Nurse practitioner‐led multidisciplinary teams to improve chronic illness care: The unique strengths of nurse practitioners applied to shared medical appointments/group visits

Abstract

With the increasing numbers of patients with chronic illnesses, healthcare systems are increasingly challenged to provide necessary care and empower patients to participate in that care. NPs can play a key role in helping to meet these challenges.

Care models for people with chronic diseases: integrative review

“…4,15 To identify the impact of these models, the first category "Costs to the health system" refers to the use of the health care models by professionals in order to reduce financial costs of CD. Studies carried out with health insurance companies in North-America that adopt some case management and self-management programs showed that such companies reduced by 23% their cost by avoiding conducting unnecessary hospital care, which are performed in homes.…”

Envejecimiento: retos y oportunidades para la investigación en enfermeira

“…Es necesario avanzar en todo lo que podría considerarse potencialmente una contribución a la investigación en enfermería en estas nuevas áreas, cómo podrían ser utilizados en la gestión del futuro, el contenido de las estrategias y los programas a desarrollar (Boult et al, 2008;Cumbie, Conley & Burman, 2004;Goodman, MoralesAsensio & de la Torre-Aboki, 2013;Watts, et al, 2009). …”

“…La base de este enfoque y la planificación que se lleva a cabo se dirige hacia el autocuidado y el fortalecimiento de la autonomía y la responsabilidad de las personas y sus familias a través de promoción de la salud y la educación, con especial atención a la continuidad de la atención y la autonomía en el nivel de atención que necesitan. Hay muchos estudios que apoyan la eficacia y eficiencia de la atención de enfermería en el envejecimiento y la cronicidad, como enfermeras, gestoras de casos, atención domiciliaria planificada y gestionada por enfermeras, y, por último, el apoyo en las decisiones y el rediseño del sistema de provisión (Watts et al, 2009). Es importante reconocer que las enfermeras comunitarias con competencias de práctica avanzada tienen la capacidad para dirigir la necesaria reorientación de los sistemas de salud (Departamento de Salud, 2006).…”

A Description of Nurse Practitioners’ Self-Report Implementation of Patient-Centered Care

“…A few quantitative and qualitative studies were conducted to explore nurse practitioners' practices that may account for positive outcomes observed. The findings suggested that nurse practitioners deliver comprehensive care based on a thorough assessment and understanding of a patient's condition; spend time in providing education to patients related to their presenting problem and to self-management; involve patients in their own care and in care-related decisions and manage the healthcare system to ensure provision of services that patients need [5,6,[28][29][30]. Sidani [31] examined the extent to which nurse practitioners provide PCC in acute care settings.…”

“…The application of this approach to care is expected to yield favorable outcomes including increased patient satisfaction with care, sense of empowerment and adherence to treatment, as well as improved physical functioning and emotional wellbeing [3]. Nurse practitioners are qualified to provide PCC given that this is related to their philosophical orientation and educational preparation [4], factors which enable them to think holistically [5], to individualize care to meet patients' needs and to facilitate patient education regarding self-management of illness [6]. Accordingly, PCC may be a process of high quality care that nurse practitioners can implement in their day-to-day practice and that may explain the mechanism underlying their effectiveness in promoting positive outcomes.…”