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. 2022 Sep;30(6):1960-1973.
doi: 10.1111/jonm.13621. Epub 2022 Jun 1.

Nurse-led care management models for patients with multimorbidity in hospital settings: A scoping review

Maria Isabel Rodrigues Gonçalves  1   2 , Diana Arvelos Mendes  2 , Sílvia Caldeira  1 , Elvio Jesus  1 , Elisabete Nunes  1
Affiliations

Nurse-led care management models for patients with multimorbidity in hospital settings: A scoping review

Maria Isabel Rodrigues Gonçalves et al. J Nurs Manag. 2022 Sep.

Abstract

Aim: The aim of this scoping review is to map the nurse-led care management models for patients with multimorbidity in hospital settings.

Background: Patients with multimorbidity in hospital, due their complexity, benefit a nurse-led care management model. This care management model allows for better identification of patients' needs and a person-centred approach.

Evaluation: This review followed the JBI methodology for scoping reviews. The search included the international databases Web of Science, CINAHL, MEDLINE, Nursing & Allied Health Collection and grey literature. A total of 21 articles were included in the final content analysis.

Key issues: Three categories of nurse-led care management models emerged from the data, namely, nurse-led programs, case management and nurse facilitator models. The interventions focused on training, discharge support, follow-up, health promotion and patient-centred care.

Conclusion: The centrality of the patient is a common characteristic of nurse-led care models, namely, the acquisition of disease self-management skills, preparation for hospital discharge and continuity of care in the community.

Implications for nursing management: Nurse-led care management models can empower patients to manage their chronic conditions more effectively. Adapting these care management models in hospital settings will be a challenge for nurse managers.

Scoping review protocol: The full protocol used can be accessed at doi:10.11124/jbies-20-00222.

Keywords: hospital; multimorbidity; nurse-led care; patient-centred care.

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References

REFERENCES

    1. Baker, E., & Fatoye, F. (2019). Patient perceived impact of nurse-led self-management interventions for COPD: A systematic review of qualitative research. International Journal of Nursing Studies, 91, 22-34. https://doi.org/10.1016/j.ijnurstu.2018.12.004
    1. Berry, J. G., Gay, J. C., Joynt Maddox, K., Coleman, E. A., Bucholz, E. M., O'Neill, M. R., Blaine, K., & Hall, M. (2018). Age trends in 30 day hospital readmissions: US national retrospective analysis. BMJ, k497. https://doi.org/10.1136/bmj.k497
    1. Blakey, E. P., Jackson, D., Walthall, H., & Aveyard, H. (2017). What is the experience of being readmitted to hospital for people 65 years and over? A review of the literature. Contemporary Nurse, 53, 698-712. https://doi.org/10.1080/10376178.2018.1439395
    1. Bodenheimer, T., MacGregor, K., & Stothart, N. (2005). Nurses as leaders in chronic care. British Medical Journal, 330(7492), 612-613. https://doi.org/10.1136/bmj.330.7492.612
    1. Bonner, A., Havas, K., Stone, C., Abel, J., Barnes, M., Tam, V., & Douglas, C. (2020). A multimorbidity nurse practitioner-led clinic: Evaluation of health outcomes. Collegian, 27(4), 430-436. https://doi.org/10.1016/j.colegn.2019.11.010

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