A formative evaluation of a nurse practitioner-led interprofessional geriatric outpatient clinic
| Autor: | Susan Silcox, Kevin T. Hansen, Iris A. Gutmanis, Cheryl McDonald, Sue O’Hara, Leslie Post |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Occupational therapy Social Work medicine.medical_specialty Nurse practitioners Interprofessional Relations 030204 cardiovascular system & hematology Ambulatory Care Facilities Formative assessment 03 medical and health sciences 0302 clinical medicine Patient satisfaction Occupational Therapy Nursing Phone medicine Humans Outpatient clinic Nurse Practitioners 030212 general & internal medicine Geriatric Assessment Aged Aged 80 and over Geriatrics Social work business.industry General Medicine Middle Aged Physical Therapists Patient Satisfaction Family medicine Female business |
| Zdroj: | Journal of Interprofessional Care. 31:546-549 |
| ISSN: | 1469-9567 1356-1820 |
| DOI: | 10.1080/13561820.2017.1303463 |
| Popis: | The number of older adults with multiple complex comorbidities and frailty is expected to increase dramatically in the coming decades, which will necessitate a concomitant increase in the need for skilled clinicians who are able to manage complex geriatric needs. Many physicians, however, lack the required formal training, often leading to long wait-lists for specialist clinics. Yet, clinics led by non-physician professionals specialising in geriatric care could decrease these delays. This article describes the development and evaluation of a nurse practitioner-led interprofessional geriatric outpatient clinic (Inter-D Clinic). A combination of semi-structured clinician interviews, post-clinic follow-up phone calls, satisfaction surveys, and information from the hospital workload management system served as data sources for this formative programme evaluation. Between January 2013 and December 2014, 293 patients were seen in the clinic with the majority being referred for either memory issues (49%) or functional decline (35%). The clinic assessment frequently uncovered other issues, which led to guidance around falls prevention, improved nutrition, medication management, and referrals to available community supports. Both patients and referring physicians were very satisfied with this model of care, which is likely transferable to other locations provided the needed clinical expertise and community support services are available. |
| Databáze: | OpenAIRE |
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