Abstract
Original language | English |
---|---|
Pages (from-to) | 26-37 |
Journal | Primary health care research & development |
Volume | 15 |
Issue number | 1 |
Early online date | 2 Apr 2013 |
DOIs | |
Publication status | Published - Jan 2014 |
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Bibliographical note
This article is not yet available on the repositoryKeywords
- article
- caregiver
- case management
- community health nursing
- comorbidity
- health care quality
- health personnel attitude
- hospital readmission
- human
- interview
- long term care
- nurse attitude
- nurse patient relationship
- organization and management
- patient satisfaction
- program evaluation
- psychological aspect
- qualitative research
- quality of life
- standard
- United Kingdom
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Case management of individuals with long-term conditions by community matrons: report of qualitative findings of a mixed method evaluation. / Randall, Sue; Daly, Guy; Thunhurst, Colin; Mills, Natalie; Guest, David A.; Barker, Annette.
In: Primary health care research & development, Vol. 15, No. 1, 01.2014, p. 26-37.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Case management of individuals with long-term conditions by community matrons: report of qualitative findings of a mixed method evaluation
AU - Randall, Sue
AU - Daly, Guy
AU - Thunhurst, Colin
AU - Mills, Natalie
AU - Guest, David A.
AU - Barker, Annette
N1 - This article is not yet available on the repository
PY - 2014/1
Y1 - 2014/1
N2 - Aim To consider findings from a study that evaluated case management of individuals with long-term conditions (LTCs) by a community matron (CM) service. The paper highlights issues related to the implementation of a new role and the impact this had on the experience of care across hospital and community settings for patients and their carers. Background The introduction of the role of CM was intended to increase effective management of patients with complex comorbid LTCs through the introduction of case management, thereby reducing unplanned hospital admissions. Methods The overall methodological approach was one of mixed methods. This paper reports the qualitative findings from CMs (n = 15); patients (n = 13); family carers (n = 8); and secondary care staff who interface with the CM service (n = 7). Data were collected between October 2009 and May 2010. Findings A thematic analysis resulted in the identification of four themes: (1) visibility; (2) interpersonal relationships; (3) leadership; and (4) systems/professional boundaries. Patients enjoyed being seen as a whole and family carers appreciated the coordination aspect of the role. Difficulties arose from the limited understanding of the CM role and from a lack of a shared vision across healthcare professionals concerning the role and its goals.
AB - Aim To consider findings from a study that evaluated case management of individuals with long-term conditions (LTCs) by a community matron (CM) service. The paper highlights issues related to the implementation of a new role and the impact this had on the experience of care across hospital and community settings for patients and their carers. Background The introduction of the role of CM was intended to increase effective management of patients with complex comorbid LTCs through the introduction of case management, thereby reducing unplanned hospital admissions. Methods The overall methodological approach was one of mixed methods. This paper reports the qualitative findings from CMs (n = 15); patients (n = 13); family carers (n = 8); and secondary care staff who interface with the CM service (n = 7). Data were collected between October 2009 and May 2010. Findings A thematic analysis resulted in the identification of four themes: (1) visibility; (2) interpersonal relationships; (3) leadership; and (4) systems/professional boundaries. Patients enjoyed being seen as a whole and family carers appreciated the coordination aspect of the role. Difficulties arose from the limited understanding of the CM role and from a lack of a shared vision across healthcare professionals concerning the role and its goals.
KW - article
KW - caregiver
KW - case management
KW - community health nursing
KW - comorbidity
KW - health care quality
KW - health personnel attitude
KW - hospital readmission
KW - human
KW - interview
KW - long term care
KW - nurse attitude
KW - nurse patient relationship
KW - organization and management
KW - patient satisfaction
KW - program evaluation
KW - psychological aspect
KW - qualitative research
KW - quality of life
KW - standard
KW - United Kingdom
U2 - 10.1017/S1463423612000667
DO - 10.1017/S1463423612000667
M3 - Article
VL - 15
SP - 26
EP - 37
JO - Primary Health Care Research and Development
JF - Primary Health Care Research and Development
SN - 1463-4236
IS - 1
ER -