Effect of a nurse team coordinator on outcomes for hospitalized medicine patients

Forster, Alan J.; Clark, Heather D.; Menard, Alex; Dupuis, Natalie; Chernish, Robert; Chandok, Natasha; Khan, Asmat Ullah; Letourneau, Megan; Walraven, Carl van

doi:10.1016/j.amjmed.2005.04.019

Cited by 78 publications

(53 citation statements)

References 14 publications

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“…The trials were conducted in a broad variety of international health care systems. Eleven were from the United States; [26][27][28][29][30][31][32][33][34][35][36] three from Hong Kong; [37][38][39] two from Australia; 40,41 and one each from Germany, 42 Spain, 43 Canada, 44 Sweden, 45 the United Kingdom, 46 Ireland, 47 Italy, 48 China, 49 Taiwan, 50 and a collaboration between Spain and Belgium. 51 The studies' sample sizes ranged from 41 to 1,001 people.…”

Section: Study Resultsmentioning

confidence: 99%

Transitional Care Interventions Prevent Hospital Readmissions For Adults With Chronic Illnesses

Verhaegh¹,

Vroomen²,

Eslami³

et al. 2014

Health Affairs

221

220

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Transitional care interventions aim to improve care transitions from hospital to home and to reduce hospital readmissions for chronically ill patients. The objective of our study was to examine if these interventions were associated with a reduction of readmission rates in the short (30 days or less), intermediate (31-180 days), and long terms (181-365 days). We systematically reviewed twenty-six randomized controlled trials conducted in a variety of countries whose results were published in the period January 1, 1980-May 29, 2013. Our analysis showed that transitional care was effective in reducing all-cause intermediate-term and long-term readmissions. Only high-intensity interventions seemed to be effective in reducing short-term readmissions. Our findings suggest that to reduce short-term readmissions, transitional care should consist of high-intensity interventions that include care coordination by a nurse, communication between the primary care provider and the hospital, and a home visit within three days after discharge.

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Section: Study Resultsmentioning

confidence: 99%

Transitional Care Interventions Prevent Hospital Readmissions For Adults With Chronic Illnesses

Verhaegh¹,

Vroomen²,

Eslami³

et al. 2014

Health Affairs

221

220

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“…There is very little research about the CNS role in Canada. One Canadian study (Forster et al 2005) found that the addition of a CNS to a medical team improved patient satisfaction but did not impact hospital efficiency or patient safety.…”

Section: Evaluationsmentioning

confidence: 99%

Nurses in Advanced Roles

Delamaire¹,

Lafortune

2010

OECD Health Working Papers

129

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All Health Working Papers are now available through the OECD's Internet Website at http:/www.oecd.org/els/health/workingpapers This series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language -English or French -with a summary in the other.Comment on the series is welcome, and should be sent to the Directorate for Employment, Labour and Social Affairs, 2, rue André-Pascal, 75775 PARIS CEDEX 16, France.The opinions expressed and arguments employed here are the responsibility of the author(s) and do not necessarily reflect those of the OECD. ABSTRACTMany countries are seeking to improve health care delivery by reviewing the roles of health professionals, including nurses. Developing new and more advanced roles for nurses could improve access to care in the face of a limited or diminishing supply of doctors. It might also contain costs by delegating tasks away from more expensive doctors. This paper reviews the development of advanced practice nurses in 12 countries (Australia, Belgium, Canada, Cyprus, Czech Republic, Finland, France, Ireland, Japan, Poland, United Kingdom and United States), with a particular focus on their roles in primary care. It also reviews the evaluations of impacts on patient care and cost.The development of new nursing roles varies greatly. The United States and Canada established "nurse practitioners" in the mid-1960s. The United Kingdom and Finland also have a long experience in using different forms of collaboration between doctors and nurses. Although development in Australia and Ireland is more recent, these two countries have been very active in establishing higher education programmes and posts for advanced practice nurses in recent years. In other countries, the formal recognition of advanced practice nurses is still in its infancy, although unofficial advanced practices may already exist in reality.Evaluations show that using advanced practice nurses can improve access to services and reduce waiting times. Advanced practice nurses are able to deliver the same quality of care as doctors for a range of patients, including those with minor illnesses and those requiring routine follow-up. Most evaluations find a high patient satisfaction rate, mainly because nurses tend to spend more time with patients, and provide information and counselling. Some evaluations have tried to estimate the impact of advanced practice nursing on cost. When new roles involve substitution of tasks, the impact is either cost reducing or cost neutral. The savings on nurses' salaries -as opposed to doctors -can be offset by longer consultation times, higher patient referrals, and sometimes the ordering of more tests. When new roles involve supplementary tasks, some studies report that the impact is cost increasing.Keywords: nurses, advanced roles, skills, nurse practitioners, clinical nurse specialists, primary care, OECD countrie...

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“…Nurses also should serve on advisory committees, commissions, and boards where policy As frontline providers who have everyday presence with patients and families, nurses' work provides fertile ground for important clinical research questions. The investigation and adoption of evidencebased approaches are highly relevant to nursing practice and patient outcomes, and to the quality and cost-effectiveness of health services (Forster et al 2005) [8]. The full engagement of nurses in researching critical health services issues is likely to lead to service delivery and policy recommendations that are both pragmatic and evidenceinformed (Edwards et al , 2009) [5].…”

Section: Nurses As Full Partners In Health Researchmentioning

confidence: 99%

Painting the Landscape: Is the Invisibility of Nigerian Nurses in Research and Policy Development Arenas Ailing Healthcare in the Country?

Etowa¹

2014

J Preg Child Health

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Effect of a nurse team coordinator on outcomes for hospitalized medicine patients

Cited by 78 publications

References 14 publications

Transitional Care Interventions Prevent Hospital Readmissions For Adults With Chronic Illnesses

Transitional Care Interventions Prevent Hospital Readmissions For Adults With Chronic Illnesses

Nurses in Advanced Roles

Painting the Landscape: Is the Invisibility of Nigerian Nurses in Research and Policy Development Arenas Ailing Healthcare in the Country?

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