Development and Implementation of a Nurse-Led Model of Care Coordination to Provide Health-Sector Continuity of Care for People With Multimorbidity: Protocol for a Mixed Methods Study
| Autor: | Gillian E. Caughey, Marion Eckert, Sepehr Shakib, Greg Sharplin, Kate M Davis, Joanne Harmon, Amanda D. Hutchinson |
|---|---|
| Přispěvatelé: | Davis, Kate M, Eckert, Marion C, Shakib, Sepehr, Harmon, Joanne, Hutchinson, Amanda D, Sharplin, Greg, Caughey, Gillian E |
| Rok vydání: | 2019 |
| Předmět: |
multimorbidity
Computer applications to medicine. Medical informatics R858-859.7 integrated health Phase (combat) 03 medical and health sciences 0302 clinical medicine Nursing Multidisciplinary approach Health care Protocol 030212 general & internal medicine Action research nurse-led Protocol (science) Service (business) transitional business.industry 030503 health policy & services Stakeholder General Medicine Intervention (law) nurse led Medicine 0305 other medical science business continuity of patient care chronic disease |
| Zdroj: | JMIR Research Protocols, Vol 8, Iss 12, p e15006 (2019) JMIR Research Protocols |
| ISSN: | 1929-0748 |
| DOI: | 10.2196/15006 |
| Popis: | Background Innovative strategies are required to reduce care fragmentation for people with multimorbidity. Coordinated models of health care delivery need to be adopted to deliver consumer-centered continuity of care. Nurse-led services have emerged over the past 20 years as evidence-based structured models of care delivery, providing a range of positive and coordinated health care outcomes. Although nurse-led services are effective in a range of clinical settings, strategies to improve continuity of care across the secondary and primary health care sectors for people with multimorbidity have not been examined. Objective To implement a nurse-led model of care coordination from a multidisciplinary outpatient setting and provide continuity of care between the secondary and primary health care sectors for people with multimorbidity. Methods This action research mixed methods study will have two phases. Phase 1 includes a systematic review, stakeholder forums, and validation workshop to collaboratively develop a model of care for a nurse-led care coordination service. Phase 2, through a series of iterative action research cycles, will implement a nurse-led model of care coordination in a multidisciplinary outpatient setting. Three to five iterative action research cycles will allow the model to be refined and further developed with multiple data collection points throughout. Results Pilot implementation of the model of care coordination commenced in October 2018. Formal study recruitment commenced in May 2019 and the intervention and follow-up phases are ongoing. The results of the data analysis are expected to be available by March 2020. Conclusions Nursing, clinician, and patient outcomes and experiences with the nurse-led model of care coordination will provide a template to improve continuity of care between the secondary and primary health care systems. The model template may provide a future pathway for implementation of nurse-led services both nationally and internationally. International Registered Report Identifier (IRRID) DERR1-10.2196/15006 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|