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An in-reach nurse role for managing individuals with long-term conditions. Experience of a new role and impact of the role

机译:接触式护士角色,用于管理具有长期状况的个人。担任新职位的经历和角色的影响

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An in-reach nurse role for managing individuals with long-term conditions. Experience of a new role and impact of the role Aim. To gain an understanding of the perspectives of postholders about a new nursing role designed to highlight areas where care for individuals with long-term conditions (LTC) could be improved. Background. The number of individuals who will suffer with LTC is predicted to rise significantly, and managing the care of individuals effectively is a current challenge facing health services across the world. Design. A small-scale qualitative exploration of the nurse's perception of a new role and of their perceptions of its impact on the care of those living with LTC. Method. Data were obtained between March 2008 and November 2008 from the in-reach nurses (n = 4). Data sources were focus groups, semi-structured interviews and nurse's reflective diaries. Analysis of data was via a thematic approach. Results. The nurses in this study agreed about the challenges and rewards of the newly created post. Information from reflective diaries showed the difficulties faced by patients moving between community and hospital services, as perceived by the nurses. Some of the nurses demonstrated deeper understanding of these difficulties and the use of a problem solving approach to enable patients to have a smooth journey across the interface of community and hospital care. Conclusion. Although there were mixed responses to the in-reach posts by the postholders and their colleagues, there is some strong qualitative evidence to support new ways of working. Relevance to clinical practice. Although a small initiative, through using in-reach posts, nurses are able to gain a wider perspective of the patient journey that may benefit effectiveness and quality of care available to individuals living with LTC
机译:接触式护士角色,用于管理具有长期状况的个人。担任新角色的经历和角色目标的影响。为了了解职位持有人对新护理角色的观点,该角色旨在强调可以改善对长期病情(LTC)个体的护理的领域。背景。预计患有LTC的患者人数将显着增加,并且有效管理患者的护理是全球卫生服务面临的当前挑战。设计。对护士对新角色的看法及其对LTC病人的护理影响的看法进行了小规模的定性研究。方法。数据从2008年3月至2008年11月之间从就诊护士(n = 4)获得。数据来源是焦点小组,半结构化访谈和护士的反思日记。数据分析是通过主题方法进行的。结果。这项研究中的护士们对新创建的职位所面临的挑战和回报达成了共识。从反思性日记中获得的信息表明,护士认为患者在社区服务和医院服务之间转换时会遇到困难。一些护士对这些困难表现出了更深刻的理解,并采用了解决问题的方法,使患者能够在社区和医院护理的界面上畅通无阻。结论。尽管职位持有人及其同事对有影响力的职位的反应不一,但有一些强有力的定性证据支持新的工作方式。与临床实践有关。尽管采取小规模举措,但通过使用覆盖范围内的职位,护士能够对患者的旅程获得更广阔的视野,这可能有益于LTC病人的有效性和护理质量

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