Quality of health care provided at a pediatric nurse‐managed clinic

Coddington, Jennifer; Sands, Laura P.; Edwards, Nancy; Kirkpatrick, Jane; Chen, Susan

doi:10.1111/j.1745-7599.2011.00657.x

Cited by 14 publications

(35 citation statements)

References 5 publications

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“…By identifying foster caregivers who have a particularly hectic home life and making sure that they get special attention from the clinic staff and feel engaged with their child’s health care plan, it may be possible to improve their pediatric appointment adherence. Pediatric nurse practitioners provide much of the primary care for underserved child populations, including children in foster care (Coddington, Sands, Edwards, Kirkpatrick, & Chen, 2011; Hapak, 2014). Pediatric nurse practitioners can help foster caregivers by making sure that the clinic environment supports their needs and by engaging caregivers in their child’s health care.…”

Section: Discussionmentioning

confidence: 99%

Qualitative Study of Foster Caregivers' Views on Adherence to Pediatric Appointments

Schneiderman¹,

Kennedy²,

Sayegh³

2017

Journal of Pediatric Health Care

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The current study is a qualitative investigation of how foster caregivers, primarily Latinos, view adherence to pediatric appointments with the purpose of identifying how the child welfare system, pediatric clinics, and pediatric health providers serving foster children might promote appointment attendance. Participants in the study had a return appointment at an outpatient pediatric clinic that only served children in the child welfare system. Twenty-eight caregivers (13 related and 15 unrelated) participated in telephone interviews after the date of their scheduled pediatric appointment (32% missed their return appointment). Semistructured interview guides included general questions about what promotes attending the pediatric appointment, what makes it difficult to attend the pediatric appointment, and how pediatric care affects the foster child. Analysis of qualitative data using content analysis identified three themes: (a) multiple methods to attend appointments, which included caregivers’ organizational and problem-solving skills; (b) positive health care experiences, which consisted of caregivers’ personal relationships with providers and staff members and clinic organization; and (c) necessity of pediatric care, which included recognition of the need for health care, especially timely immunizations. All caregivers also reported that appointments reminders would be helpful. Unrelated caregivers more often said that appointment attendance was facilitated by clinic organization compared to related caregivers. Nonadherent caregivers mentioned their need to solve problems to attend appointments or reschedule appointments more than attenders. In summary, caregivers said they valued regular pediatric health care to treat their child’s chronic conditions and prevent illnesses, but they acknowledged that their home lives were hectic and attending scheduled appointments was sometimes difficult. Foster caregivers in this study identified the ideal pediatric clinic environment that encourages adherence to health care appointments. This environment is an organized clinic with easy access including parking, engaged pediatric health providers, ability to reschedule appointments when necessary, and an individualized and consistent appointment reminder system.

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Section: Discussionmentioning

confidence: 99%

Qualitative Study of Foster Caregivers' Views on Adherence to Pediatric Appointments

Schneiderman¹,

Kennedy²,

Sayegh³

2017

Journal of Pediatric Health Care

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“…24 Evidence shows the quality of health Patient Experience Journal, Volume 6, Issue 3 -2019 care services at nurse-led clinics, delivered by APRNs have met and exceeded national benchmark standards of care. [20][21] These studies validate the increasingly important role that nurse-led clinics play in the health care safety net, provide evidence of quality care, and confirm the costeffectiveness of APRNs' care for vulnerable populations. [22][23] While there are wide variations in public, academic and private nurse-led care practices, they share the common goal of creating health care that is highly reliable, valuefocused, patient-centered, high in quality, and safely delivered.…”

Section: Introductionmentioning

confidence: 68%

“…In the US, nurse-led clinics have emerged over the past 40 years as an effective primary care delivery system, most often staffed primarily by Advanced Practice Registered Nurses (APRNs). 20,21 Nurse-led clinics were formally recognized as a primary care delivery model in the Affordable Care Act. 22 The primary care services in nurse-led clinics have become more critical in the US health care system, in part, because of their philosophy of comprehensive and coordinated care and the willingness of APRNs to provide care to vulnerable populations including refugees.…”

Section: Introductionmentioning

confidence: 99%

Refugees' perceptions of primary care: What makes a good doctor's visit?

