Objective: To identify the Nursing interventions, described in literature, in the ERAS® program. Method: We defined a scoping review based on the recommendations of The Institute Joanna Brigs (JBI) and on research in electronic databases. We chose the studies through flow diagrams "Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)" and presented them in a chart. Results: We found 306 articles published between 2010 and 2018 and included 14 of them. The main results were: the crucial role nurses play throughout the surgical process, which begins at the preoperative nursing consultation; goes to post-operative care, such as early giving food to patients, effective management of pain or early mobilization; and ends in telephone follow-up. Conclusion: The introduction of the surgical program ERAS® may be an opportunity for nurses to play a more influential role in the surgical path, directly involving with their clients' results.
Objective: The aim of this scoping review is to map the nurse-led care management models for patients with multimorbidity in hospital settings. Introduction: The increase of chronic diseases and the associated multimorbidity create challenges for health care resources and services. Considering their role and skill set, nurses are in a position to lead the transformation of health care for patients with chronic illness. Several nurse-led care management models in the community have been identified in the literature, but little is known about these models in hospital settings. It is necessary to map the existing nurse-led care management models and describe their characteristics, differences, and similarities, and the implications for patients with multimorbidity in a hospital environment. Inclusion criteria: This scoping review will consider studies focusing on nurse-led care management models for adult patients with multimorbidity in hospital settings, including readmissions, discharges, and visits to emergency services. Methods: The search will include Web of Science, CINAHL, MEDLINE, Nursing and Allied Health Collection, and gray literature through OpenGrey. This review will be restricted to studies published in English. A three-step search strategy will be used, and the articles identified in the databases will be organized and the duplicates removed. The titles and abstracts will be analyzed by two independent reviewers. Full texts will be imported into a bibliographic reference management system. The findings will be presented in tables and descriptive summary.
Aim The aim of this scoping review is to map the nurse‐led care management models for patients with multimorbidity in hospital settings. Background Patients with multimorbidity in hospital, due their complexity, benefit a nurse‐led care management model. This care management model allows for better identification of patients' needs and a person‐centred approach. Evaluation This review followed the JBI methodology for scoping reviews. The search included the international databases Web of Science, CINAHL, MEDLINE, Nursing & Allied Health Collection and grey literature. A total of 21 articles were included in the final content analysis. Key issues Three categories of nurse‐led care management models emerged from the data, namely, nurse‐led programs, case management and nurse facilitator models. The interventions focused on training, discharge support, follow‐up, health promotion and patient‐centred care. Conclusion The centrality of the patient is a common characteristic of nurse‐led care models, namely, the acquisition of disease self‐management skills, preparation for hospital discharge and continuity of care in the community. Implications for nursing management Nurse‐led care management models can empower patients to manage their chronic conditions more effectively. Adapting these care management models in hospital settings will be a challenge for nurse managers. Scoping review protocol The full protocol used can be accessed at doi:.
Background: The delivery of quality, safe, and patient-centered care is foundational for professional practice. The primary nursing model allows nurses to have excellent knowledge about patients and families and to plan and coordinate care from admission to discharge, with better management of health situations. Nurses play a crucial role in improving patients’ outcomes, namely those sensitive to nursing care. The knowledge of the relationship between the primary nursing model and the nursing-sensitive outcomes provides new scientific evidence that strengthens the relevance of this nursing care organization model in the inpatients’ health outcomes. This systematic review describes the relationship between nurse-sensitive inpatients’ outcomes and the primary nursing care model. Methods: A systematic review was conducted with a narrative synthesis, and the following databases were searched: MEDLINE, CINAHL, Web of Science, Nursing & Allied Health Collection, SciELO Collections, and Cochrane. Results: A total of 22 full texts were assessed, of which five were included in the study according to the selection criteria. The analysis results indicated that the primary nursing care model was related to nursing-sensitive patient safety outcomes. Patients’ experience was also considered a nursing-sensitive outcome, namely in the satisfaction with nursing care. Conclusion: The negative outcomes are clearly related to the primary nursing care model. There is scarce research that relates primary nursing to positive outcomes, such as patients’ functional status and self-care abilities, and more studies are needed.
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