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Related Experiment Videos

Improving service delivery for relapse management in multiple sclerosis.

Richard Warner1, Del Thomas, Roswell Martin

  • 1Gloucestershire Royal Hospital, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.

British Journal of Nursing (Mark Allen Publishing)
|August 24, 2005
PubMed
Summary

This study improved multiple sclerosis (MS) relapse care, increasing treatment rates by 73% within 10 days. Specialist nurses enhanced patient service quality and identified key care values.

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Area of Science:

  • Nursing Research
  • Healthcare Service Improvement
  • Multiple Sclerosis Management

Background:

  • Multiple Sclerosis (MS) relapse management requires timely and effective interventions.
  • Existing services faced challenges in meeting patient needs during MS relapses.
  • National Institute for Clinical Excellence (NICE) guidelines emphasize optimal care for this patient group.

Purpose of the Study:

  • To enhance the quality of care for patients experiencing multiple sclerosis relapses.
  • To increase the speed of treatment initiation following symptom reporting.
  • To understand patient perspectives on the delivered service and inform future service development.

Main Methods:

  • An 18-month action research study conducted in a district general hospital.

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  • Focus on the role of specialist nurses in identifying, treating, and managing MS relapses.
  • Data collection on patient treatment times and patient-reported values.

    • Main Results:

    • A three-fold increase in the identification and treatment of MS relapse patients.
    • 85% of patients received treatment within 10 days of symptom reporting, a significant improvement from 12% previously.
    • Identified key patient-valued aspects of the service and insights into relapse-associated distress.

    Conclusions:

    • Specialist nursing services can effectively lead service delivery changes to improve MS patient care.
    • The study successfully enhanced the timeliness and quality of care for multiple sclerosis relapses.
    • Findings align with and support NICE guidelines for MS management in the UK.