• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文学位 >Reducing Hospital Readmissions Using a Nurse Practitioner Led Interprofessional Collaborative Management Model of Caring: A Feasibility Study
【24h】

Reducing Hospital Readmissions Using a Nurse Practitioner Led Interprofessional Collaborative Management Model of Caring: A Feasibility Study

机译：使用护理从业人员领导的跨专业协作管理模式减少医院的再住院：可行性研究

获取原文
获取原文并翻译 | 示例
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The purpose of this DNP project was to determine the feasibility of implementing a nurse practitioner led interprofessional collaborative management model of caring for patients with complex medical conditions who are at high risk for ED and hospital readmission. The target of the feasibility study was an accountable care organization (ACO) in Idaho. The ACO assumes greater financial risk for providing care to a population that includes Medicare Advantage patients - dual insured Medicare/Medicaid patients. The care management teams are currently led by physicians.;The members of the population that suffer most from multiple chronic conditions often encounter barriers to accessing high quality primary care, in particular when transitioning between different levels of care. Interprofessional collaborative team based care coordination can address medical and social issues that can affect a patient's ability to achieve/maintain wellness. The literature suggests that nurse practitioners are ideally suited to lead those teams.;Approval was given by leadership in the ACO to accomplish a study to determine the feasibility of successfully implementing an innovative NP led interprofessional collaborative care management model: the AEIOOU Bundle of Care Practices. Principles of qualitative descriptive methodology, using content analysis, were applied to explore the responses provided at individual interviews by thirteen key stakeholders. The data collected were not intended to be generalized, but rather to evaluate the potential for implementation of a new model of interprofessional collaborative care within the ACO.;Findings suggest that implementation of this model is feasible within the ACO. Common themes uncovered include: (a) change is challenging, (b) coordinated patient care aligns with organizational goals, (c) success requires cost analysis, a comprehensive business plan, buy-in from primary care physicians, and a pilot program, and (d) strong support among all participants for NP and RN home visits was notable.
机译：该DNP项目的目的是确定实施由护理人员执业的跨专业协作管理模型的可行性，该模型用于照顾患有ED和医院再住院高风险的复杂医疗状况患者。可行性研究的目标是爱达荷州的一个责任关怀组织（ACO）。 ACO在为包括Medicare Advantage患者-Medicare / Medicaid双重保险患者在内的人群提供护理方面承担更大的财务风险。护理管理团队目前由医生领导。;遭受多种慢性病困扰最大的人群通常在获得高质量初级保健方面遇到障碍，尤其是在不同级别的护理之间过渡时。基于专业间协作团队的护理协调可以解决可能影响患者获得/维持健康能力的医疗和社会问题。文献表明，护士从业人员非常适合领导这些团队。； ACO领导层的批准，以完成一项研究，以确定成功实施创新的由NP领导的跨行业合作医疗管理模式的可行性：AEIOOU护理实践捆绑。定性描述方法的原理，使用内容分析，被用于探索十三位主要利益相关者在个人访谈中提供的回答。收集的数据并非旨在进行概括，而是要评估在ACO内实施跨专业合作医疗新模型的潜力。研究结果表明，在ACO内实施该模型是可行的。揭示的常见主题包括：（a）变革具有挑战性；（b）协调的患者护理与组织目标保持一致；（c）成功需要成本分析，全面的商业计划，从初级护理医生那里买进，以及试点计划，以及（d）值得注意的是，所有参与者都对NP和RN进行了家访。

著录项

  • 作者

    Birch, Michele Renee.;

  • 作者单位

    The University of Arizona.;

  • 授予单位 The University of Arizona.;
  • 学科 Nursing.;Health care management.
  • 学位 D.N.P.
  • 年度 2017
  • 页码 82 p.
  • 总页数 82
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号