Sefcik Justine S, Petrovsky Darina, Streur Megan, Toles Mark, O'Connor Melissa, Ulrich Connie M, Marcantonio Sherry, Coburn Ken, Naylor Mary D, Moriarty Helene
1 University of Pennsylvania, Philadelphia, USA.
2 The University of North Carolina at Chapel Hill, Chapel Hill, USA.
Clin Nurs Res. 2018 Mar;27(3):258-277. doi: 10.1177/1054773816685746. Epub 2016 Dec 30.
The purpose of this study was to explore participants' experience in the Health Quality Partners (HQP) Care Coordination Program that contributed to their continued engagement. Older adults with multiple chronic conditions often have limited engagement in health care services and face fragmented health care delivery. This can lead to increased risk for disability, mortality, poor quality of life, and increased health care utilization. A qualitative descriptive design with two focus groups was conducted with a total of 20 older adults enrolled in HQP's Care Coordination Program. Conventional content analysis was the analytical technique. The overarching theme resulting from the analysis was "in our corner," with subthemes "opportunities to learn and socialize" and "dedicated nurses," suggesting that these are the primary contributing factors to engagement in HQP's Care Coordination Program. Study findings suggest that nurses play an integral role in patient engagement among older adults enrolled in a care coordination program.
本研究的目的是探讨参与者在健康质量伙伴（HQP）护理协调项目中的体验，这些体验有助于他们持续参与该项目。患有多种慢性病的老年人通常较少参与医疗服务，且面临医疗服务碎片化的问题。这可能导致残疾风险增加、死亡率上升、生活质量下降以及医疗利用率提高。本研究采用定性描述性设计，通过两个焦点小组，对总共20名参与HQP护理协调项目的老年人进行了研究。分析技术采用传统内容分析法。分析得出的总体主题是“站在我们这边”，子主题为“学习与社交机会”和“敬业的护士”，这表明这些是促使老年人参与HQP护理协调项目的主要因素。研究结果表明，在参与护理协调项目的老年人中，护士在促进患者参与方面发挥着不可或缺的作用。
