+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

From hospital to home after cardiac surgery: evaluation of a community nursing care management model

From hospital to home after cardiac surgery: evaluation of a community nursing care management model

Professional Case Management 14(4): 167

This quasi-experimental research aims to (1) evaluate the implementation process of a community nursing care management model and (2) assess the effects of this model on patients followed at home. Two community healthcare centers had introduced a community nursing care management model in their practice (experimental groups), whereas another health community care center with no experience with such a model served as a control group. The community nursing care management model included clinical pathways designed for a clientele who had been hospitalized for cardiac surgery. Even though the implementation process was challenging, the community nursing care management model was found useful enough to be integrated into routine nursing home care practice after cardiac surgery. Although the effects produced by this systematic home care program on the clientele did not differ significantly from those produced by usual nursing care, there was a positive effect for the clientele recorded on all measurement indicators used. The introduction of the nursing care management model enabled nurses to structure the care provided and reduced interindividual variation. The application of this program also proved to be an opportunity to initiate and assimilate new professional roles. Additional studies should be conducted to assess its effectiveness in home care for other health problems.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 053309334

Download citation: RISBibTeXText

PMID: 19625933

DOI: 10.1097/ncm.0b013e318198d4be

Related references

Home medical care network in the community supporting hospital--nursing consultant acting for community coordination. Gan to Kagaku Ryoho. Cancer and ChemoTherapy 30(Suppl. 1): 173-175, 2003

Hospital in the nursing home. Treating acute hospital problems in nursing home residents using a Hospital in the Home model. Australian Family Physician 30(10): 1010-1012, 2001

Comparisons of the cost-effectiveness among hospital chronic care, nursing home placement, home nursing care and family care for severe stroke patients. Journal of Advanced Nursing 33(3): 380-386, 2001

Acute hospital use, nursing home placement, and mortality in a frail community-dwelling cohort managed with Primary Integrated Interdisciplinary Elder Care at Home. Journal of the American Geriatrics Society 60(7): 1340-1346, 2012

A comparative effectiveness trial between a post-acute care hospitalist model and a community-based physician model of nursing home care. Journal of the American Medical Directors Association 12(5): 384-386, 2011

Evaluation of a client care delivery model, Part 2: Variability in client outcomes in community home nursing. Nursing Economic$ 20(1): 13, 2002

Processes between hospital nursing and home care: ambulatory care, guidance on the care following discharge from the hospital, and home nursing. Kango Tenbo. Japanese Journal of Nursing Science 4(7): 583-588, 1979

Decisions about transferring nursing home residents to hospital: highlighting the roles of advance care planning and support from local hospital and community health services. Journal of Clinical Nursing 20(19-20): 2897-2906, 2011

Cardiac rehabilitation with nurse care management and telephonic interactions at a community hospital: program evaluation of participation and lipid outcomes. Lippincott's Case Management 8(4): 141, 2003

Case mix and outcomes of nursing home patients. The importance of prior nursing home care and admission from home versus hospital. Medical Care 27(4): 376-385, 1989

Home care nurse's experience with job rotation between home care nursing and hospital nursing in Horsens: we will learn enough to work out our problems together. Sygeplejersken 80(45): 5-6, 1980

Continuity of care and outcome in nursing home patients transferred to a community hospital. Family Medicine 21(2): 118-121, 1989

Establishment of home visiting system--regional health care by Horikawa Hospital, Kyoto (5). Hospital nursing and continued nursing care. Japanese Journal for Public Health Nurse 32(7): 413-420, 1976

Paediatric community home nursing: a model of acute care. British Journal of Nursing 23(4): 209-212, 2014

A comparison of home care clients and nursing home residents: can community based care keep the elderly and disabled at home?. Home Health Care Services Quarterly 18(1): 25-45, 2000