当前位置： SCI文献检索 > JOURNAL OF ADVANCED NURSING期刊下所有文献 > Doctors' assistants' views of case management to improve chronic heart failure care in general practice: a qualitative study.

Doctors' assistants' views of case management to improve chronic heart failure care in general practice: a qualitative study.

Abstract：

AIM:This paper is a report of a study to explore the views, concerns and experiences of doctors' assistants of case management for patients with chronic heart failure, while experiencing the new role of being a case manager within the Heidelberg Integrated Case Management trial. BACKGROUND:Case management is being investigated as part of a randomised controlled trial aiming to improve care for patients with chronic systolic heart failure. In a complex, multifaceted intervention, trained doctors' assistants (equivalent to a nursing role) adopted new tasks using standardised case management involving telephone monitoring, home visits and diagnostic screening. METHOD:In April 2007, 3 months after implementation of the intervention programme, 27 doctors' assistants participated in four focus group interviews discussing their views on, and experiences of, case management. Thematic analysis of the data was undertaken. FINDINGS:Participants believed that the most positive factors in case management were about interaction with patients, including opportunities for identifying disease and psychosocial problems. However, barriers included lack of time allocated to perform case management in addition to their normal role and poor cooperation within the practice team. According to the doctors' assistants, the routine implementation of case management was acceptable, feasible and effective in improving the management of patients with chronic systolic heart failure. CONCLUSION:Case management enhanced the role of doctors' assistants, leading to increased awareness of the perspective of patients with chronic disease. In the wider international primary care practice nursing context, the orchestrated delegation of tasks using specific case management may be a promising strategy for improving the quality of care of chronically ill patients and enabling patient self-management.

journal_name

J Adv Nurs

journal_title

Journal of advanced nursing

authors

Olbort R,Mahler C,Campbell S,Reuschenbach B,Müller-Tasch T,Szecsenyi J,Peters-Klimm F

doi

10.1111/j.1365-2648.2008.04934.x

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

799-808

issue

eissn

0309-2402

issn

1365-2648

pii

JAN4934

journal_volume

pub_type

杂志文章

在线工具

Doctors' assistants' views of case management to improve chronic heart failure care in general practice: a qualitative study.