“You don't want to know just about my lungs, you…want to know more about me”. Patients and their caregivers' evaluation of a nurse‐led COPD supportive care service

非概率抽样 护理部 医学 慢性阻塞性肺病 服务(商务) 地区护士 需要知道 内容分析 心理学 医疗保健 人口 精神科 社会科学 经济 环境卫生 社会学 经济 经济增长 计算机安全 计算机科学
作者
Linda Ora,Lesley Wilkes,Judy Mannix,Linda Gregory,Lauretta Luck
出处
期刊:Journal of Clinical Nursing [Wiley]
卷期号:33 (5): 1896-1905 被引量:1
标识
DOI:10.1111/jocn.17008
摘要

Abstract Aim To evaluate a nurse‐led model of supportive care in a COPD outpatient service from patient and caregiver perspectives. Design Case study methodology. Methods Data were collected from semi‐structured interviews with patients ( n = 12) and caregivers ( n = 7) conducted between April 2020 and September 2022. A purposive sampling strategy was used. Interviews were transcribed verbatim and analysed using content analysis with an inductive approach. COREQ guidelines informed reporting of this study. Results Eight categories were identified from the data evaluating of the model of care relating to the most helpful aspects of COPD supportive care and suggested improvements to the model of care. The categories were: guidance with managing symptoms; participating in advance care planning; home visiting; expert advice; continuity and trust; caring; caregiver support and improvements to the model of care. Conclusion In a nurse‐led model of COPD supportive care, what patients and caregivers valued most was expert advice and guidance with symptom management, flexible home visiting, participation in advance care planning, caring and continuity within an ongoing trusted therapeutic relationship. Understanding what patients and caregivers value most is essential in designing and delivering models of care that meet the needs of patients living with chronic, life‐limiting illness. Implications for the profession and/or patient care Nurses can lead effective models of supportive care that offer valuable support to patients living with COPD and their caregivers.
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