The evaluation of nurse navigators in chronic and complex care.
Professor Clare HarveyJanine PalmerDesley HegneyEileen WillisAdele BaldwinClare ReesBrody HeritageShona ThompsonRachel ForrestChristopher O'DonnellRobert MarshallSandy MclellanJonathon SibleyJenni JuddBridget FergusonAnita Bamford-WadeDavid BrainPublished in: Journal of advanced nursing (2019)
This study provides a comprehensive international longitudinal and mixed method framework for evaluating the impact of nurse navigators on quality of care outcomes for patients with chronic conditions. IMPACT-WHAT PROBLEM WILL THE STUDY ADDRESS?: Even with specialty focused co-ordinated care, patients get lost in the system, increasing the incidence of non-compliance and exacerbation of condition. Navigators work with patients across service boundaries allowing for care that is patient responsive, and permitting variables in clinical, social and practical elements of care to be addressed in a timely manner. This novel nurse-led approach, supports hospital avoidance and patient self-management, while encouraging expansion and opportunity for the nursing and midwifery workforce.
Keyphrases
- healthcare
- quality improvement
- palliative care
- end stage renal disease
- primary care
- mental health
- ejection fraction
- newly diagnosed
- prognostic factors
- chronic kidney disease
- affordable care act
- pain management
- case report
- chronic obstructive pulmonary disease
- type diabetes
- drug delivery
- metabolic syndrome
- weight loss
- chronic pain
- health insurance
- electronic health record
- mechanical ventilation