Mutitu¹,

Zabler²,

Holt³

2019

Patient Experience Journal

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Redesigning primary care is a national priority, as the United States (US) struggles with issues of poor access, high cost, and suboptimal quality. Refugees are among the populations who suffer from America's disjointed health care system, resulting in disproportionate health disparities. Although there are many studies on refugee health, few share refugees' perceptions of primary care. We asked local refugees who were seen for primary care services at a midwestern academic nurse-led clinic, what makes a good doctor's visit? The clinic served as the hub of a federally funded refugee Community Centered Health Home (CCHH) pilot project. This qualitative study adds to the growing body of literature that captures the voices of resettled refugees as they reflect on their health care experiences in their new home. The purpose of this study was to elicit the criteria refugees used to evaluate the quality of their care. Individual interviews were conducted with seven refugees as part of the larger CCHH pilot project. Through qualitative thematic analysis, four themes were identified that participants considered aspects of a "good visit": 1. The ability to communicate without language barriers; 2. Open reciprocal dialogue with providers; 3. Provider professionalism; and 4. Accurate diagnosis and treatment. We offer recommendations to improve patient experience in the refugee population which may lead to better health outcomes. Future study is proposed to gain knowledge of how refugee perceptions of quality of care may change over time as they become more familiar with US health care system.

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“…The concept of high quality of care provided by NMHCs is also echoed in the results of a study conducted by Coddington et al (2011). NMHCs administer comprehensive health care with positive health outcomes and offer a high level of patient satisfaction.…”

mentioning

confidence: 90%

“…NMHCs are a cost-effective model of health care delivery that offer health services within nursing values that emphasize health promotion, disease prevention and education for patients in order to manage their chronic health conditions. NMHCs increase patients ' knowledge and create a supportive environment for patients to become active members in their health maintenance (Coddington & Sands, 2008;Coddington, Sands, Edwards, Kirkpatrick, & Chen, 2011 ). Moreover, an important component of the health services provided by many NMHCs is community outreach which can extend to the homes of patients who need more intensive care (Esperat et al , 2012).…”

Section: Nurse-managed Health Centersmentioning

confidence: 99%

NP-led obesity clinics: a NP guided primary care approach for managing obesity in low income preschool-age children in Canada

Heighes¹

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Childhood obesity continues to increase at alarming rates despite health prevention efforts to date. New innovative approaches are needed to help address this public health concern.Moreover , current literature confirms that early childhood is a fundamental time for establishing life behaviors that will follow into adulthood; thus, the early years are considered to be an essential stage for developing both an unhealthy weight and its precursor behaviors. Social circumstances including socioeconomic status greatly impact health and are notable risk factors for the development of obesity. Acknowledging sociological influences and working within these constructs helps to create programs and care plans that are contextual. The purpose of this paper is to explore the role of nurse practitioners when working with low income families to address childhood obesity in the preschool-aged population in Canada, specifically within the setting of a NP-led obesity clinic. Literature to date does not exist for NP-led obesity clinics as this is a proposed approach to helping combat pediatric obesity. Existing literature regarding nurse-managed health centers and pediatric weight management programs were utilized to support the creation of a NP-led obesity clinic. Nurse-managed health centers have established that NPs are capable of providing appropriate medical treatment with positive health outcomes.

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Quality of health care provided at a pediatric nurse‐managed clinic

Cited by 14 publications

References 5 publications

Qualitative Study of Foster Caregivers' Views on Adherence to Pediatric Appointments

Qualitative Study of Foster Caregivers' Views on Adherence to Pediatric Appointments

Refugees' perceptions of primary care: What makes a good doctor's visit?

NP-led obesity clinics: a NP guided primary care approach for managing obesity in low income preschool-age children in Canada

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