Patient perspectives on an intervention after suicide attempt: The need for patient centred and individualized care

Background Many types of intervention exist for suicide attempters, but they tend not to sufficiently consider patient’s views. Aim To identify useful components of a previously evaluated intervention after a suicide attempt from the patient’s views and to better understand the process of recovery. Method Forty-one interviews with suicide attempters were qualitatively analysed. Views of participants (i) on the components of the intervention (nurse case-management, joint crisis plan, meetings with relatives/network and follow-up calls) and (ii) their recovery were explored. The material was analysed by means of thematic analysis with a deductive-inductive approach. Results Participants valued the human and professional qualities of the nurse case-manager, and appreciated follow-up calls and meetings. However, their views diverged regarding for instance frequency of phone calls, or disclosing information or lack thereof. Interpersonal relationship, suicide attempters’ own resources and life changes emerged as core recovery factors. Discussion The study highlights the figure of an engaged clinician, with both professional and human commitment, aware that some suicide attempters put more emphasis on their own resources than on delivered health care. Conclusions Interventions should consider the clinician as the cornerstone of the tailored care valued by suicide attempters.

Results of Nurse Case Management in Primary Heath Care: Bibliographic Review

Background: The new characteristics of today’s population, together with the presence of chronic diseases in the elderly, require a new approach to care, promoting coordination between different levels of care. In this sense, we find the figure of the nurse case manager (NCM) in primary health care mainly responsible for ensuring continuity of care in complex patients with chronic diseases. Objective: to describe the role of the NCM in care management, determining its effectiveness in addressing chronic disease (health outcomes and quality of life) and its efficiency in the health system. Methods: Bibliographic review of scientific evidence on case management applied to nursing. Between March and April 2020 a bibliographic search was carried out in the Dialnet, Scielo, Scopus and Pubmed databases. Inclusion criteria: articles written in the last 5 years, which analyze how this nursing rol influences the care and health of patients. Results: A total of 16 articles were selected. The NCM reduced the use of the emergency department, hospital admissions, readmissions, and the duration of these in the patients studied. Conclusion: The NCM is effective and efficient for both patients and health institutions, and a common practice model is needed that includes standardized protocols and evidence-based practices.

Transition From Hospital to Home: The Role of the Nurse Case Manager in Promoting Medication Adherence in the Medicare Population

Lack of adherence to medication plans is a factor in costly hospital readmissions. Adherence to medication plans in the home care setting in relation to hospital readmission is a major issue among the Medicare population. Nurse case managers are in a key position to provide care after hospital discharge to promote medication adherence and thus reduce the chance of hospital readmission. This article discusses barriers to taking medications as prescribed and directed, the importance of ongoing medication reconciliation at home, and strategies to promote adherence to medication plans.

ONCOLOGY NURSE NAVIGATOR PROGRAMME - A NARRATIVE REVIEW

Introduction: Cancer Care is complex and often requires multiple health care professionals to work in a coordinated and integrated fashion to deliver most effective care available. A team based approach from surgeons, medical oncologists, radiologists, nurse specialists and social worker is required to ensure quality and continuity in care. Specific nursing roles in cancer services are expanding and evolving. Objective: To explore the role of nurse as navigator in oncology care. Methodology: Literature survey was conducted from published journals, text books and online databases (CINAHL, Pubmed, Proquest, Ovid, Medline and Science direct) from January 2000 to January 2014 by using terms pivot nurse ,oncology nurse, case manager, nurse navigator ,patient navigator, oncology nurse navigator along with terms oncology or cancer care. Results: Literature review on nurse navigator programme reveals positive outcomes in various aspects of cancer care, but lack of consensus in study population, intervention settings, outcome measures and methodologies have been noted. Conclusion: Patient navigation using nurses is viewed as an effective strategy to improve standard of oncology care delivered. This review provides evidence that nurse navigator programme can improve specific patient outcomes in cancer care.