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  • The evaluation of nurse navigators in chronic and complex care

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    Bamford-Wade220709Accepted.pdf (370.9Kb)
    Author(s)
    Harvey, Clare
    Palmer, Janine
    Hegney, Desley
    Willis, Eileen
    Baldwin, Adele
    Rees, Clare
    Heritage, Brody
    Thompson, Shona
    Forrest, Rachel
    O'Donnell, Christopher
    Marshall, Robert
    Mclellan, Sandy
    Sibley, Jonathon
    Judd, Jenni
    Ferguson, Bridget
    Bamford-Wade, Anita
    Brain, David
    Griffith University Author(s)
    Bamford-Wade, Anita
    Year published
    2019
    Metadata
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    Abstract
    Aim: With increasing age and chronicity in populations, the need to reduce the costs of care while enhancing quality and hospital avoidance, is important. Nurse-led co-ordination is one such model of care that supports this approach. The aim of this research was to assess the impact that newly appointed Navigators have on service provision; social and economic impact; nurses' professional quality of life and compassion fatigue; and analysis of the change that has occurred to models of care and service delivery. Design: A concurrent mixed-method approach was selected to address the research aims. Methods: The research project ...
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    Aim: With increasing age and chronicity in populations, the need to reduce the costs of care while enhancing quality and hospital avoidance, is important. Nurse-led co-ordination is one such model of care that supports this approach. The aim of this research was to assess the impact that newly appointed Navigators have on service provision; social and economic impact; nurses' professional quality of life and compassion fatigue; and analysis of the change that has occurred to models of care and service delivery. Design: A concurrent mixed-method approach was selected to address the research aims. Methods: The research project was funded in July 2018 and will conclude in December 2020. Several cohorts will be studied including; patients assigned to a navigator, patients not assigned to a navigator, family members of patients assigned a navigator; and a sample sized estimated at 140 navigators. Discussion: This study provides a comprehensive international longitudinal and mixed method framework for evaluating the impact of nurse navigators on quality of care outcomes for patients with chronic conditions. Impact—What problem will the study address?: Even with specialty focused co-ordinated care, patients get lost in the system, increasing the incidence of non-compliance and exacerbation of condition. Navigators work with patients across service boundaries allowing for care that is patient responsive, and permitting variables in clinical, social and practical elements of care to be addressed in a timely manner. This novel nurse-led approach, supports hospital avoidance and patient self-management, while encouraging expansion and opportunity for the nursing and midwifery workforce.
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    Journal Title
    Journal of Advanced Nursing
    Volume
    75
    Issue
    8
    DOI
    https://doi.org/10.1111/jan.14041
    Copyright Statement
    © 2019 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: The evaluation of nurse navigators in chronic and complex care, Journal of Advanced Nursing, Vol. 75, Iss. 8, Aug 2019, Pages 1792-1804, which has been published in final form at 10.1111/jan.14041. 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)
    Subject
    Nursing
    Science & Technology
    Life Sciences & Biomedicine
    chronic care
    co-ordinated care
    Publication URI
    http://hdl.handle.net/10072/396106
    Collection
    • Journal articles

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