Adoption of care management activities by primary care nurses for people with common mental disorders and physical conditions: A multiple case study

Abstract

What is known on the subject?• The collaborative care model is a well-known model to improve care quality for people with common mental disorders and physical conditions in primary care.• The role of care manager is central to the collaborative care model, and primary care nurses are well-positioned to play that role.• Adopting the role of care manager by primary care nurses is challenging due to several contextual factors; however, few implementation studies examined the context and current practices before implementing the role of care manager and the collaborative care model. What the paper adds to existing knowledge?• The paper contributes to the advancement of knowledge about the preassessment of current practices before implementing the collaborative care model and the role of care manager.• The paper offers a better understanding of the relationships between the context and the performance of care management activities by primary care nurses.• The paper describes an innovative analysis technique to assess the gap between care management activities recommended in the collaborative care model and actual nursing activities. What are the implications for practice?• Primary care nurses would benefit from having timely access to clinical support from mental health nurse practitioners in order to build their competency.• Determinants of practice and the analysis technique to assess current practices will help other researchers or quality improvement teams to develop their plan when implementing the role of care manager.

Mental health nursing consultations in Brazilian primary care: analysis of proposed competencies for advanced practice nurses

“…(39) ; and other experiences are found in Germany, Great Britain, China, Switzerland, Austria (40) , Spain (41) and Canada (16) . Some functions and activities, carried out by PMHAPNs or CNPMH, include psychotherapeutic activities (42) , which may be brief therapeutic interventions, medication prescription, screening, psychoeducation, management of care plans, assessment and treatment of substance use (43) , capacity of relating MH problems with clinical comorbidities (40) and improved communication (44) . In addition, activities related to education are also part of this scope (39,42) .…”