NP011 Developing effective models of care: The role of nurses in chronic disease management

2011 ◽  
Vol 27 (5) ◽  
pp. S362
Author(s):  
S. Skerratt
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Models Of Care ◽  
Effective Models

Outcomes and opportunities: a nurse-led model of chronic disease management in Australian general practice

2013 ◽  
Vol 19 (2) ◽  
pp. 150 ◽  
Author(s):  
Diann S. Eley ◽  
Elizabeth Patterson ◽  
Jacqui Young ◽  
Paul P. Fahey ◽  
Chris B. Del Mar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Practice ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Models Of Care ◽  
Practice Nurses ◽  
Australian General Practice ◽  
General Practices

The Australian government’s commitment to health service reform has placed general practice at the centre of its agenda to manage chronic disease. Concerns about the capacity of GPs to meet the growing chronic disease burden has stimulated the implementation and testing of new models of care that better utilise practice nurses (PN). This paper reports on a mixed-methods study nested within a larger study that trialled the feasibility and acceptability of a new model of nurse-led chronic disease management in three general practices. Patients over 18 years of age with type 2 diabetes, hypertension or stable ischaemic heart disease were randomised into PN-led or usual GP-led care. Primary outcomes were self-reported quality of life and perceptions of the model’s feasibility and acceptability from the perspective of patients and GPs. Over the 12-month study quality of life decreased but the trend between groups was not statistically different. Qualitative data indicate that the PN-led model was acceptable and feasible to GPs and patients. It is possible to extend the scope of PN care to lead the routine clinical management of patients’ stable chronic diseases. All GPs identified significant advantages to the model and elected to continue with the PN-led care after our study concluded.

scholarly journals Influence Mechanism of The Affordances of Chronic Disease Management Apps on Continuance Intention: Mediating Role of Health Empowerment (Preprint)

2020 ◽  
Author(s):  
Yongmei Liu ◽  
Peiyang Lin ◽  
Fei Jiang
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Equation Modeling ◽  
Significant Positive Effect ◽  
Continuance Intention ◽  
Positive Effects ◽  
Health Empowerment ◽  
Positive Effect

BACKGROUND Mobile health apps are becoming increasingly popular, and they provide opportunities for effective health management. The existing chronic disease management (CDM) apps cannot meet users’ practical and urgent needs, and user adhesion is poor. Few, however, have investigated the factors that influence the continuance intention (CI) of CDM app users. OBJECTIVE Starting from the affordances of CDM apps, this study aimed to analyze how such apps can influence CI through the role of health empowerment (HE). METHODS Adopting a stimulus-organism-response framework, an antecedent model was established for CI from the perspective of perceived affordances, uses and gratifications theory, and HE. Perceived affordances were used as the “stimulus,” users’ gratifications and HE were used as the “organism,” and CI was used as the “response.” Data were collected online through a well-known questionnaire survey platform in China. 323 valid questionnaires were obtained. The theoretical model was tested using structural equation modeling. RESULTS Perceived connection affordances (PCA) were found to have significant positive effects on social interactivity gratification (SIG) (t=6.201, P<.001) and informativeness gratification (IG) (t=5.068, P<.001). Perceived utilitarian affordances (PUA) had significant positive effects on IG (t=7.029, P<.001), technology gratification (TG) (t=8.404, P<.001), and functions gratification (FG) (t=9.812, P<.001). Perceived hedonic affordances (PHA) had significant positive effects on FG (t=5.305, P<.001) and enjoyment gratification (EG) (t=13.768, P<.001). Five gratifications (t=2.767, P<.01; t=4.632, P<.001; t=7.608, P<.001; t=2.496, P<.05; t=5.088, P<.001) had significant positive effect on HE. SIG, IG, and FG had significant positive effects on CI. TG and EG had no significant effect on CI. HE had a significant positive effect on CI. HE and gratifications play mediating roles in the influence of affordances on CI. CONCLUSIONS HE and gratifications of users' needs are effective ways to promote CI. The gratifications of users' needs can realize HE and then inspire CI. Affordances are key antecedents that affects gratifications of users' needs, HE and CI.

Optimizing Self-Management of Diabetes and the Role of the Physiotherapist on an Interdisciplinary Chronic Disease Management Team

2018 ◽  
Vol 42 (5) ◽  
pp. S29
Author(s):  
Bonnie Doyle ◽  
Tara Jones ◽  
Laura Burchell ◽  
Jennifer Moore ◽  
Cindy Keith ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Management Team ◽  
Self Management

scholarly journals Social Support: a Key Variable for Health Promotion and Chronic Disease Management in Hispanic Patients with Rheumatic Diseases

2014 ◽  
Vol 7 ◽  
pp. CMAMD.S13849 ◽  
Author(s):  
Alyssa T. Brooks ◽  
Regina E. Andrade ◽  
Kimberly R. Middleton ◽  
Gwenyth R. Wallen
Keyword(s):  
Social Support ◽  
Health Promotion ◽  
Chronic Disease ◽  
Disease Management ◽  
Rheumatic Diseases ◽  
Chronic Disease Management ◽  
Family Members ◽  
Psychosocial Burden ◽  
Cross Sectional

Chronic diseases, including rheumatic diseases, can cause immense physical and psychosocial burden for patients. Many Hispanics suffering with arthritis face activity limitations. Social support, or the functional content of relationships, may be important to consider when examining treatment and outcomes for Hispanic individuals. Participants were recruited from an urban community health center (CHC) as part of a larger health behavior study. A cross-sectional, descriptive, mixed methods analysis was conducted to explore the role of social support in the sample. Only Hispanic/Latino patients (n = 46) were included in this analysis. Interviews were conducted in both English and Spanish. The majority of the sample (87%) perceived some presence of social support in their lives. The two most commonly cited types of social support were emotional and instrumental. The two most common sources of social support were family members other than spouses (52.2%) and spouses (32.6%). Body mass index (BMI) was significantly correlated with the number of perceived sources of support. The presence or absence and the role of social support in supporting optimal health outcomes should be considered for Hispanics with chronic rheumatic diseases. Involving family members and spouses in the plan of care for this population could facilitate health promotion and chronic disease management.

Transforming The Role Of Medical Assistants In Chronic Disease Management

2010 ◽  
Vol 29 (5) ◽  
pp. 963-965 ◽  
Author(s):  
Karen Nelson ◽  
Maria Pitaro ◽  
Andrew Tzellas ◽  
Audrey Lum
Keyword(s):  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Medical Assistants
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