Assessment of Nurses Responsibilities in Integrated Management of Chronically Ill Patients.
Abstract
Primary care of the chronically ill is based on multiprofessional teams. However, each professional group has its own peculiar input to the team work. This study assessed the responsibilities of nurses in integrated management of chronically ill patients. Purposive sampling technique was used to select 240 nurses working in secondary and tertiary health institutions in Anambra State of Nigeria. Three research questions and two null hypotheses guided the study. The instrument used for data collection was questionnaire on Nursing Interventions in Integrated Management of Chronically ill Patients. Standard descriptive statistics was used to summarize the variables. Mean score and percentages were used to answer the research questions while Pearson Product Moment correlation was adopted in testing the null hypotheses at 0.01 level of significant. Findings from the study indicated high levels of optimization of clients’ therapy (mean=2.9806) and nursing audit (mean=2.9033), and high levels of nurses collaboration with majority of the practice team in their integrated care of chronically ill clients. Significant relationships were also found to exist between nursing audit and follow-up of the clients, and also between nursing audit and the interactions among the practice team.
Downloads
References
Blackie C. (1998). Community Healthcare Nursing. Edinburgh: Churchill Livingstone.
Clark NM. (2003). Management of chronic disease by patients, Ann Rev Public Health, 24: 289-313
Coleman MP, Alexe D, Albreht I, Mckee M. (2008). Responding to the challenge of cancer in EUROPE. Ljubljiana: Government of Slovenia and European Observatory on Health System and Policies.
Conrad DA, Shortell SM. (1996). Integrated health systems: promise and performance, Front Health Service Manage, 13:3-40.
Crumbie A. (2005). Primary Health care and the management of chronic illness. In Mike Walsh (Ed.). Watson’s Clinical Nursing and Related Sciences (6th ed.). pp 74-92. New York: Bailliere Tindal.
DeLaune SC, Ladner PK. (2002). Fundamentals of Nursing: Standards and Practice (2nd ed.). New York: Delmar Thomson Learning.
Delnoij D, Klazinga N, Glasgow I. (2002). Integrated care in an international perspective. International Journal of Integrated care, 2:1-4.
Dowling B, Powel M, Glendining C. (2004). Conceptuallising successful partnerships. Health Soc Care Commun, 12, 309-317.
Grumbach K. (2003). Chronic illness, comorbidities and the need for medical generalism. Annual Family Medicine, 1, 4-7
Kozier B, Erb G, Berman A, Snyder SJ. (2004). Fundamentals of Nursing: Concepts, Process and Practice (7th ed.). Upper Saddle River, New Jersey, Pearson Prentice Hall.
McGlynn EA, Asch SM, Adams J. et al (2003). The quality of health care delivered to adults in the United States, N Engl J Med, 348:2635-45.
Nolte E, Mckee M. (2008). Caring for people with chronic conditions: an introduction. In Ellen Nolte and Martin Mckee (Ed.). Caring for people with chronic conditions: A health system perspective, pp 1-14, London: McGraw Hill Open University Press.
Plochg T, Klazinga N. (2002). Community-based integrated care: myth or must? International Journal of Quality Health Care, 14:91-101.
Shortell S, Gilies R, Anderson D. (1994). The new world of managed care: creating organized delivery systems. Health Affairs, 13:46-4
Simeons S, Scott A. (1999). Towards a Definition and Toxonomy of Integration in Primary Care. Aberdeen: University of Aberdeen.
TNS Opinion & Social (2007). Health in the European Union. Special Eurobaromenter 272e. Brussels: European Commission.
Unwin N, Epping Jordan J, Bonita R. (2004). Rethinking the terms non-communicable disease and chronic disease. Journal of Epidemiology Community Health, 58:801.
Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A. (2001). Improving chronic illness care: Translating Evidence into action. Health Affairs, 20(6), 64-78.
WHO. (2002). Innovative Care for Chronic Conditions: Building Blocks for Action. Geneva: World Health organization.
Zwar N, Harris M, Griffiths R. et al. (2006). A Systematic Review of Chronic Disease Management. Sydney: Australian Primary Health care institute.
Copyright (c) 2018 IJRDO - Journal of Health Sciences and Nursing (ISSN: 2456-298X)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Author(s) and co-author(s) jointly and severally represent and warrant that the Article is original with the author(s) and does not infringe any copyright or violate any other right of any third parties, and that the Article has not been published elsewhere. Author(s) agree to the terms that the IJRDO Journal will have the full right to remove the published article on any misconduct found in the published article.