Nursing care in the chronic phase of COPD: a call for innovative disciplinary research.

2.50
Hdl Handle:
http://hdl.handle.net/2336/42342
Title:
Nursing care in the chronic phase of COPD: a call for innovative disciplinary research.
Authors:
Jonsdottir, Helga
Citation:
J Clin Nurs. 2008, 17(7B):272-90
Issue Date:
1-Jul-2008
Abstract:
AIM: The literature on nursing care in nurse clinics that focus on chronic management of chronic obstructive pulmonary disease (COPD) is analysed and synthesised with the purpose of advancing research of practice in nurse clinics. BACKGROUND: Along with the rising prevalence of COPD and a growing recognition of long-lasting, comprehensive and complex healthcare needs of people with COPD and their families, nurses are challenged to restructure their practice. METHODS: An integrated review was conducted. The databases searched were NCBI's PubMed database, Scopus, CINAHL and Web of Science from 1996 to 2006. Terms searched were 'COPD' and 'nurse managed clinic' with all subheadings. A nurse had to be primary in managing and providing the services and the methodological approach was inclusive. RESULTS: Of 385 potentially relevant papers, 20 papers reporting 16 studies met the inclusion criteria. The methodological approach was diverse with randomised controlled trials being most common. Significant benefits from experimental treatments were seldom demonstrated. Nursing care in the chronic phase of COPD has mainly been conceptualised as: home-based respiratory care; self-management educational programmes and telephone service with influences of specialisation in respiratory nursing care on patients' outcomes as an emphasis as well. Family focus was not found in any of the studies. CONCLUSION: Research on nurse clinics that focus on the chronic phase of COPD is in its infancy. Innovative research that addresses the structure and content of the nursing care is essential. RELEVANCE TO CLINICAL PRACTICE: Nursing care in nurse clinics that focus on the chronic phase of COPD needs to be based on nursing knowledge, evidence based, comprehensive, family-centred, focused on health and the health experience and be situated within the service system. Diversity, creativity and nursing values should prevail when developing nurse clinics for the purpose of creating possibilities to attend to the whole of patients' and their families' needs and experiences.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://dx.doi.org/10.1111/j.1365-2702.2007.02271.x

Full metadata record

DC FieldValue Language
dc.contributor.authorJonsdottir, Helga-
dc.date.accessioned2008-12-15T11:04:49Z-
dc.date.available2008-12-15T11:04:49Z-
dc.date.issued2008-07-01-
dc.date.submitted2008-12-15-
dc.identifier.citationJ Clin Nurs. 2008, 17(7B):272-90en
dc.identifier.issn1365-2702-
dc.identifier.pmid18578803-
dc.identifier.doi10.1111/j.1365-2702.2007.02271.x-
dc.identifier.urihttp://hdl.handle.net/2336/42342-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractAIM: The literature on nursing care in nurse clinics that focus on chronic management of chronic obstructive pulmonary disease (COPD) is analysed and synthesised with the purpose of advancing research of practice in nurse clinics. BACKGROUND: Along with the rising prevalence of COPD and a growing recognition of long-lasting, comprehensive and complex healthcare needs of people with COPD and their families, nurses are challenged to restructure their practice. METHODS: An integrated review was conducted. The databases searched were NCBI's PubMed database, Scopus, CINAHL and Web of Science from 1996 to 2006. Terms searched were 'COPD' and 'nurse managed clinic' with all subheadings. A nurse had to be primary in managing and providing the services and the methodological approach was inclusive. RESULTS: Of 385 potentially relevant papers, 20 papers reporting 16 studies met the inclusion criteria. The methodological approach was diverse with randomised controlled trials being most common. Significant benefits from experimental treatments were seldom demonstrated. Nursing care in the chronic phase of COPD has mainly been conceptualised as: home-based respiratory care; self-management educational programmes and telephone service with influences of specialisation in respiratory nursing care on patients' outcomes as an emphasis as well. Family focus was not found in any of the studies. CONCLUSION: Research on nurse clinics that focus on the chronic phase of COPD is in its infancy. Innovative research that addresses the structure and content of the nursing care is essential. RELEVANCE TO CLINICAL PRACTICE: Nursing care in nurse clinics that focus on the chronic phase of COPD needs to be based on nursing knowledge, evidence based, comprehensive, family-centred, focused on health and the health experience and be situated within the service system. Diversity, creativity and nursing values should prevail when developing nurse clinics for the purpose of creating possibilities to attend to the whole of patients' and their families' needs and experiences.en
dc.language.isoenen
dc.publisherBlackwell Scientific Publicationsen
dc.relation.urlhttp://dx.doi.org/10.1111/j.1365-2702.2007.02271.xen
dc.subject.meshAmbulatory Care Facilitiesen
dc.subject.meshCommunity Health Nursingen
dc.subject.meshContinuity of Patient Careen
dc.subject.meshDisease Managementen
dc.subject.meshEvidence-Based Medicineen
dc.subject.meshHealth Services Needs and Demanden
dc.subject.meshHealth Statusen
dc.subject.meshHolistic Healthen
dc.subject.meshHome Care Servicesen
dc.subject.meshHumansen
dc.subject.meshLong-Term Careen
dc.subject.meshNurse's Roleen
dc.subject.meshNursing Assessmenten
dc.subject.meshNursing Researchen
dc.subject.meshOutcome Assessment (Health Care)en
dc.subject.meshPatient Education as Topicen
dc.subject.meshPatient-Centered Careen
dc.subject.meshPrevalenceen
dc.subject.meshPulmonary Disease, Chronic Obstructiveen
dc.subject.meshResearch Designen
dc.subject.meshSelf Careen
dc.subject.meshSpecialties, Nursingen
dc.titleNursing care in the chronic phase of COPD: a call for innovative disciplinary research.en
dc.typeArticleen
dc.contributor.departmentFaculty of Nursing, University of Iceland, Reykjavik,Iceland. helgaj@hi.isen
dc.identifier.journalJournal of clinical nursingen

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