Implementing a Care Pathway for Complex Chronic Patients from a Nursing Perspective: A Qualitative Study

Fernández-Peña, Rosario; Ortego, Carmen; Amo-Setién, Francisco José; Silió-García, Tamara; Casasempere-Satorres, Antoni; Sarabia‐Cobo, Carmen

doi:10.3390/ijerph18126324

Cited by 3 publications

(3 citation statements)

References 41 publications

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“…This would suppose an improvement in teamwork and, therefore, an enhancement in terms of human and material resources. Care continuity is fundamental in the nursing process: it is for this reason that CMNs should perform evaluations and follow-ups to improve care quality [ 23 , 36 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

Primary Healthcare Case Management Nurses and Assistance Provided to Chronic Patients: A Narrative Review

Molina-Gil,

Guerra-Martín,

Diego-Cordero

2024

Healthcare

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Population aging is causing increases in the numbers of chronic diseases, with the consequent need for changes in health systems to better assist patients with chronic conditions. A narrative review was conducted in this study with the objective of analysing the scientific evidence on the care and assistance provided by Case Management Nurses (CMNs) to chronic patients in primary healthcare. A total of 15 articles published in English, Spanish, and Portuguese were selected in the following databases: PubMed, Embase, Cochrane Library, Scopus, Dialnet, Cinahl, and Web of Science. In total, 46.6% of the studies showed the assistance provided by CMNs for chronic pathologies. Most of the articles selected (80%) considered that the assistance offered by case management nurses in relation to chronic diseases is effective, enabling cost reductions, which supposes benefits at the economic and political levels. It was concluded that CMNs have proven to be efficient in caring for people with chronic diseases, improving the quality of life of these people and their caregivers; therefore, they have a fundamental role in the PHC.

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Section: Discussionmentioning

confidence: 99%

Primary Healthcare Case Management Nurses and Assistance Provided to Chronic Patients: A Narrative Review

Molina-Gil,

Guerra-Martín,

Diego-Cordero

2024

Healthcare

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“…CPs have been connected to more efficient systems by lowering in-hospital problems and errors, enhancing documentation, and encouraging favorable patient outcomes and safety [11,12]. Developing optimal CPs requires collaboration among all healthcare workers [13,14]. Developing CPs begins with selecting an appropriate clinical condition that has certain needs in terms of patient and clinical care [15].…”

Section: Introductionmentioning

confidence: 99%

Factors Informing the Development of a Clinical Pathway and Patients’ Quality of Life after a Non-Union Fracture of the Lower Limb

2023

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Patients with non-union fractures spend extended periods of time in the hospital following poor healing. Patients have to make several follow-up visits for medical and rehabilitation purposes. However, the clinical pathways and quality of life of these patients are unknown. This prospective study aimed to identify the clinical pathways (CPs) of 22 patients with lower-limb non-union fractures whilst determining their quality of life. Data were collected from hospital records from admission to discharge, utilizing a CP questionnaire. We used the same questionnaire to track patients’ follow-up frequency, involvement in activities of daily living, and final outcomes at six months. We used the Short Form-36 questionnaire to assess patients’ initial quality of life. The Kruskal–Wallis test compared the quality of life domains across different fracture sites. We examined CPs using medians and inter-quantile ranges. During the six-month follow-up period, 12 patients with lower-limb non-union fractures were readmitted. All of the patients had impairments, limited activity, and participation restrictions. Lower-limb fractures can have a substantial impact on emotional and physical health, and lower-limb non-union fractures may have an even greater effect on the emotional and physical health of patients, necessitating a more holistic approach to patient care.

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“…CPs have been connected to more efficient systems by lowering in-hospital problems and errors, enhancing documentation, and encouraging favorable patient outcomes and safety [11,12]. Developing optimal CPs requires collaboration from all healthcare workers [13,14]. Developing CPs begins with selecting an appropriate clinical condition that has certain needs in terms of patient and clinical care [15].…”

Section: Introductionmentioning

confidence: 99%

Factors Informing the Development of a Clinical Pathway and Quality of Life Post Non-union Fractures of the Lower Limb

Magida¹,

Myezwa²,

Mudzi³

2023

Preprint

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Patients with non-union fractures spend extended periods in the hospital following poor healing. Patients have to make several follow-up visits for medical and rehabilitation purposes. However, the clinical pathways and quality of life of these patients are unknown. This prospective study aimed to identify the clinical pathways (CPs) of 22 patients with lower limb non-union fractures whilst determining their quality of life. Data were collected from hospital records on admission through discharge, utilising a CP questionnaire. We used the same questionnaire to track patients' follow-up frequency, involvement in activities of daily living, and outcomes at six months. We used the short form-36 questionnaire to assess patients’ initial quality of life. The Kruskal-Wallis test compared the quality of life domains across different fracture sites. We examined CPs using medians and inter-quantile ranges. During the six-month follow-up period, 12 patients with lower limb non-union fractures were readmitted. All of the patients had impairments, limited activity, and participation restrictions. Lower limb fractures can have a substantial impact on emotional and physical health, and lower limb non-union fractures may have an even greater effect on the emotional and physical health of patients, necessitating a more holistic approach to patient care.

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Implementing a Care Pathway for Complex Chronic Patients from a Nursing Perspective: A Qualitative Study

Cited by 3 publications

References 41 publications

Primary Healthcare Case Management Nurses and Assistance Provided to Chronic Patients: A Narrative Review

Primary Healthcare Case Management Nurses and Assistance Provided to Chronic Patients: A Narrative Review

Factors Informing the Development of a Clinical Pathway and Patients’ Quality of Life after a Non-Union Fracture of the Lower Limb

Factors Informing the Development of a Clinical Pathway and Quality of Life Post Non-union Fractures of the Lower Limb

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