Evaluating a respiratory intermediate care team

Abstract

This article examines the work of a respiratory intermediate care team. Findings from an audit and a patient satisfaction postal questionnaire are presented to assess the effectiveness of the team's work and evaluate the effect of specialist nursing teams on hospital bed days and patient preference. From the evaluation it is apparent that the respiratory intermediate care team is an effective means of saving hospital bed days through prevention of admission and early discharge in patients with chronic respiratory disease. The results of the patient satisfaction postal questionnaire show that the majority of patients find hospital-at-home style care favourable because they feel well-supported at home to self-manage their condition. This outcome is important because it indicates that specialist nursing teams in primary care are valuable to patients and save the NHS money.

The impact on severe exacerbations of establishing a cross-sectorial lung team for patients with COPD at high risk of exacerbating: a pilot study

“…However, the study was based on 17 men only, and data were collected during 1985-1987 [32]. Other studies showed that affiliating to a community special nursing team where patients received a personalized management plan and home visit or phone calls also decreased hospital admissions [12][13][14], but one of these studies was based on a case study. Moreover, the contact between the nurses and the patient was often scheduled, whereas in our study contacts were conducted on the patient's initiative.…”

“…Patient-centered collaboration across healthcare sectors lies at the root of good patient management and may involve community nurses, general practitioners (GPs) [9,14,15], and/or community nurses supervised by hospital-based respiratory specialist nurses [9,12].…”

Zadovoljstvo bolnikov s kronično obstruktivno pljučno boleznijo z obravnavo koordinatorja odpusta

“…Tako kot drugi avtorji tudi v naši raziskavi ugotavljamo, da bolniki stike s KO ocenjujejo kot zelo potrebne in zelo koristne (Ward, et al, 2005). Bolnikom je zelo pomemben dejavnik zadovoljstva občutek varnosti zaradi stika s KO tudi po odhodu domov.…”

“…Bolnikom je zelo pomemben dejavnik zadovoljstva občutek varnosti zaradi stika s KO tudi po odhodu domov. V raziskavi, ki je imela cilje vrednotiti pomoč respiratornega povezovalnega tima zdravstvene oskrbe, ki omogoča bolniku z akutnim poslabšanjem KOPB ostati doma, so uporabili anketni vprašalnik (Ward, et al, 2005). Več kot polovica bolnikov je ocenila vlogo tima kot zelo dragoceno, večina je menila, da je njihovo počutje zaradi delovanja tima zelo dobro ali dobro in da so od tima prejeli potrebne informacije.…”