interventions targeting participants deemed to be at high risk of hospital admission (Gowing, Dickinson, Gorman, Robinson, & Duncan, 2016; Grinberg, Hawthorne, LaNoue, Brenner, & Mautner, 2016; Hjelm et al, 2015; Hudon, Chouinard, Diadiou, Lambert, & Bouliane, 2015; Hudon et al, 2018; Mao et al, 2017; Newbould et al, 2012; Walker et al, 2013).…”

“…Seven articles reported experiences of care coordination interventions where relationships with healthcare professionals (HCPs) were developed, almost always on a basis of establishing trust between the HCP and participant (Grinberg et al, 2016; Hjelm et al, 2015; Hudon et al, 2015, 2018; Mao et al, 2017; Sefcik et al, 2018; Sheridan et al, 2019; Spoorenberg et al, 2015). For example, the Camden Coalition of Healthcare Providers’ case management initiative in the USA was designed to reduce hospital admissions for people living with multimorbidity and vulnerabilities (Grinberg et al, 2016).…”

“…An alternative perspective is that of trustworthiness (Lincoln & Guba, 1985), comprising methods and strategies to judge the quality of a qualitative study. Only two of the 18 articles included in our review addressed trustworthiness (Hjelm et al, 2015; Sefcik et al, 2018). There are various strategies to ensure the trustworthiness of qualitative studies (Carminati, 2018; Lincoln & Guba, 1985, 1986; Noble & Smith, 2015); a discussion of these is beyond the scope of this review.…”

Letter to Editor: A Brief Look at Nursing Investment Based on the Slogan of the International Council of Nurses in 2018

“…Achieving the highest standard of care for everyone requires nurses' insight and understanding of how the healthcare system works and how it can be improved. Nurses can lead and support the healthcare system through implementing a human rights approach to health in all healthcare aspects (Sefcik et al 2018).…”