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, Patricia M.; Brooks, Fiona; Procter, Susan; Kendall, Sally

doi:10.1016/j.ijnurstu.2011.10.023

Cited by 31 publications

(34 citation statements)

References 37 publications

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“…integrated services of doctors and nurses, and team-work, improve patient care and health outcomes. [26] Patients value ease of contacting a nurse, shorter waiting times, rapid response and a less formal relationship and communicative style. Good communication and listening, proper instructions and confidentiality during the consultation increase satisfaction and enhance the perception of continuity of care.…”

Section: Discussionmentioning

confidence: 99%

Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up

Raivio

Paavilainen

Mattila

2018

CNS

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Objective: Continuity is an essential part of high-quality nursing care. This study is the first systematic follow-up of Finnish primary health care patients assessing continuity of health centre nursing staff. The aim was to ascertain how longitudinal interpersonal continuity of care is related to patients' characteristics, their consultation experiences, and how continuity had changed over the 15-year study period.Methods: A questionnaire survey was conducted among patients attending the health centres in the Tampere University Hospital catchment area from 1998 to 2013. A total of 157,549 patients responded out of 363,464 in almost 60 health centres. We analysed the opinions of patients (n = 47,470) who had visited a nurse during the survey weeks. Opinions on the continuity of care were assessed with the question: "When visiting the health centre, do you usually see the same nurse", the alternatives being "yes" or "no". A binary logistic regression model was used.Results: Almost two thirds of the respondents had met the same nurse when visiting their health care centre. Longitudinal interpersonal continuity of care decreased by 15 percentage (67%-52%) during the study years. Continuity was connected to patient-related items such as a visit in the preceding 12 months (OR 1.32, 95% CI 1.17-1.49) and non-urgency of the visit (OR 1.44, 95% CI 1.27-1.63). The most prominent factor contributing to the sense of continuity of care was how attentively nurses had listened to their patients' problems and shown an interest in them and a willingness to answer their questions (OR 1.31, 95% CI 1.120-1.43). Conclusions:In the past 15 years patient-reported longitudinal interpersonal continuity of nursing care has declined. However continuity of care proved to enhance the experienced quality of primary health care. Continuity was best realized in nursing care when nurses had listened to their patients' problems, showed interest toward them and a willingness to answer their questions.

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Section: Discussionmentioning

confidence: 99%

Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up

Raivio

Paavilainen

Mattila

2018

CNS

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“…Results from the PEARLE study specifically relating to public perception of the nurse's role in long term conditions are reported elsewhere (Wilson et al, 2012). The findings presented here are taken from an analysis of six case study sites (see Table 1) representing three of the four delivery systems for LTC identified by the UK Department of Health (2005a), these are shown in Fig.…”

Section: Methodsmentioning

confidence: 99%

“…In each case study site the number of participants recruited was justified by the degree of saturation that was being reached through the interview process (Kuper et al, 2008). Details of each case study site are provided in Wilson et al (2012) and are summarised below.…”

Section: Data Collectionmentioning

confidence: 99%

Success and failure in integrated models of nursing for long term conditions: Multiple case studies of whole systems

Procter

Wilson

Brooks

et al. 2013

International Journal of Nursing Studies

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“…Smith in sodelavci (2016) opozarjajo na pomen podporne zdravstvene politike in obravnave ljudi z več obolenji na primarni ravni zdravstvenega varstva. Raziskava iz Anglije in Walesa kaže (Wilson, et al, 2012), da si ljudje želijo, da je njihova kronična bolezen vodena z biomedicinskim pristopom, ki vključuje tudi diplomirano medicinsko sestro, in da so bolj zadovoljni, če so vodeni v utečenem sistemu oz. če so deležni storitev, ki jih že poznajo.…”

Section: Uvodunclassified

Izkušnje medicinskih sester v patronažnem varstvu z obiski na domu v okviru projekta Nadgrajena celovita obravnava pacienta: rezultati pilotne raziskave

Pajk¹,

Benkovič²,

Susič³

2017

Obzor Zdrav Neg

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IZVLEČEKUvod: Patronažno zdravstveno varstvo je pomemben člen pri odkrivanju, spremljanju in obravnavi kroničnih bolezni na primarni ravni. Namen raziskave je bil predstaviti izkušnje in stališča do nadgrajene preventivne obravnave ter obiskov na domu. Metode: Uporabljen je bil mešani raziskovalni dizajn. Podatki so bili zbrani z delno strukturiranim vprašalnikom (Cronbach α = 0,92). Sodelovalo je 50 diplomiranih medicinskih sester, odzivnost je bila 81-% (n = 41). Opravljena je bila tematska analiza odprtih vprašanj. Za kvantitativne podatke je bila uporabljena opisna statistika, t-test, analiza variance in korelacijska analiza. Rezultati: Prispevek preventivnih obiskov na domu anketiranci vidijo v zdravstvenovzgojnem delovanju ( = 4,34, s = 0,85), odkrivanju rizičnih dejavnikov ( = 4,12, s = 0,81) in ohranjanju kakovosti življenja pacientov ( = 4,10, s = 0,92). Zadovoljstvo anketirancev je povezano s sprejemanjem obiskov s strani pacientov in družin (r = 0,754, p < 0,001), s prispevkom k stroki patronažnega varstva (r = 0,766, p < 0,001) ter z obravnavo posameznika z družino (r = 0,693, p < 0,001). V tematski analizi sta bili identificirani dve temi, in sicer (1) pozitivne izkušnje z obiski in (2) negativne izkušnje z obiski. Diskusija in zaključek: Novo obliko preventivnih patronažnih obiskov v domačem okolju anketirani podpirajo, še posebej možnost celovite obravnave posameznika in njegove družine. Glede na ugotovitve se predlaga, da medicinska sestra v patronažnem varstvu postane enakovreden partner v timu referenčne ambulante na nacionalnem nivoju. ABSTRACTIntroduction: Community nursing is an important link in identifying, monitoring and addressing chronic diseases at the primary level. The purpose of the study is to present the views and experience in terms of upgraded preventive treatment and home visits. Methods: The mixed research design was used. Data were collected using a semi-structured questionnaire (Cronbach α = 0.92). 50 registered nurses participated and the response rate was 81 % (n = 41). A thematic analysis of open-ended questions was done and the analysis was carried out using the PSPP tool: descriptive statistics, t-test, variance analysis, correlation analysis. Results: Respondents see an added value of preventive home visits in health education interventions ( = 4.34, s = 0.85), detection of risk factors ( = 4.12, s = 0.81) and maintaining the patients' quality of life ( = 4.10, s = 0.92). Their satisfaction is linked to the acceptance of visits by patients and families (r = 0.754, p < 0.001), benefit to the profession of community health nursing (r = 0.766, p < 0.001), and treatment of individuals with family (r = 0.693, p < 0.001). Thematic analysis highlighted two themes, namely (1) positive experiences with home visits and (2) negative experiences with home visits. Discussion and conclusions: Respondents supported innovation in preventive home visits, especially the possibility of a comprehensive treatment of the individual and his family. According to the study data, we suggest tha...

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

Cited by 31 publications

References 37 publications

Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up

Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up

Success and failure in integrated models of nursing for long term conditions: Multiple case studies of whole systems

Izkušnje medicinskih sester v patronažnem varstvu z obiski na domu v okviru projekta Nadgrajena celovita obravnava pacienta: rezultati pilotne raziskave

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