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Case management in the community setting

G M Daly¹, R D Mitchell

¹Community Nursing Organization, Visiting Nurse Service of New York, Long Island City, USA.

The Nursing Clinics of North America

|September 1, 1996

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This study highlights a nurse-led community health model for elderly care. Advanced practice nurses enhance this model by providing direct care and staff education, integrating preventive and curative services.

Area of Science:

Community Health Nursing
Geriatric Care
Healthcare Management

Background:

The growing elderly population necessitates innovative healthcare delivery models.
Traditional healthcare systems often face challenges in providing comprehensive, community-based care for seniors.
Nurse-managed organizations offer a promising approach to address these gaps.

Purpose of the Study:

To describe a federally funded, nurse-managed community health organization (CNO) model for elderly care.
To evaluate the role and benefits of integrating advanced practice nurses (APNs) within this community health setting.
To demonstrate the effectiveness of APNs in autonomous practice, delivering integrated preventive and curative care.

Main Methods:

The article details a community-focused model where nurses act as case managers.

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It emphasizes the integration of health promotion, screening, and early intervention services.

The study highlights the dual role of APNs in direct client care and staff education/consultation.

Main Results:

The Community Nursing Organization (CNO) model effectively utilizes nurses as case managers for the elderly.
Integration of APNs led to enhanced direct client care and improved nursing staff capabilities.
APNs demonstrated autonomous practice skills, successfully bridging preventive and curative care.

Conclusions:

Nurse-managed community health organizations are effective in serving the elderly population.
Advanced practice nurses are crucial for delivering integrated, autonomous care within community settings.
The CNO model showcases a successful integration of preventive and curative healthcare services across diverse practice sites.