Vaneh E. Hovsepian PhD, MSN, RN, Jianfang Liu PhD, Amelia E. Schlak PhD, RN, Tatiana Sadak PhD, PMHNP, RN, FAAN, Grant Martsolf PhD, MPH, RN, FAAN, Ani Bilazarian PhD, RN, Matthew D. McHugh PhD, JD, MPH, RN, FAAN, Lusine Poghosyan PhD, MPH, RN, FAAN
{"title":"Structural capabilities in primary care practices where nurse practitioners care for persons living with dementia","authors":"Vaneh E. Hovsepian PhD, MSN, RN, Jianfang Liu PhD, Amelia E. Schlak PhD, RN, Tatiana Sadak PhD, PMHNP, RN, FAAN, Grant Martsolf PhD, MPH, RN, FAAN, Ani Bilazarian PhD, RN, Matthew D. McHugh PhD, JD, MPH, RN, FAAN, Lusine Poghosyan PhD, MPH, RN, FAAN","doi":"10.1111/opn.12556","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Primary care structural capabilities (i.e., electronic health records, care coordination, community integration, and reminder systems) can address the multiple needs of persons living with dementia (PLWD).</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>This study describes structural capabilities in primary care practices where nurse practitioners (NPs) provide care to PLWD and compares the presence of structural capabilities in practices with a high and low volume of PLWD.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>We conducted a secondary analysis of cross-sectional data from 293 NPs in 259 practices in California. Logistic regression models were used to determine the association between the volume of PLWD and the presence of structural capabilities.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>NPs reported that 96% of practices had electronic health records, 61% had community integration, 55% had reminder systems and 35% had care coordination capabilities. Practices with a high volume of PLWD were less likely to have community integration compared to practices with a low volume of PLWD.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Many PLWD-serving practices do not have the essential infrastructure for providing optimal dementia care. Practice managers should focus on implementing the essential structural capabilities to address the complex needs of PLWD.</p>\n </section>\n \n <section>\n \n <h3> Implications for practice</h3>\n \n <p>Clinicians and practice administrations can use the findings of this study to improve the delivery of care in practices that provide care to PLWD.</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/opn.12556","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Older People Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/opn.12556","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Primary care structural capabilities (i.e., electronic health records, care coordination, community integration, and reminder systems) can address the multiple needs of persons living with dementia (PLWD).
Objectives
This study describes structural capabilities in primary care practices where nurse practitioners (NPs) provide care to PLWD and compares the presence of structural capabilities in practices with a high and low volume of PLWD.
Methods
We conducted a secondary analysis of cross-sectional data from 293 NPs in 259 practices in California. Logistic regression models were used to determine the association between the volume of PLWD and the presence of structural capabilities.
Results
NPs reported that 96% of practices had electronic health records, 61% had community integration, 55% had reminder systems and 35% had care coordination capabilities. Practices with a high volume of PLWD were less likely to have community integration compared to practices with a low volume of PLWD.
Conclusion
Many PLWD-serving practices do not have the essential infrastructure for providing optimal dementia care. Practice managers should focus on implementing the essential structural capabilities to address the complex needs of PLWD.
Implications for practice
Clinicians and practice administrations can use the findings of this study to improve the delivery of care in practices that provide care to PLWD.
期刊介绍：
International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
