Nurse-Led Models of Care: Practice and Policy to Support Aging in Place.

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Journal of gerontological nursing Pub Date : 2024-03-01 DOI:10.3928/00989134-20240207-03
Kelly Fox, Casey R Shillam, April Henry
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Abstract

Purpose: Research demonstrates that aging in place is the goal of most adults aged >50 years. Unfortunately, multiple barriers to aging in place continue to exist, especially for vulnerable populations. Achieving this goal will require innovative nurse-led models of care and new policies for RN reimbursement. The current article describes a nurse-led clinic implemented in one community.

Method: Using an evidence-based nurse-led model of care, a team of university faculty, students, and a family nurse practitioner designed and implemented a nurse-led clinic for a religious community in the Pacific Northwest.

Results: Today, the nurse-led clinic offers care coordination and primary care to support aging in place and is one example of a nurse-led model well-positioned to address the aging in place needs of vulnerable populations.

Conclusion: Replication and sustainability of this nurse-led model requires sweeping policy change, including consideration of requiring all nurses to attain a National Provider Identification number to expand RN reimbursement and ultimately increase access to care. [Journal of Gerontological Nursing, 50(3), 13-17.].

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护士主导的护理模式:支持居家养老的实践与政策》。
目的研究表明,居家养老是大多数 50 岁以上成年人的目标。遗憾的是,居家养老仍然存在多种障碍,尤其是对弱势群体而言。实现这一目标需要创新的护士主导护理模式和新的护士报销政策。本文介绍了在一个社区实施的以护士为主导的诊所:方法:一个由大学教师、学生和一名家庭执业护士组成的团队采用循证护士主导型护理模式,为西北太平洋地区的一个宗教社区设计并实施了一个护士主导型诊所:如今,这个由护士主导的诊所提供护理协调和初级护理服务,为居家养老提供支持,是护士主导模式的一个范例,能够很好地解决弱势群体的居家养老需求:结论:这种护士主导模式的复制和可持续发展需要全面的政策变革,包括考虑要求所有护士获得国家提供者识别号码,以扩大护士报销范围,最终增加获得护理的机会。[老年护理杂志》,50(3),13-17]。
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来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
期刊最新文献
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