Patients' experience of integrated nursing care in general practices in Switzerland: a mixed-methods study.

IF 2.4 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Muriel Schütz Leuthold, Fatima El Hakmaoui, Renzo Scuderi, Nicolas Senn, Christine Cohidon
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引用次数: 0

Abstract

Background: In many high-income countries, nurses, including registered nurses (RNs), play a key role in primary care (PC), particularly in general practice. Their involvement enhances patients' experiences, especially in terms of accessibility and comprehensiveness of care provided. To reinforce the provision of care and enhance patients' experience in family medicine, RNs were integrated into eight private general practices in the canton of Vaud, Switzerland, creating interprofessional teams. This study assessed patients' experiences with new nursing activities in general practices.

Methods: A mixed-methods approach was used to assess patients' experiences. Quantitative data were collected through a patient experience survey conducted before and after nursing follow-up, with descriptive and bivariate analyses performed. Qualitative data were obtained from interviews with ten patients.

Results: A total of 109 patients completed the questionnaire before and after nursing follow-up. Descriptive analyses showed that several dimensions of patients' experience improved with new nursing follow-up. Bivariate analyses revealed significant improvements in several areas, including unmet healthcare needs, accessibility to nursing care, preventive care, and information provided. Furthermore, patients reported positive changes in their health and lifestyle due to preventive care. Qualitative data supported these results, highlighting the importance of nurses' accessibility and availability and the holistic nursing care provided.

Conclusion: These findings highlight the potential of nurse-led case management to address gaps in PC delivery, particularly in managing chronic diseases. The integration of nurses into general practice settings improved the provision of preventive care, enhanced patient education, and increased accessibility to care.

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来源期刊
Family practice
Family practice 医学-医学:内科
CiteScore
4.30
自引率
9.10%
发文量
144
审稿时长
4-8 weeks
期刊介绍: Family Practice is an international journal aimed at practitioners, teachers, and researchers in the fields of family medicine, general practice, and primary care in both developed and developing countries. Family Practice offers its readership an international view of the problems and preoccupations in the field, while providing a medium of instruction and exploration. The journal''s range and content covers such areas as health care delivery, epidemiology, public health, and clinical case studies. The journal aims to be interdisciplinary and contributions from other disciplines of medicine and social science are always welcomed.
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