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dc.contributor.authorBonner, A
dc.contributor.authorHavas, K
dc.contributor.authorStone, C
dc.contributor.authorAbel, J
dc.contributor.authorBarnes, M
dc.contributor.authorTam, V
dc.contributor.authorDouglas, C
dc.date.accessioned2020-07-15T02:13:06Z
dc.date.available2020-07-15T02:13:06Z
dc.date.issued2020
dc.identifier.issn1322-7696
dc.identifier.doi10.1016/j.colegn.2019.11.010
dc.identifier.urihttp://hdl.handle.net/10072/395416
dc.description.abstractBackground: Healthcare services for people living with multiple chronic diseases have traditionally been organised around each condition, an approach which is neither resource-efficient nor convenient or effective for patients. The integrated nurse practitioner service reported here was developed to optimise patient experience and outcomes within a chronic disease self-management framework. Aim: To evaluate patient outcomes following attendance at an integrated chronic disease nurse practitioner clinic for multimorbidity. Methods: A prospective service evaluation of adults with any combination of chronic kidney disease, diabetes and/or heart failure between June 2014 and December 2017. Demographic and clinical outcomes at entry and after 12 months of clinic attendance were collected from health records of all patients (n = 162); a subgroup also completed health-related quality of life and self-efficacy measures at entry and 12 months follow-up (n = 106). Findings: Patients attending the clinic had complex needs and poor health-related quality of life. Despite the complexity of their health problems, as a cohort blood pressure was well-controlled and self-efficacy for chronic disease management was relatively high. Over the first 12 months of integrated nurse practitioner care, there were large improvements in physical aspects of health-related quality of life and many patients achieved reductions in body mass index. Use of hospital inpatient and emergency services also decreased. Discussion: Nurse practitioner-led services have the potential to reduce treatment burden and deliver integrated chronic disease management. Conclusions: The multimorbidity clinic has improved health outcomes in this patient cohort and offers a model for enhanced primary care.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofjournalCollegian
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4205
dc.titleA multimorbidity nurse practitioner-led clinic: Evaluation of health outcomes
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBonner, A; Havas, K; Stone, C; Abel, J; Barnes, M; Tam, V; Douglas, C, A multimorbidity nurse practitioner-led clinic: Evaluation of health outcomes, Collegian, 2020
dc.date.updated2020-07-15T01:31:14Z
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.hasfulltextNo Full Text
gro.griffith.authorBonner, Ann J.


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