Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review
Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previ...
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| Autor*in: |
Dufour, Emilie [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2023 |
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| Übergeordnetes Werk: |
Enthalten in: BMC family practice - London : BioMed Central, 2000, 24(2023), 1 vom: 04. Sept. |
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| Übergeordnetes Werk: |
volume:24 ; year:2023 ; number:1 ; day:04 ; month:09 |
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| DOI / URN: |
10.1186/s12875-023-02089-3 |
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SPR052973778 |
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| 520 | |a Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. | ||
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10.1186/s12875-023-02089-3 doi (DE-627)SPR052973778 (SPR)s12875-023-02089-3-e DE-627 ger DE-627 rakwb eng Dufour, Emilie verfasserin aut Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. Chronic care model (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Community Care (dpeaa)DE-He213 Nurse-led care (dpeaa)DE-He213 Chronic disease (dpeaa)DE-He213 Bolduc, Jolianne aut Leclerc-Loiselle, Jérôme aut Charette, Martin aut Dufour, Isabelle aut Roy, Denis aut Poirier, Andrée-Anne aut Duhoux, Arnaud aut Enthalten in BMC family practice London : BioMed Central, 2000 24(2023), 1 vom: 04. Sept. (DE-627)326644911 (DE-600)2041495-X 1471-2296 nnns volume:24 year:2023 number:1 day:04 month:09 https://dx.doi.org/10.1186/s12875-023-02089-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_2021 AR 24 2023 1 04 09 |
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10.1186/s12875-023-02089-3 doi (DE-627)SPR052973778 (SPR)s12875-023-02089-3-e DE-627 ger DE-627 rakwb eng Dufour, Emilie verfasserin aut Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. Chronic care model (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Community Care (dpeaa)DE-He213 Nurse-led care (dpeaa)DE-He213 Chronic disease (dpeaa)DE-He213 Bolduc, Jolianne aut Leclerc-Loiselle, Jérôme aut Charette, Martin aut Dufour, Isabelle aut Roy, Denis aut Poirier, Andrée-Anne aut Duhoux, Arnaud aut Enthalten in BMC family practice London : BioMed Central, 2000 24(2023), 1 vom: 04. Sept. (DE-627)326644911 (DE-600)2041495-X 1471-2296 nnns volume:24 year:2023 number:1 day:04 month:09 https://dx.doi.org/10.1186/s12875-023-02089-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_2021 AR 24 2023 1 04 09 |
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10.1186/s12875-023-02089-3 doi (DE-627)SPR052973778 (SPR)s12875-023-02089-3-e DE-627 ger DE-627 rakwb eng Dufour, Emilie verfasserin aut Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. Chronic care model (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Community Care (dpeaa)DE-He213 Nurse-led care (dpeaa)DE-He213 Chronic disease (dpeaa)DE-He213 Bolduc, Jolianne aut Leclerc-Loiselle, Jérôme aut Charette, Martin aut Dufour, Isabelle aut Roy, Denis aut Poirier, Andrée-Anne aut Duhoux, Arnaud aut Enthalten in BMC family practice London : BioMed Central, 2000 24(2023), 1 vom: 04. Sept. (DE-627)326644911 (DE-600)2041495-X 1471-2296 nnns volume:24 year:2023 number:1 day:04 month:09 https://dx.doi.org/10.1186/s12875-023-02089-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_2021 AR 24 2023 1 04 09 |
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10.1186/s12875-023-02089-3 doi (DE-627)SPR052973778 (SPR)s12875-023-02089-3-e DE-627 ger DE-627 rakwb eng Dufour, Emilie verfasserin aut Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. Chronic care model (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Community Care (dpeaa)DE-He213 Nurse-led care (dpeaa)DE-He213 Chronic disease (dpeaa)DE-He213 Bolduc, Jolianne aut Leclerc-Loiselle, Jérôme aut Charette, Martin aut Dufour, Isabelle aut Roy, Denis aut Poirier, Andrée-Anne aut Duhoux, Arnaud aut Enthalten in BMC family practice London : BioMed Central, 2000 24(2023), 1 vom: 04. Sept. (DE-627)326644911 (DE-600)2041495-X 1471-2296 nnns volume:24 year:2023 number:1 day:04 month:09 https://dx.doi.org/10.1186/s12875-023-02089-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_2021 AR 24 2023 1 04 09 |
