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dc.contributor.authorCoyne, Elisabeth
dc.contributor.authorCarlini, Joan
dc.contributor.authorDoherty, Tracey
dc.contributor.authorHarlow, Warren
dc.contributor.authorMitchell, Marion L
dc.contributor.authorGrealish, Laurie
dc.date.accessioned2020-06-15T03:33:47Z
dc.date.available2020-06-15T03:33:47Z
dc.date.issued2020
dc.identifier.issn0962-1067
dc.identifier.doi10.1111/jocn.15364
dc.identifier.urihttp://hdl.handle.net/10072/394631
dc.description.abstractAIMS: The aim of this study was to explore Nurse Navigators and consumers' experience of partnership. BACKGROUND: The Nurse Navigator has recently emerged as an advanced practice role in the care of persons with complex and chronic disease states. Self-care is an important principle in chronic disease models of care, requiring health care practitioners to partner with clients in their care. How Nurse Navigators and consumers [clients and family] experience partnership has not been explored. DESIGN: An interpretive exploratory qualitative approach was used. Semi-structured interviews were conducted with seven Nurse Navigators working with adults with complex disease states and eleven of their clients. Interviews were analysed using descriptive content analysis. (COREQ checklist Supplementary File 1) RESULTS: Five themes about partnership emerged. Three themes from Nurse Navigators were: establishing and sustaining relationships, nurse-led planning and aligning care with clients' needs. The two consumer themes were: regular contact means access to the health system and nurse presence is valued. The secondary analysis revealed two themes about partnership between the nurse and consumer: establishing relationships require nursing effort to be established and partnerships are person-focused and nurse-led. CONCLUSIONS: Partnership begins with a relationship, largely driven by the Nurse Navigator through regular communication and personal contact that was valued by consumers. The nurse-led partnership reduced opportunities for consumers to learn to manage their treatments, particularly how and when to access services, meaning that self-care may not be fully achieved. Client navigation occurs over long periods, which could lead to the navigators being overwhelmed, raising an issue of sustainability. RELEVANCE TO CLINICAL PRACTICE: Nurse Navigators establish a client relationship as a foundation for partnership. This partnership needs a focus on promoting client self-care, self-management of treatment, including when and how to access available services, to ensure the sustainability of the Nurse Navigator model of care.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofjournalJournal of Clinical Nursing
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchPsychology
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode52
dc.subject.keywordsAdvanced Nurse Practitioners
dc.subject.keywordsNurse Navigators
dc.subject.keywordschronic disease
dc.subject.keywordsclient partnership
dc.subject.keywordsself-management of care
dc.titlePartnership between Nurse Navigators and adult persons living with complex chronic disease - an exploratory study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationCoyne, E; Carlini, J; Doherty, T; Harlow, W; Mitchell, ML; Grealish, L, Partnership between Nurse Navigators and adult persons living with complex chronic disease - an exploratory study, Journal of Clinical Nursing, 2020
dc.date.updated2020-06-15T01:48:17Z
dc.description.versionAccepted Manuscript (AM)
gro.rights.copyright© 2020 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Partnership between Nurse Navigators and adult persons living with complex chronic disease – an exploratory study, Journal of Clinical Nursing, 2020, which has been published in final form at https://doi.org/10.1111/jocn.15364. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorCoyne, Elisabeth
gro.griffith.authorMitchell, Marion L.
gro.griffith.authorCarlini, Joan


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