Mini Review of Integrated Care and Implications for Advanced Practice Nurse Role

McIntosh, Diana; Startsman, Laura F.; Perraud, Suzanne

doi:10.2174/187443460160101078

Cited by 8 publications

(3 citation statements)

References 18 publications

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“…With regard to the individual predictor results, the Swiss CMHNS and their practice should be developed to ensure better coverage for under-treated groups, like males, with a focus on how CMHNS could be offered to persons with mental health needs outside of the psychiatric system. To put this recommendation into practice, nursing services should be better represented and implemented in primary care, similar to the relevant discourse and development in other countries (DiCenso et al 2007;McIntosh et al 2016).…”

Section: Conclusion Implications For Practicementioning

confidence: 99%

Predictors of community mental health nursing services use in Switzerland: Results from a representative national survey

Burr¹,

Richter

2021

Int J Mental Health Nurs

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Community mental health services are the service of choice in the mental health field. In recent years, demand for these services has increased significantly. Nurses play a central role in community mental health services. Nevertheless, predictive factors of the use of such services are unclear, especially in Switzerland. This study aimed to examine relevant predictors of persons with mental health problems' use of community mental health nursing services in Switzerland. Swiss Health Survey 2017 data were used to compare those who use community mental health nursing services with those who do not. We found that age, number of doctor visits, problems with instrumental activities of daily life, use of informal help, use of emergency services, taking psychotropic medication, being female, and living without a partner were positive predictors, while experiencing severe physical symptoms was a negative predictor. Several of our findings confirm the similarity between the utilization of community mental health nursing services and the use of community mental health services in general. Our results suggest that community mental health nursing services deserve the same prominent place in the mental health system and its corresponding policies. This should be taken as an argument for policy development and better reimbursement. In research, health surveys should focus on nursing and need-related questions. Additionally, it is necessary to develop community mental health nursing services from an add-on service into independent nursing services and evaluate these services.

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Section: Conclusion Implications For Practicementioning

confidence: 99%

Predictors of community mental health nursing services use in Switzerland: Results from a representative national survey

Burr¹,

Richter

2021

Int J Mental Health Nurs

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“…When obstacles to trust, such as competition or role ambiguity, exist, they are likely to stand in the way of optimizing collaboration. A recent review of the role of American advanced nurse-practitioners (ANPs) in relation to others within the MDT concluded that better outcomes are achieved when ANPs have a defined role inclusive of “competencies, leadership, engagement, collaboration, and advocacy” 36. Under the current model of service provision in the Netherlands, similar arrangements for HMs may assist in reducing barriers in MDT collaboration.…”

Section: Discussionmentioning

confidence: 99%

How good is collaboration between maternity service providers in the Netherlands?

Cronie¹,

Rijnders²,

Jans³

et al. 2018

JMDH

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AimsTo examine the experiences of inter-professional collaboration of maternity service providers in the Netherlands and to identify potential enhancing and inhibiting factors for inter-professional collaboration within maternity care in the Netherlands.BackgroundGood collaboration between health care professionals is a key element of safe, effective care, but creating a collaborative culture can be challenging. Good collaboration requires, among other things, negotiating different professional orientations and the organizational constraints of hierarchies and scheduling. Good collaboration is especially important in maternity care. In the Netherlands, suboptimal collaboration has been cited as a significant factor in maternal deaths and in adverse incidents occurring in hospitals during evenings, nights, and weekends. In spite of its importance for effective maternity care, little is known about the nature and quality of collaboration between maternity care professionals. In order to fill this gap, we examined the inter-professional collaboration within multi-disciplinary teams (MDTs) providing maternity services in the Netherlands.MethodsOnline survey of MDTs (consisting of hospital and PCMs, doctors, and carers) involved in the provision of maternity services in the Netherlands. We used a validated measure of collaboration (the Leiden Quality of Work Questionnaire) to analyze the attitudes of those involved in the provision of maternity services about multi-disciplinary collaboration in their work. We used descriptive and inferential statistics to assess differences between the groups.Results40% of all respondents were not satisfied with collaboration within their MDT. Overall, mean collaboration scores (MCS) were low. We found significant differences in MCS between professional groups. Midwives – community and hospital based – were pessimistic about collaboration in future models of maternity care.DiscussionIn the Netherlands, collaboration in maternity care is less than optimal. Poor collaboration is associated with negative consequences for patient safety and quality of care. Strategies to address suboptimal collaboration exist; however, no one-size-fits-all approach is identified in the literature.ConclusionSuboptimal collaboration exists within the midwifery model of care in the Netherlands and the relationship between care providers is under pressure. This could affect patient safety and quality of care, according to the literature.PrécisThis paper presents an in-depth examination of the nature of, and attitudes about, collaboration between members of the MDT involved in the provision of maternity services in the Netherlands.

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“…Little is known of Advanced Practice Registered Nurses' (APRNs) integrating primary and behavioural healthcare. An American study found implications for the Integrated Care advanced practice nurse to have roles inclusive of competencies, leadership, engagement, collaboration and advocacy [6]. Halliday et al [7] in exploring perceptions of the role of the advanced nurse practitioner in a 'hospital at day' setting found similar competencies expressed by ward staff.…”

Section: Integration Initiative By Advanced Nurse Practitionersmentioning

confidence: 99%

Integrated Care: The Way Forward for Advanced Nurse Practitioners by Using Strategy Initiatives

2024

Int J Nurs Health Care Res

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Strategy enables nurses and managers to respond to the challenging trends occurring in health service delivery. The aim of this Commentary is to explore the importance of Integrated Care by demonstrating its strategic potential for advanced nurse practitioners in delivering care. An evidence review of 35 articles accessed from Cinahl and Medline (2023) is presented. A new strategic area of nursing practice is Integrated Care although involvement by the nursing profession in this area remains limited. Strategy has been emphasised as an important key stone for nurses in delivering care [1,2].Advanced nurse practitioners (ANP's) are ideally situated to expanding their strategic roles by being involved in the development and implementation of Integrated Care processes and systems where possible. A critical strategy relates to utilising knowledge for forming the basis of clinical assessment, decisionmaking and case management as key advanced nurse practitioner roles. Future insights highlight that organisations are also benefiting from their work [3]. Specialist nurses are leading the way in new organisational strategic areas due to the increasing requirement for hospital beds, cost restriction and medical teams. This means that nurse specialists are being driven to include new areas of practice. Manoj and Moore et al. [3] support the belief that a highly skilled nurse in a relevant background, working in a supportive organisational framework, can make a valuable, safe contribution to resident or patient care.

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Mini Review of Integrated Care and Implications for Advanced Practice Nurse Role

Cited by 8 publications

References 18 publications

Predictors of community mental health nursing services use in Switzerland: Results from a representative national survey

Predictors of community mental health nursing services use in Switzerland: Results from a representative national survey

How good is collaboration between maternity service providers in the Netherlands?

Integrated Care: The Way Forward for Advanced Nurse Practitioners by Using Strategy Initiatives

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