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10.1186/s12875-023-02089-3 doi (DE-627)SPR052973778 (SPR)s12875-023-02089-3-e DE-627 ger DE-627 rakwb eng Dufour, Emilie verfasserin aut Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. Chronic care model (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Community Care (dpeaa)DE-He213 Nurse-led care (dpeaa)DE-He213 Chronic disease (dpeaa)DE-He213 Bolduc, Jolianne aut Leclerc-Loiselle, Jérôme aut Charette, Martin aut Dufour, Isabelle aut Roy, Denis aut Poirier, Andrée-Anne aut Duhoux, Arnaud aut Enthalten in BMC family practice London : BioMed Central, 2000 24(2023), 1 vom: 04. Sept. (DE-627)326644911 (DE-600)2041495-X 1471-2296 nnns volume:24 year:2023 number:1 day:04 month:09 https://dx.doi.org/10.1186/s12875-023-02089-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_2021 AR 24 2023 1 04 09 |
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Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. 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Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review Chronic care model (dpeaa)DE-He213 Systematic review (dpeaa)DE-He213 Community Care (dpeaa)DE-He213 Nurse-led care (dpeaa)DE-He213 Chronic disease (dpeaa)DE-He213 |
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Dufour, Emilie Bolduc, Jolianne Leclerc-Loiselle, Jérôme Charette, Martin Dufour, Isabelle Roy, Denis Poirier, Andrée-Anne Duhoux, Arnaud |
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examining nursing processes in primary care settings using the chronic care model: an umbrella review |
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Examining nursing processes in primary care settings using the Chronic Care Model: an umbrella review |
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Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. © The Author(s) 2023 |
| abstractGer |
Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. © The Author(s) 2023 |
| abstract_unstemmed |
Background While there is clear evidence that nurses can play a significant role in responding to the needs of populations with chronic conditions, there is a lack of consistency between and within primary care settings in the implementation of nursing processes for chronic disease management. Previous reviews have focused either on a specific model of care, populations with a single health condition, or a specific type of nurses. Since primary care nurses are involved in a wide range of services, a comprehensive perspective of effective nursing processes across primary care settings and chronic health conditions could allow for a better understanding of how to support them in a broader way across the primary care continuum. This systematic overview aims to provide a picture of the nursing processes and their characteristics in chronic disease management as reported in empirical studies, using the Chronic Care Model (CCM) conceptual approach. Methods We conducted an umbrella review of systematic reviews published between 2005 and 2021 based on the recommendations of the Joanna Briggs Institute. The methodological quality was assessed independently by two reviewers using the AMSTAR 2 tool. Results Twenty-six systematic reviews and meta-analyses were included, covering 394 primary studies. The methodological quality of most reviews was moderate. Self-care support processes show the most consistent positive outcomes across different conditions and primary care settings. Case management and nurse-led care show inconsistent outcomes. Most reviews report on the clinical components of the Chronic Care Model, with little mention of the decision support and clinical information systems components. Conclusions Placing greater emphasis on decision support and clinical information systems could improve the implementation of nursing processes. While the need for an interdisciplinary approach to primary care is widely promoted, it is important that this approach not be viewed solely from a clinical perspective. The organization of care and resources need to be designed to support contributions from all providers to optimize the full range of services available to patients with chronic conditions. PROSPERO registration CRD42021220004. © The Author(s) 2023 |
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Bolduc, Jolianne Leclerc-Loiselle, Jérôme Charette, Martin Dufour, Isabelle Roy, Denis Poirier, Andrée-Anne Duhoux, Arnaud |
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