Patients' experiences of nurse case management in primary care: a meta-synthesis

Abstract

The health system in New Zealand and Australia requires health practitioners to prepare for the challenge of long-term conditions. Wagner's 1998 Chronic Care Model advocates a move away from the traditional acute model of primary health care to a model that addresses the long-term episodic nature of chronic disease. Nurse case management has been developed over the last 2 decades as a means to coordinate health services for people with long-term conditions. This meta-synthesis combines the results of 15 qualitative research studies that have a similar research question regarding peoples' perceptions of nurse case management. The research synthesises the experiences of people with long-term conditions on the quality of care under a nurse case management model of primary health care. Over 1000 people were represented across the studies, and the results suggest that people had a high degree of confidence and trust in their nurse case manager, were better able to manage their health conditions with nurse case management support, and had better access to appropriate health care. This research suggests that nurse case management is an effective model of care and may contribute to improved quality of life and better health care for those with long-term health conditions.

Case management as a high-risk prenatal care strategy

“…Although this study did not take into account the measurement of economic results and gestational outcomes, positive effects were observed. The literature highlights meaningful improvements in relation to user satisfaction with treatment, reduction of hospitalizations and expenses, control of symptoms, and even modification of lifestyles (38)(39) . These characteristics project other developments for case management, either through the development of technologies, as in the USA, where software has already been developed in this perspective, or through the influence of other sectors concerned with care qualification, growing more and more (11) as it has been shown to positively affect health care outcomes (30) .…”

Nurse managers experiences of their leadership roles in a specific mining primary healthcare service in the West Rand

“…Askerud and Conder ( 2017 :424) articulated that leadership in mPHC is expected to collaborate and coordinate the PHC processes, including facilitation of information to promote the quality and efficacy of required patient care. Coordination and facilitation of processes among team members in a mPHC service is difficult to observe without active involvement of NMs in all teams’ activities (Chang et al 2017 :926; Jooste 2014 :348).…”

Implementation of interventions to reduce preventable hospital admissions for cardiovascular or respiratory conditions: an evidence map and realist synthesis

“…Wagner et al's 92 chronic care model (CCM) has been proposed as a framework to restructure the health system towards integrated, proactive, consistent and continuous care, and, thus, anticipate acute exacerbations or lessen their consequences. 93 The CCM draws on six interacting elements: links with the community, the health system, self-management support, tailored delivery system design, help for decision support and adequate clinical information systems. 94 Case management for people with complex care needs offers a potential strategy for delivering this type of integrated care.…”