dc.contributor.author | Bonner, A | |
dc.contributor.author | Havas, K | |
dc.contributor.author | Stone, C | |
dc.contributor.author | Abel, J | |
dc.contributor.author | Barnes, M | |
dc.contributor.author | Tam, V | |
dc.contributor.author | Douglas, C | |
dc.date.accessioned | 2020-07-15T02:13:06Z | |
dc.date.available | 2020-07-15T02:13:06Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 1322-7696 | |
dc.identifier.doi | 10.1016/j.colegn.2019.11.010 | |
dc.identifier.uri | http://hdl.handle.net/10072/395416 | |
dc.description.abstract | Background: 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.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Elsevier | |
dc.relation.ispartofjournal | Collegian | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearchcode | 4205 | |
dc.title | A multimorbidity nurse practitioner-led clinic: Evaluation of health outcomes | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Bonner, 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.updated | 2020-07-15T01:31:14Z | |
gro.description.notepublic | This publication has been entered in Griffith Research Online as an advanced online version. | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Bonner, Ann J. | |