Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review
| Autor: | Catherine Meagher, Aoife M. O'Mahony, Elizabeth Healy, Lazelle E. Benefield, Patricia Leahy-Warren, Ann Donohoe, Maria Healy, Alice Coffey, Helen Mulcahy, Timothy Frawley, Jessica Walsh, Kathleen McLoughlin, Bernard McCarthy, Amanda Phelan, Diarmuid Stokes, Eileen Savage, Gillian Paul, Marcella Kelly, Serena Fitzgerald, Rhona O'Connell, Colin P Bradley |
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| Rok vydání: | 2017 |
| Předmět: |
clinic-based management
Scoping review medicine.medical_specialty conceptual model Nursing Community CINAHL Midwifery school nurse 03 medical and health sciences Nursing care primary care 0302 clinical medicine nursing older-people Health care medicine 030212 general & internal medicine Nurse education Nursing management cost-effectiveness General Nursing midwifery lcsh:RT1-120 lcsh:Nursing Obstetrics business.industry 030503 health policy & services Nursing research randomized-controlled-trial practice nurses Primary care Conceptual model Nursing Midwifery Community Primary care Scoping review Nursing Outcomes Classification chronic heart-failure methodological quality Occupational health nursing transitional care interventions Conceptual model community scoping review home-visitation program 0305 other medical science business Research Article |
| Zdroj: | BMC Nursing, Vol 16, Iss 1, Pp 1-13 (2017) BMC Nursing Leahy-Warren, P, Mulcahy, H, Benefield, L, Bradley, C, Coffey, A, Donohoe, A, Fitzgerald, S, Frawley, T, Healy, E, Healy, M, Kelly, M, McCarthy, B, McLoughlin, K, Meagher, C, O'Connell, R, O'Mahony, A, Paul, G, Phelan, A, Stokes, D, Walsh, J & Savage, E 2017, ' Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review ', BMC Nursing, vol. 16, no. 35, pp. 1-13 . https://doi.org/10.1186/s12912-017-0225-3 |
| DOI: | 10.1186/s12912-017-0225-3 |
| Popis: | Background Successful models of nursing and midwifery in the community delivering healthcare throughout the lifespan and across a health and illness continuum are limited, yet necessary to guide global health services. Primary and community health services are the typical points of access for most people and the location where most care is delivered. The scope of primary healthcare is complex and multifaceted and therefore requires a practice framework with sound conceptual and theoretical underpinnings. The aim of this paper is to present a conceptual model informed by a scoping evidence review of the literature. Methods A scoping evidence review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Databases included CINAHL, MEDLINE, PsycINFO and SocINDEX using the EBSCO platform and the Cochrane Library using the keywords: model, nursing, midwifery, community, primary care. Grey literature for selected countries was searched using the Google ‘advanced’ search interface. Data extraction and quality appraisal for both empirical and grey literature were conducted independently by two reviewers. From 127 empirical and 24 non-empirical papers, data extraction parameters, in addition to the usual methodological features, included: the nature of nursing and midwifery; the population group; interventions and main outcomes; components of effective nursing and midwifery outcomes. Results The evidence was categorised into six broad areas and subsequently synthesised into four themes. These were not mutually exclusive: (1) Integrated and Collaborative Care; (2) Organisation and Delivery of Nursing and Midwifery Care in the Community; (3) Adjuncts to Nursing Care and (4) Overarching Conceptual Model. It is the latter theme that is the focus of this paper. In essence, the model depicts a person/client on a lifespan and preventative-curative trajectory. The health related needs of the client, commensurate with their point position, relative to both trajectories, determines the nurse or midwife intervention. Consequently, it is this need, that determines the discipline or speciality of the nurse or midwife with the most appropriate competencies. Conclusion Use of a conceptual model of nursing and midwifery to inform decision-making in primary/community based care ensures clinical outcomes are meaningful and more sustainable. Operationalising this model for nursing and midwifery in the community demands strong leadership and effective clinical governance. Electronic supplementary material The online version of this article (doi:10.1186/s12912-017-0225-3) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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