ArticleAtencion primaria2005
[Continuity of care: role of the link nurse].
Article in Atencion primaria, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
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Abstract
objectiveTo evaluate the link nurse programme after 2 years of operation.
designDescriptive study.
settingPrimary vare in the towns of Sant Boi de Llobregat and Sant Vicenç dels Horts (Barcelona) and the County Hospital of Sant Boi, Spain. PATIENTS: Patients discharged from the hospital (October 2000-October 2002) and who needed ongoing care in the primary care centre or at home.
interventionsJoint visits of the link nurse and the hospital unit's supervisor to work out the care plan before discharge. The PC team was informed of the transfer of the patient and his/her care plan. Subsequent home visits were by the link nurse, the primary care team or both together.
results854 patients (57.6% women) were studied. Women's mean age was 69.82 (SD, 4.7) and men's was 61.7 (SD, 9.6) (P<.0001). The link nurse made 2241 hospital visits, 81 home visits, and 434 phone calls. There were 636 co-ordinations. The most common nursing diagnosis made was physical mobility disorder (61% of patients).
conclusionsA mechanism was created to improve continuity from hospital discharge to contact with the PC team. The link nurse coordinates and manages patients before they are handed over to PC.
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