Exploring the expectations, needs and experiences of general practitioners and nurses towards a proactive and structured care programme for frail older patients: a mixed-methods study.
J Adv Nurs
; 69(10): 2262-73, 2013 Oct.
Article
em En
| MEDLINE
| ID: mdl-23461433
ABSTRACT
AIM:
To report the expectations and experiences of general practitioners and practice nurses regarding the U-CARE programme, to gain a better understanding of the barriers and facilitators in providing proactive, structured care to frail older people and to determine whether implementation is feasible.BACKGROUND:
Care for older patients with complex care needs in primary care is fragmented, reactive and time consuming. A structured, proactive care programme was developed to improve physical functioning and quality of life in frail older patients.DESIGN:
An explanatory mixed-methods study nested in a cluster-randomized trial.METHODS:
The barriers to and needs for the provision of structured, proactive care, and expectations regarding the U-CARE programme were assessed with pre-questionnaires sent to all participating general practitioners (n = 32) and practice nurses (n = 21) in October 2010. Postquestionnaires measured experiences with the programme after 5 months. Twelve months later, focus group meetings were conducted.RESULTS:
Practice nurses and general practitioners reported that it was difficult to provide proactive and structured care to older patients with multi-morbidity, different cultural backgrounds and low socioeconomic status. Barriers were a lack of time and financial compensation. Most general practitioners and practice nurses indicated that the programme added value for the coordination of care and allowed them to provide structured care.CONCLUSION:
This explanatory mixed-methods study showed that general practitioners and practice nurses perceived the U-CARE programme as feasible in general practice. A transition was made from reactive, ad hoc care towards a proactive and preventive care approach.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Atitude do Pessoal de Saúde
/
Idoso Fragilizado
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Medicina Geral
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Clínicos Gerais
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Profissionais de Enfermagem
Tipo de estudo:
Clinical_trials
/
Qualitative_research
Limite:
Aged
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Female
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Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Adv Nurs
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Holanda