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Care Coordination: A Concept Analysis.

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  • 1Amanda Anderson is a PhD student and research project assistant and Sharon Hewner is an associate professor, both at the State University of New York University at Buffalo School of Nursing. Both are fellows in Clinical Scholars, a national leadership program supported by the Robert Wood Johnson Foundation. Anderson is also on the editorial board and a contributing editor of AJN . Contact author: Amanda Anderson, ajanders@buffalo.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.

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Care coordination is a familiar nursing role, but its definition lacks clarity across healthcare disciplines. This study clarifies care coordination and highlights nursing

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Interprofessional Collaboration

Background:

  • Care coordination is widely recognized but lacks a clear, consistent definition across healthcare disciplines.
  • Role ambiguity in care coordination hinders the implementation of evidence-based practices and policies.
  • Nursing plays a familiar role in care coordination within clinical settings.

Purpose of the Study:

  • To clarify the concept and practice role of care coordination.
  • To examine the specific value that nursing contributes to care coordination implementation.
  • To address the limitations imposed by role ambiguity in care coordination.

Main Methods:

  • Utilized Walker and Avant's eight-step concept analysis method.
  • Analyzed multidisciplinary healthcare literature on care coordination.
  • Examined the nursing profession's role in care coordination.

Main Results:

  • Identified defining factors of care coordination practice despite definitional variations.
  • Highlighted significant role ambiguity in care coordination across and within disciplines.
  • Underscored the essential contributions of nursing to effective care coordination.

Conclusions:

  • Clarifying the concept of care coordination is crucial for effective implementation.
  • Nursing's role is vital for bridging gaps and enhancing care coordination.
  • Addressing role ambiguity can improve evidence-based care coordination in practice and policy.