Nurses as leaders in chronic care

Nurses’ responses to expert patients: The rhetoric and reality of self-management in long-term conditions: A grounded theory study

“…Nursing is seen as having a key role to play in CDM both within the UK (Department of Health, 2005) and globally (Bodenheimer et al, 2005) which implicitly will include the enablement of self-management (Department of Health, 2005). Theoretically such a role ideally suits nursing, underpinned by a focus on the patient perspective and the lived experience of being affected by a chronic condition (Benner and Wrubel, 1989, Kitson, 2002, Tarrant et al, 2003.…”

“…There are an expanding range of nursing roles developing partly as a response to changing patterns of morbidity (Bryant-Lukosius et al, 2004), with for example, advanced nursing roles in diabetes care having a clear focus on the development of patient self-management skills (Sigurdardottir, 1999) and effectiveness in terms of patient health outcomes (Bodenheimer et al, 2005).…”

“…A great deal is expected of British nurses and indeed nurses from elsewhere (Bodenheimer et al, 2005) in meeting the challenge of CDM, not only from employers (Department of Health, 2005) but also from patients (Hicks and Fide, 2003). As expert patients become increasingly common, professional roles need to change (Salvage, 2002) in order to respond to peoples' desires to have some meaningful control over treatment and to be treated as a valued partner in care (Breeze and Repper, 1998).…”

“…As expert patients become increasingly common, professional roles need to change (Salvage, 2002) in order to respond to peoples' desires to have some meaningful control over treatment and to be treated as a valued partner in care (Breeze and Repper, 1998). Bodenheimer et al (2005) describe the essence of the chronic care model as being the interaction between informed, activated patients and a prepared, proactive team. A number of authors (Campbell and McGauley, 2005, Coulter, 2002, Edwards et al, 2004, Kitson, 2002 describe the characteristics of professionals that would be part of this team with all emphasising the depth of understanding the patient's viewpoint as key and reflecting on the professional's own response to that perspective.…”

Umsorgt werden und umsorgen: Leben mit mehreren Langzeiterkrankungen (Leila) – Eine qualitative Studie zum Beitrag von APN in integrierter Versorgung

“…Die Zuweisenden bezeichneten das umfassende Einschätzen des Pflegebedarfs als Teil eines notwendigen, pflegerischen APN Casemanagements. Vorgängige Studien belegten die Notwendigkeit pflegerischer APN Casemanagementfunktionen und deren Nutzen wurde nachgewiesen (Bachus, 1995;Berkman, Glass, Brissette & Seeman, 2000;Bodenheimer, MacGregor & Stothart, 2005;Brooten et al, 2003;Bryant-Lukosius, 2010;Bryant-Lukosius, Dicenso, Browne & Pinelli, 2004;Newhouse et al, 2011 (Hanrahan, Wu, Kelly, Aiken & Blank, 2011;Neff, Madigan & Narsavage, 2003). Patient(inn)en zeigten effektive «Lebensveränderungen» wie gezielte Einhaltung therapeutischer Regimes und erhöhte Selbstpflegefähigkeiten.…”