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Gut leben zuhause mit Multimorbidität
Rachel Jenkins1, Anke Jähnke2, Iren Bischofberger2
1Spitex Zürich Limmat AG, Zürich.
Pflege
|October 7, 2021
Summary
Advanced Practice Nurses (APN) enhance home healthcare for elderly patients with multiple chronic conditions. This project developed the APN role, improving patient stability and caregiver confidence in managing complex health needs.
Area of Science:
- Gerontology
- Nursing Science
- Healthcare Management
Background:
- Multimorbidity is rising in the elderly, causing decreased autonomy and quality of life.
- Complex care needs in multimorbidity necessitate robust home health nursing services.
- Advanced Practice Nurses (APNs) improve care quality in primary and hospital settings, but their role in home care for these patients is understudied.
Purpose of the Study:
- To establish and evaluate the role of an Advanced Practice Nurse (APN) within a home health nursing organization for patients with multimorbidity.
- To integrate internationally recognized APN core competencies into home healthcare practice.
- To assess the benefits of APN-led care for patients, families, and healthcare teams.
Main Methods:
- A practice development project utilizing the Plan-Do-Check-Act (PDCA) cycle.
- Collection and analysis of client characteristics through case studies.
- Evaluation of benefits for clients, family caregivers, nursing staff, and interprofessional collaboration.
Main Results:
- Forty clients received care under the APN during the project.
- Improved stability was observed in complex patient situations.
- Clients and family caregivers reported increased confidence in managing their health.
Conclusions:
- The APN's leadership in best practice development and interprofessional coordination is crucial.
- The APN effectively managed multiple stakeholders involved in patient care.
- Further research is needed to quantify the impact of the APN role on overall care quality.
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