Introducing a new nursing care model for patients with chronic conditions

Nasrabad, Rafat Rezapour

doi:10.19082/3794

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…In this caring model, the focus of nursing services is on improvement of care quality, increase of outcomes for patient and family, decrease of hospitalization costs for patients with chronic diseases, and increase of the role and effect of care provided at home (2,14,15). During the past two decades, team-based care model guided by a nurse has been designed and tested by health researchers at the University of Pennsylvania of America (2,4).…”

Section: Literature Review In Transitional Care Modelmentioning

confidence: 99%

“…APRNs visit their patients within 24 hours of hospitalization, daily throughout the hospitalization, within 24 hours following hospital discharge to SNF or patient home, and at least weekly throughout the first month. Subsequently, the nurse may be required to visit the patient in-person during the first week after discharge from hospital and subsequently, patients' status is monitored through phone calls (1,2,15). …”

Section: Promoting Continuitymentioning

confidence: 99%

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Transitional care model: managing the experience of hospital at home

Rezapour-Nasrabad

2018

Electron J Gen Med

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Introduction: Design and use of effective strategies to improve care and achieve better results for patients with chronic diseases, reduce the frequency and cost of hospitalization is necessary for these patients. Transitional care model is a new model that have been effective in meeting the needs of these patients. The aim of this mini review study is investigating and describing the various aspects of transitional care model, benefits and core components. Design: The present investigation is a mini review study that conducted with library reading for data collecting. Methods: Scientific database (ISI, Pubmed, Scopus, Sciencedirect) were reviewed for articles related to the transitional care model literature. A total of 80 articles were obtained. Following applying the inclusion criteria (published between 2000 and 2017 in English language among peer-review journals), 5 articles were retained. These articles propose core components of the transitional care model and its benefits. Results: Transitional care model has some benefits, 8 main elements and 7 core components including:

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Section: Literature Review In Transitional Care Modelmentioning

confidence: 99%

Section: Promoting Continuitymentioning

confidence: 99%

Transitional care model: managing the experience of hospital at home

Rezapour-Nasrabad

2018

Electron J Gen Med

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Effects of the liaison nurse management on the infectious stroke complications: a randomized controlled trial

2022

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Background Two of the most serious complications after stroke are pneumonia, and urinary tract infection. Liaison nurse, from hospital admission to discharge and then at home helps patients with complicated caring issues stroke. This study investigates the effect of liaison nurse management on the incidence of pneumonia and urinary tract infection in patients with stroke after discharge from the hospital. Methods This randomized controlled trial was conducted on 80 patients in a hospital in Iran. The intervention group was assessed and developed a caring program by the liaison nurse and the control group received routine care. Two weeks and two months after discharge, the patients were evaluated for the incidence of pneumonia and urinary tract infection. Collected data were analyzed using the Chi-square test. P < 0.05 was considered statistically significant. Results The two groups were homogenous in terms of mean age; gender frequently distribution and having urinary catheter. The incidence of pneumonia in intervention and control groups (11.6% vs. 19.2%, P = 0.35) had no statistically significant differences, but there was a significant difference in the incidence of urinary tract infection (0% vs. 24.6%, P < 0.001). Conclusions With liaison nurse performance, there was a significant difference in the incidence of urinary tract infection, in two months after discharge from hospital, but the incidence of pneumonia had no statistically significant differences in two groups. Nurse’s evaluation each patient individually according to needs, developing and monitoring the home-based care program, beyond overall education to these patients, could reduce some of complications of a stroke. Trial registration This study is retrospectively registered by Iranian Registry of Clinical Trials with decree code: IRCT20170605034330N3 on April 4, 2018.

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Anticipated stigma and associated factors among chronic illness patients in Amhara Region Referral Hospitals, Ethiopia: A multicenter cross-sectional study

et al. 2022

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Background Anticipated stigma related to chronic illness patients undermines diagnosis, treatment, and successful health outcomes. The study aimed to assess the magnitude and factors associated with anticipated stigma among patients with chronic illness attending follow-up clinics in Amhara Region Referral Hospitals, Ethiopia. Methods A cross-sectional institution-based study was conducted in Amhara Region Referral Hospitals from 01 March to 15 April 2021. A simple random sampling technique was used to select the three Referral Hospitals in the region and study subjects. Data were collected using a pre-tested interview-based questionnaire. Data were entered and cleaned with Epi-Info version 6 and exported for analysis STATA version 14. Multiple linear regression was used to show the association between anticipated stigma and potential factors. Associations were measured using ß coefficients and were considered statistically significant if the p-value > 0.05. Results A total of 779 patients were included for analysis with a response rate of 97%. Their mean (Standard deviation) of anticipated stigma was estimated at 1.86 and 0.5, respectively. After running an assumption test for multiple linear regression; educational status, cigarette smoking, psychological distress, medication adherence, alcohol consumption, and social part of the quality of life were statically significantly associated with anticipated stigma. Conclusion and recommendation The result showed a high level of anticipated stigma reported among the participants. Emphasizing improving their social part of the quality of life, avoiding risky behaviors like alcohol consumption and cigarette smoking, access to health education for chronically ill patients, integrating mental health in all types of chronic disease, and developing strategies and protocols which will help to improve patient medication adherence to their prescribed medication will be crucial. This can provide a foundation for government andnon-governmental organizations, and researchers implementing evidence-based interventions and strategies on chronic care to address factors related to anticipated stigma.

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Introducing a new nursing care model for patients with chronic conditions

Cited by 5 publications

References 11 publications

Transitional care model: managing the experience of hospital at home

Transitional care model: managing the experience of hospital at home

Effects of the liaison nurse management on the infectious stroke complications: a randomized controlled trial

Anticipated stigma and associated factors among chronic illness patients in Amhara Region Referral Hospitals, Ethiopia: A multicenter cross-sectional study

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