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dc.contributor.authorEhrlich, Carolyn
dc.contributor.authorKendall, Elizabeth
dc.contributor.authorSt John, Winsome
dc.date.accessioned2017-05-03T15:41:21Z
dc.date.available2017-05-03T15:41:21Z
dc.date.issued2013
dc.date.modified2014-05-13T05:48:06Z
dc.identifier.issn1322-7696
dc.identifier.doi10.1016/j.colegn.2012.04.006
dc.identifier.urihttp://hdl.handle.net/10072/55940
dc.description.abstractAim The aim of this study was to develop understanding about how a registered nurse-provided care coordination model can "fit" within organisational processes and professional relationships in general practice. Background In this project, registered nurses were involved in implementation of registered nurse-provided care coordination, which aimed to improve quality of care and support patients with chronic conditions to maintain their care and manage their lifestyle. Method Focus group interviews were conducted with nurses using a semi-structured interview protocol. Interpretive analysis of interview data was conducted using Normalization Process Theory to structure data analysis and interpretation. Results Three core themes emerged: (1) pre-requisites for care coordination, (2) the intervention in context, and (3) achieving outcomes. Pre-requisites were adequate funding mechanisms, engaging organisational power-brokers, leadership roles, and utilising and valuing registered nurses' broad skill base. To ensure registered nurse-provided care coordination processes were sustainable and embedded, mentoring and support as well as allocated time were required. Finally, when registered nurse-provided care coordination was supported, positive client outcomes were achievable, and transformation of professional practice and development of advanced nursing roles was possible. Conclusion Registered nurse-provided care coordination could "fit" within the context of general practice if it was adequately resourced. However, the heterogeneity of general practice can create an impasse that could be addressed through close attention to shared and agreed understandings. Successful development and implementation of registered nurse roles in care coordination requires attention to educational preparation, support of the individual nurse, and attention to organisational structures, financial implications and team member relationships.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent237333 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoen_US
dc.publisherElsevier
dc.publisher.placeNetherlands
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom127
dc.relation.ispartofpageto135
dc.relation.ispartofissue3
dc.relation.ispartofjournalCollegian
dc.relation.ispartofvolume20
dc.rights.retentionY
dc.subject.fieldofresearchStudies in Human Society not elsewhere classified
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode169999
dc.subject.fieldofresearchcode1110
dc.titleHow does care coordination provided by registered nurses ‘‘fit’’ within the organisational processes and professional relationships in the general practice context?
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2013 Royal College of Nursing, Australia. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
gro.date.issued2013
gro.hasfulltextFull Text
gro.griffith.authorKendall, Elizabeth
gro.griffith.authorSt John, Winsome
gro.griffith.authorEhrlich, Carolyn E.


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