Qualitative insights of patients and carers under the care of nurse navigators

Hudson, Adrienne; Spooner, Amy J.; Booth, Natasha; Penny, Robyn; Gordon, Louisa G.; Downer, Tai-Rae; Yates, Patsy; Henderson, Robyn; Bradford, Natalie; Conway, Aaron; O’Donnell, Christopher; Geary, Alanna; Chan, Raymond Javan

doi:10.1016/j.colegn.2018.05.002

Cited by 17 publications

(20 citation statements)

References 22 publications

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“…Recommendations -Having a principal care coordinator within their rural community could assist in providing easier transitions and communication as mothers discussed the care of their child to was often disjointed because of the number of health providers involved and their location (McMurray and Cooper, 2017;Hudson et al, 2019;Pesut et al, 2017). A rural nursing care coordinator could assist in providing communication between local and specialist health providers coordinate travel and accommodation requirements and build relationship between clinicians and service providers to support them in providing care children with CHC locally.…”

Section: Discussionmentioning

confidence: 99%

Conquering the great divide: Rural mothers of children with chronic health conditions accessing specialist medical care for their children

et al. 2020

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Background: Globally, the number of children with chronic health conditions (CHCs) is increasing and mothers are mostly responsible for their care. Aim: Few studies have focused on rural mothers and their experiences of sourcing health care for their children who have CHCs. The purpose of this study was to explore these experiences. Method: Using a phenomenological approach, semi-structured interviews were conducted in early 2018. The Consolidated criteria for Reporting Qualitative research (COREQ) guidelines were followed. Sixteen rural mothers were interviewed regarding their experiences of accessing health care to provide optimal management of their children's CHC. Findings: Thematic analysis of resulting data revealed the overarching theme 'Conquering the great divide'. From this overarching theme, four themes emerged. This paper focuses on the first theme, 'Heading to the big smoke: access'. Discussion: Rural mothers felt challenged accessing health care for their children in the major cities whilst also maintaining routine family life back home. Conclusion: Understanding these rural women's experiences could assist health care professionals to develop strategies to facilitate rural mothers accessing services for their children with a CHC.

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Section: Discussionmentioning

confidence: 99%

Conquering the great divide: Rural mothers of children with chronic health conditions accessing specialist medical care for their children

et al. 2020

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“…NN models of care are primarily designed to improve the quality of care provided to patients. In the overall pilot evaluation, patients reported many examples of care improvements (appropriate care) and high satisfaction (Hudson et al , 2018). Involving patients and carers in this evaluation was extremely important to gauge their insights, suggest improvements and provide feedback on their hospital experiences.…”

Section: Discussionmentioning

confidence: 99%

“…rural, urban, adult and paediatric). Patients reported overwhelmingly positive experiences of the NN service with particular benefits highlighted as providing a single support person with practical and receiving expert clinical knowledge and advice (Hudson et al , 2018). Patients and carers were reassured and thankful for the NN for organising multidisciplinary meetings and guiding their ability to self-manage their own health.…”

Section: Introductionmentioning

confidence: 99%

Do nurse navigators bring about fewer patient hospitalisations?

Gordon

Spooner

Booth

et al. 2019

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Purpose Nurse navigators (NNs) coordinate patient care, improve care quality and potentially reduce healthcare resource use. The purpose of this paper is to undertake an evaluation of hospitalisation outcomes in a new NN programme in Queensland, Australia. Design/methodology/approach A matched case-control study was performed. Patients under the care of the NNs were randomly selected (n=100) and were matched to historical (n=300) and concurrent (n=300) comparison groups. The key outcomes of interest were the number and types of hospitalisations, length of hospital stay and number of intensive care unit days. Generalised linear and two-part models were used to determine significant differences in resources across groups. Findings The control and NN groups were well matched on socio-economic characteristics, however, groups differed by major disease type and number/type of comorbidities. NN patients had high healthcare needs with 53 per cent having two comorbidities. In adjusted analyses, compared with the control groups, NN patients showed higher proportions of preventable hospitalisations over 12 months, similar days in intensive care and a smaller proportion had overnight stays in hospital. However, the NN patients had significantly more hospitalisations (mean: 6.0 for NN cases, 3.4 for historical group and 3.2 for concurrent group); and emergency visits. Research limitations/implications As many factors will affect hospitalisation rates beyond whether patients receive NN care, further research and longer follow-up is required. Originality/value A matched case-control study provides a reasonable but insufficient design to compare the NN and non-NN exposed patient outcomes.

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“…An inductive inference method underpinned the methodological approach that guided this study. This approach allowed new knowledge to be generated based on data that was collected [ 17 ]. Data collected from the transcripts was systematically analysed using a thematic analysis framework.…”

Section: Methodsmentioning

confidence: 99%

Valuing nurse and midwifery unit managers’ voices: a qualitative approach

2021

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Background Nurse and Midwifery Unit Managers (NMUMs) play pivotal roles in quality patient care, nurse and midwife satisfaction and retention. NMUMs are expected to be both leaders and managers simultaneously, which may create role tension. This study aimed to explore the understanding and experience of NMUMs regarding their role; to explore what barriers and facilitators NMUMs identified to achieving the goals of their clinical area; and to explore NMUMs’ career plans. Methods Set in Victoria, Australia, this study was guided by naturalistic inquiry using a qualitative descriptive approach. Thematic analysis was used to inductively develop core themes, which facilitated the motivations, experience and meanings underlying the data to be elaborated. Results In all, 39 interviews were conducted with NMUMs across four hospitals. Two overarching themes were identified from the data; system challenges and influences on people and each theme had three sub-themes. In relation to system challenges, participants spoke about the structural challenges that they encountered such as financial stressors and physical infrastructure that made their work difficult. Participants felt they were unprepared for the NMUM role and had limited support in the preparation for the role. Participants also related their frustration of not being included in important decision-making processes within the hospital. Regarding their career plans, most did not envisage a career beyond that of a NMUM. Conclusions This study of contemporary NMUMs uncovered a continued lack of investment in the orientation, professional development and support of this critical leadership and management role. There is an urgent need for targeted interventions to support and develop capabilities of NMUMs to meet the current and evolving demands of their role.

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Qualitative insights of patients and carers under the care of nurse navigators

Cited by 17 publications

References 22 publications

Conquering the great divide: Rural mothers of children with chronic health conditions accessing specialist medical care for their children

Conquering the great divide: Rural mothers of children with chronic health conditions accessing specialist medical care for their children

Do nurse navigators bring about fewer patient hospitalisations?

Valuing nurse and midwifery unit managers’ voices: a qualitative approach

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