dc.contributor.author | Bonner, A | |
dc.contributor.author | Havas, K | |
dc.contributor.author | Tam, V | |
dc.contributor.author | Stone, C | |
dc.contributor.author | Abel, J | |
dc.contributor.author | Barnes, M | |
dc.contributor.author | Douglas, C | |
dc.date.accessioned | 2020-07-02T21:50:04Z | |
dc.date.available | 2020-07-02T21:50:04Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 1322-7696 | |
dc.identifier.doi | 10.1016/j.colegn.2018.07.009 | |
dc.identifier.uri | http://hdl.handle.net/10072/395090 | |
dc.description.abstract | Background: One common cluster of chronic conditions — chronic kidney disease, diabetes mellitus and heart failure — places a significant burden on the Australian healthcare system. In combination, these conditions complicate treatment, increase rates of hospitalisation and carry a poorer prognosis for survival. Current health services are organised around single conditions, making coordination of care more difficult and adding complexity to patients’ lives.
Aims: To describe an integrated model of care provided by nurse practitioners for patients with multiple chronic diseases.
Methods: A prospective, longitudinal study of patients with two or three chronic diseases attending a community-based nurse practitioner clinic. On entry to the clinic demographic and clinical data were collected from patients and health records (n = 121). At six months a subgroup (n = 70) also reported their satisfaction with the clinic.
Findings: Over 18 months the clinic provided 925 appointments to patients aged between 27–90 years. Most (79.2%) had chronic kidney disease as one of their diagnoses. At baseline, blood pressure and glycosylated haemoglobin targets were achieved by 66.4% and 83.2% respectively, although only 7.1% had a healthy-range body mass index. After six months of attendance, there was high overall patient satisfaction with the new service (98.7%).
Discussion: Nurse practitioners can reform healthcare delivery through innovative person-centred models of care, breaking down the siloes of treatment for chronic disease.
Conclusion: In the current and growing context of multi-morbid chronic health conditions, integration of care within and across organisations is required to meet future health care demands. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofpagefrom | 227 | |
dc.relation.ispartofpageto | 234 | |
dc.relation.ispartofissue | 2 | |
dc.relation.ispartofjournal | Collegian | |
dc.relation.ispartofvolume | 26 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearchcode | 4205 | |
dc.title | An integrated chronic disease nurse practitioner clinic: Service model description and patient profile | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Bonner, A; Havas, K; Tam, V; Stone, C; Abel, J; Barnes, M; Douglas, C, An integrated chronic disease nurse practitioner clinic: Service model description and patient profile, Collegian, 2019, 26 (2), pp. 227-234 | |
dcterms.license | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
dc.date.updated | 2020-07-02T03:44:24Z | |
dc.description.version | Accepted Manuscript (AM) | |
gro.rights.copyright | © 2019 Australian College of Nursing Ltd. Published by Elsevier Ltd. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, providing that the work is properly cited. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Bonner, Ann J. | |