Structured review: evaluating the effectiveness of nurse case managers in improving health outcomes in three major chronic diseases

Sutherland, Debbie; Hayter, Mark

doi:10.1111/j.1365-2702.2009.02900.x

Cited by 96 publications

(107 citation statements)

References 28 publications

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“…These models have emerged through a An evaluation of the Evercare case management pilot indicated patient and carer preference for the model compared to previous service arrangements (Boaden et al, 2006, Sargent et al, 2007. Overall , nurse-led case management may have a positive impact on clinical outcomes, quality of life and functionality (Sutherland and Hayter, 2009), and is seen by patients, carers, health and social care professionals and the case managers themselves as an effective role in meeting health and social needs of the patient (Brown et al, 2008, Chapman et al, 2009, Dossa, 2010.…”

mentioning

confidence: 99%

The nursing contribution to chronic disease management: A case of public expectation? Qualitative findings from a multiple case study design in England and Wales

Wilson

Brooks

Procter

et al. 2012

International Journal of Nursing Studies

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mentioning

confidence: 99%

The nursing contribution to chronic disease management: A case of public expectation? Qualitative findings from a multiple case study design in England and Wales

Wilson

Brooks

Procter

et al. 2012

International Journal of Nursing Studies

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“…This result contrasts with those from previous studies, in which intervention has had a positive impact on quality of life. [17,[20][21][22] It might be that, without the intervention, quality of life for FAs would have worsened, but here it remained unchanged due to the fact that the matron took care of complex needs and provided support. Chronic diseases reported in the intervention group could also be a reason for quality of life not improving.…”

Section: Discussionmentioning

confidence: 99%

“…[17] Studies have shown that nurse case management has a positive impact on patient self-care and adherence to treatment, quality of life and functionality, and satisfaction and service use. [18][19][20] Also, patients with peritoneal dialysis have experienced a positive effect on their wellbeing when the nurse case management model is used. These patients have been shown to demonstrate a higher quality of life and feel more energetic after nurse-led intervention.…”

Section: Introductionmentioning

confidence: 99%

The effects of intervention on the quality of life, sense of coherence and daily activities of frequent attenders

Hirsikangas

Kanste²,

Korpelainen³

et al. 2017

JNEP

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Background and objective: When FAs with chronic disease and various needs are able to keep up their psychological and physical wellbeing, perform daily activities and maintain control of their life, they are able to live an active life and take care of themselves longer, and this has an impact on their quality of life. The role of community matron is to assess an individual's problems and needs for health services and improve the self-care of FAs by providing a needs-based education. The goal of this study is to evaluate the effectiveness of nurse-led intervention on the quality of life, sense of coherence and daily activities of frequent attenders (FAs).Methods: This study is an intervention trial, with a two-year follow-up, including intervention and control groups. The intervention group received nurse-led intervention that included the assessment of FAs care needs, an individualized care plan, support for self-management and service coordination. The FAs in the control group received traditional care, including patient education and support. Self-reported instruments were used to collect data from adult frequent attenders, including the Frenchay Activities Index (FAI), Sense of Coherence (SOC) and 15D, to assess the health-related quality of life (HRQoL). Follow-ups measurements were taken after one year and after two years between 2008 and 2011.Results: The study shows a significant correlation between sense of coherence and quality of life (p < .0005) and quality of life and amount of daily activities performed (p < .0005) in both groups. The intervention group had statistically significantly better sense of coherence at every stage of the study. The activities of daily living statistically significantly weakened in the intervention group (p = .001) from baseline to two years despite intervention, whereas in the control group it remained unchanged. In the control group, a statistically significant correlation was found between sense of coherence and FAs feeling satisfaction with their current life (p = .019). The HRQoL did not differ between the groups during the study. Conclusions:These results indicate a correlation between sense of coherence and quality of life and also between quality of life and amount of daily activities among FAs. Intervention did not improve the quality of life of FAs or their daily functioning. More research is needed to demonstrate the effects of community matron model on FAs care, the role of ehealth needs to be strongly involved.

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“…They have also been successful in radiation oncology multidisciplinary teams as evidenced by the provision of direct patient care, involvement in specialized procedures, and conducting initial and/or follow-up visits [29]. A structured review of the literature on specialist nursing roles in chronic disease management such as diabetes, coronary heart disease and chronic obstructive respiratory disease also concluded that nurses in such roles impact positively on care coordination, quality of life and functionality and self care [30]. ( The existing nurse co-ordinator (NC) roles at the study hospital, upon which the CR role was modelled, traditionally focus on patients newly diagnosed with cancer and on those with early stage disease receiving first line treatment.…”

Section: Discussionmentioning

confidence: 99%

Care requirements of patients with advanced cancer within a specialist centre – moving to person-centered approaches

Milne

Sheeran

Dryden

et al. 2011

IJPCM

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Despite the prolonged survival of many patients with advanced cancer and the increasing conceptualization of cancer as a chronic illness, care delivery systems within the Australian context continue to manage advanced cancer as an acute illness. Patients living with advanced cancer are managed alongside those with curable cancers in ambulatory models of care that centre on diagnosis, treatment decision-making or post treatment surveillance. Conversely, the needs of people with advanced disease are often complex, requiring high levels of collaboration between providers across acute, palliative and primary care settings in order to move forwards to a more person-centered approach to care. Aims: This paper addresses three specific aims: 1. to identify the care requirements and concerns of patients and their carers; 2. to examine the role of out-reach telephone calls as a component of care; 3. to identify the nurse's role in care coordination for patients with advanced cancer. Method: Two nurse clinician researchers (CR) managed a cohort of patients with advanced breast (n=12) and gastrointestinal cancers (n=16) over six and nine months respectively. Data were recorded on every interaction between the CRs and the patients, carers and other health professionals. The CRs were interviewed by an independent nurse researcher. Results: The symptoms and issues causing concern to patients and/or carers included pain, weakness, gastrointestinal symptoms, managing appointments and dealing with anxiety. The CR played a major role in coordinating care to address these concerns and found out-reach telephone calls facilitated the process. Conclusions: Patients with advanced cancer have complex needs and care coordination requirements not routinely met in an acute care setting. Input from a nurse working at an advanced level and the use of out-reach telephone calls can assist in meeting these care needs.

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Structured review: evaluating the effectiveness of nurse case managers in improving health outcomes in three major chronic diseases

Abstract: The evidence generated in this review suggests that nurse case managers have the potential to achieve improved health outcomes for patients with long term conditions. Further research is required to support role development and create a more targeted approach to the intervention.

Cited by 96 publications

References 28 publications

The nursing contribution to chronic disease management: A case of public expectation? Qualitative findings from a multiple case study design in England and Wales

The nursing contribution to chronic disease management: A case of public expectation? Qualitative findings from a multiple case study design in England and Wales

The effects of intervention on the quality of life, sense of coherence and daily activities of frequent attenders

Care requirements of patients with advanced cancer within a specialist centre – moving to person-centered approaches

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