کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2647393 1139022 2013 9 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
How does care coordination provided by registered nurses “fit” within the organisational processes and professional relationships in the general practice context?
ترجمه فارسی عنوان
چگونه هماهنگی مراقبت ارائه شده توسط پرستاران ثبت شده در فرایندهای سازمانی و روابط حرفه ای در زمینه تمرین عمومی مطابقت دارد؟
کلمات کلیدی
هماهنگی مراقبت؛ تمرین عمومی؛ نظریه روند عادی؛ بیماری مزمن
Care coordination; General practice; Normalization process theory; Chronic disease
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی

SummaryAimThe aim of this study was to develop understanding about how a registered nurse-provided care coordination model can “fit” within organisational processes and professional relationships in general practice.BackgroundIn this project, registered nurses were involved in implementation of registered nurse-provided care coordination, which aimed to improve quality of care and support patients with chronic conditions to maintain their care and manage their lifestyle.MethodFocus group interviews were conducted with nurses using a semi-structured interview protocol. Interpretive analysis of interview data was conducted using Normalization Process Theory to structure data analysis and interpretation.ResultsThree core themes emerged: (1) pre-requisites for care coordination, (2) the intervention in context, and (3) achieving outcomes. Pre-requisites were adequate funding mechanisms, engaging organisational power-brokers, leadership roles, and utilising and valuing registered nurses’ broad skill base. To ensure registered nurse-provided care coordination processes were sustainable and embedded, mentoring and support as well as allocated time were required. Finally, when registered nurse-provided care coordination was supported, positive client outcomes were achievable, and transformation of professional practice and development of advanced nursing roles was possible.ConclusionRegistered nurse-provided care coordination could “fit” within the context of general practice if it was adequately resourced. However, the heterogeneity of general practice can create an impasse that could be addressed through close attention to shared and agreed understandings. Successful development and implementation of registered nurse roles in care coordination requires attention to educational preparation, support of the individual nurse, and attention to organisational structures, financial implications and team member relationships.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Collegian - Volume 20, Issue 3, September 2013, Pages 127–135
نویسندگان
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