Assessment of Standardized Care Plans for People with Chronic Diseases in Primary Care Settings

Autor: Glòria Reig-Garcia, David Cámara-Liebana, Rosa Suñer-Soler, Eva Pau-Perich, Miquel Sitjar-Suñer, Susana Mantas-Jiménez, Marta Roqueta-Vall-llosera, Maria del Carmen Malagón-Aguilera
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Nursing Reports, Vol 14, Iss 2, Pp 801-815 (2024)
Druh dokumentu: article
ISSN: 2039-4403
2039-439X
DOI: 10.3390/nursrep14020062
Popis: Background: Aging populations are driving a shift in emphasis toward enhancing chronic disease care, reflected in Catalonia’s regional plan which prioritizes standardized nursing care plans in primary care settings. To achieve this, the ARES-AP program was established with a focus on harmonizing standards and supporting routine nursing clinical decision-making. This study evaluates nurses’ perceptions of ARES-AP’s standardized care plans for chronic diseases. Methods: A mixed-methods approach based on an ad hoc questionnaire (n = 141) and a focus group (n = 14) was used. Quantitative data were statistically analysed, setting significance at p < 0.05. Qualitative data were explored via content analysis. Results: ARES-AP training was assessed positively. The resources for motivational interviewing and care plans for the most prevalent chronic diseases were rated very positively. This study identified key factors influencing program implementation, including facilitators such as structured information and nursing autonomy, barriers such as resistance to change, motivators such as managerial support, and suggested improvements such as technological improvements and time management strategies. Conclusions: This study identifies areas for improvement in implementing standardized nursing care plans, including additional time, motivation, enhanced IT infrastructure, and collaboration among primary care professionals. It enhances understanding of these plans in primary care, especially in managing chronic diseases in aging populations. Further research should assess the program’s long-term impact on chronic patients. This study was not registered.
Databáze: Directory of Open Access Journals