An evaluation of a community aged care nurse practitioner service

Allen, Jacqui; Fabri, Anne Marie

doi:10.1111/j.1365-2702.2005.01199.x

Cited by 33 publications

(31 citation statements)

References 12 publications

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“…Research evidence supports these views as community aged care programmes in Australia have been shown to be associated with favourable outcomes (e.g. QoL, cost per quality adjusted life year, cost per fall and quality of holistic nursing) [77][78][79]. It is also perhaps unsurprising that, compared to consumers, a greater proportion of informal carers expressed the need for joint decision-making regarding the type of services received by consumers (93% vs 72%).…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 87%

Investigating consumers' and informal carers' views and preferences for consumer directed care: A discrete choice experiment

Kaambwa

Lancsar

McCaffrey

et al. 2015

Social Science & Medicine

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Consumer directed care (CDC) is currently being embraced internationally as a means to promote autonomy and choice for consumers (people aged 65 and over) receiving community aged care services (CACSs). CDC involves giving CACS clients (consumers and informal carers of consumers) control over how CACSs are administered. However, CDC models have largely developed in the absence of evidence on clients' views and preferences. We explored CACS clients' preferences for a variety of CDC attributes and identified factors that may influence these preferences and potentially inform improved design of future CDC models. Study participants were clients of CACSs delivered by five Australian providers. Using a discrete choice experiment (DCE) approach undertaken in a group setting between June and December 2013, we investigated the relative importance to CACS consumers and informal (family) carers of gradations relating to six salient features of CDC (choice of service provider(s), budget management, saving unused/unspent funds, choice of support/care worker(s), support-worker flexibility and level of contact with service coordinator). The DCE data were analysed using conditional, mixed and generalised logit regression models, accounting for preference and scale heterogeneity. Mean ages for 117 study participants were 80 years (87 consumers) and 74 years (30 informal carers). All participants preferred a CDC approach that allowed them to: save unused funds from a CACS package for future use; have support workers that were flexible in terms of changing activities within their CACS care plan and; choose the support workers that provide their day-to-day CACSs. The CDC attributes found to be important to both consumers and informal carers receiving CACSs will inform the design of future CDC models of service delivery. The DCE approach used in this study has the potential for wide applicability and facilitates the assessment of preferences for elements of potential future aged care service delivery not yet available in policy.

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Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 87%

Investigating consumers' and informal carers' views and preferences for consumer directed care: A discrete choice experiment

Kaambwa

Lancsar

McCaffrey

et al. 2015

Social Science & Medicine

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“…Access to a specialist palliative care clinicians who are authorised to prescribe, such as nurse practitioners, has benefits within this setting 10. Additionally, residential care staff with experience and expertise in diseases other than cancer have insight into conditions relevant to this age group, such as dementia and stroke 11…”

Section: Introductionmentioning

confidence: 99%

Normalising and planning for death in residential care: findings from a qualitative focus group study of a specialist palliative care intervention

Johnston

Lovell

Liu

et al. 2016

BMJ Support Palliat Care

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The intervention normalised death and dying and also underlined the important role that specialists play in providing staff education, timely access to medicines and advance care planning. The findings from our study, and the growing wealth of evidence integrating specialist palliative care in residential care for older adults, indicate a number of priorities for care providers, academics and policymakers. Further work on determining the role of primary and specialist palliative care services in residential care settings is needed to inform service delivery models.

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“…Specific models of nurse practitioner have been studied in the Australian context but there are no population studies reporting on nurse practitioners. Often, reports are based on research undertaken with nurse practitioner candidates (not yet authorised), and therefore the full practice scope cannot be accurately reported (for example, Gardner and Gardner, 5 Allen and Fabri 6 and Nejedly et al 7 ). Internationally, the nurse practitioner has been a feature of the health workforce for over 40 years and there is an extensive body of literature describing and evaluating the role.…”

Section: Introductionmentioning

confidence: 99%

The status of Australian nurse practitioners: the first national census

Gardner¹,

Gardner²,

Middleton³

et al. 2009

Aust. Health Review

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A five-section questionnaire was mailed to all 234 authorised Australian nurse practitioners in late 2007. An 85% response rate was achieved (202 responses). Respondents had a mean age of 47.0 years and 84.2% were women. Only 145 nurse practitioners (72% of respondents) reported being employed in Australia at the time of the census. Emergency nurse practitioners were the most commonly employed nationally (26.9%). Nearly one third of employed nurse practitioners reported that they were still awaiting approval to prescribe medications despite this being a core legislated skill. Over 70% stated that lack of Medicare provider numbers and lack of authority to prescribe through the P h a r m a c e u t i c a l B e n e fi t s S c h e m e w a s extremely limiting to their practice. These findings are consistent with the international literature describing establishment of reformative

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An evaluation of a community aged care nurse practitioner service

Cited by 33 publications

References 12 publications

Investigating consumers' and informal carers' views and preferences for consumer directed care: A discrete choice experiment

Investigating consumers' and informal carers' views and preferences for consumer directed care: A discrete choice experiment

Normalising and planning for death in residential care: findings from a qualitative focus group study of a specialist palliative care intervention

The status of Australian nurse practitioners: the first national census

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