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27 Development of a nurse-led care model for nursing homes

 

Nurses and physicians are jointly developing and testing a nurse-led care model for people in nursing homes with the aim of reducing the number of unnecessary hospitalisations. The new model will use specifically trained nursing professionals to improve the medical and nursing care provided.

Portrait / project description (ongoing research project)

In the first phase, on the basis of the international literature and interviews with residents and their families a prototype nurse-led care model will be developed and the details will be fleshed out in conjunction with stakeholders. In the second phase, the leadership teams from the twelve nursing homes in German- and French-speaking Switzerland will be prepared on site and the nurses will be given specific training for their new role. Finally, the impact of the model on coordination and quality of care, professionals’ satisfaction, residents’ quality of life, the number of hospital stays and costs will be examined..

Background

Older people in nursing homes are increasingly suffering from more and complex disorders. This makes it particularly important for all the professionals involved to work together closely. In a nurse-led model, nurses with in-depth knowledge of geriatric care take on the clinical management of patients and coordinate cooperation with general practitioners and hospitals. International studies show that nurse-led models can reduce the number of unnecessary hospital stays.

Aim

The aim of the study is to develop and test a nurse-led care model for chronically ill residents of Swiss nursing homes with the intention of reducing unnecessary hospitalisations. The model will be designed in such a way that it can be used in real life in nursing homes of different sizes and with different levels of equipment.

Relevance / Application

The model will be the first tested, nurse-led care model in Swiss nursing homes centred around nurses with in-depth knowledge of geriatric care. It will improve access to geriatric expertise and will enhance interprofessional cooperation and coordination. The results of the study will provide nursing home managers and health policy-makers with valuable information on the best design of nurse-led care models in long-term care.

Original title

Nurse-led care models in Swiss nursing homes: improving interdisciplinary care for better resident outcomes (INTERCARE)

Project leaders

Applicant:

  • Prof. Dr. Michael Simon, Institut für Pflegewissenschaft, Universität Basel

Co-applicants:

  • Dr. Nathalie Wellens, Direction Générale de la Santé, Centre Qualité et Systèmes Canton Vaud
  • Mario Desmedt, Fondation Asile des aveugles (FAA), Hôpital ophtalmique Jules-Gonin (HOJG)
  • Prof. Carlo De Pietro, Ticinotransfer c/o SUPSI
  • Prof. Reto Werner Kressig, Alterspsychiatrie, Felix Platter-Spital
  • Dr. Andreas Zeller, Institut für Hausarztmedizin, Universität Basel
  • Prof. Dunja Nicca, Institut für Pflegewissenschaft, Universität Basel
  • Prof. Sabina De Geest, Institut für Pflegewissenschaft, Universität Basel
  • Dr. Franziska Zúñiga, Institut für Pflegewissenschaft, Universität Basel

 

 

Further information on this content

 Contact

Prof. Dr. Michael Simon Institut für Pflegewissenschaft
Fakultät für Medizin
Universität Basel
Bernoullistrasse 28 4056 Basel +41 61 207 09 12 m.simon@unibas.ch

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