Evidence map›Paper›PMID 31420181›Full record

ArticleNursing outlook

High-value care for older adults with complex care needs: Leveraging nurses as innovators.

George Demiris, Nancy A Hodgson, Justine S Sefcik, Jasmine L Travers, Miranda Varrassee McPhillips, Mary D Naylor

Abstract read
In one paragraph

Article in Nursing outlook. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

George DemirisUniversity of Pennsylvania School of Nursing, Philadelphia, PA. Electronic address: gdemiris@nursing.upenn.edu.
Nancy A HodgsonUniversity of Pennsylvania School of Nursing, Philadelphia, PA.
Justine S SefcikUniversity of Pennsylvania School of Nursing, Philadelphia, PA.
Jasmine L TraversUniversity of Pennsylvania School of Nursing, Philadelphia, PA.
Miranda Varrassee McPhillipsUniversity of Pennsylvania School of Nursing, Philadelphia, PA.
Mary D NaylorUniversity of Pennsylvania School of Nursing, Philadelphia, PA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Training in Sleep & Sleep DisordersT32HL007953 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI David Menassah Raizen, AMY M SAWYER · 2000 to 2026
$10.6M
Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
The Role of Palliative Care Interventions to Reduce Circadian Rhythm Disorders in Persons with DementiaR01NR015226 · NINR · UNIVERSITY OF PENNSYLVANIA · PI HODGSON, NANCY A · 2016 to 2020
$3.0M
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS T32 HL007953NINR NIH HHS R01 NR015226NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

backgroundOur health care system is facing unprecedented and complex challenges in caring for older adults and their families. A paradigm shift is needed that recognizes new roles and competencies for nurses to play a leadership role in the design and implementation of high value care models. PURPOSE: The purpose of this paper is to introduce a series of recommendations for leveraging nurses to generate innovative tools and solutions for the delivery of value-based care for older adults living with complex health and social needs and their families.

methodsThese recommendations were generated by a Think-Tank of national experts based on review of current evidence and focus groups with older adults. FINDING: The generated recommendations focus on positioning nurses to assume leadership roles in implementing evidence-based care models, preparing nurses to serve as health innovators and catalysts of system transformation, and fostering system-level infrastructure that leverages the contributions of nurses for current and emerging roles. DISCUSSION: Nurses as innovators can address the challenges in providing high quality care for older adults with complex needs and their families. System-level infrastructure, including resources for training and implementation of well-established programs, is necessary to leverage the contributions of nurses and facilitate innovative approaches to care.

Indexed as

Delivery of Health CareDiffusion of InnovationGeriatricsLeadershipNurse's RoleAccreditationAgedCritical CareFocus GroupsHumansQuality of Health CareVulnerable PopulationsComplex care needGerontologyInnovationTransitions of careVulnerable populations

Identifiers

PMID31420181
PMCPMC6933093

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.