施工実績

Since the people identified it as an accountable and you can appropriate method to blow present info, its count on regarding health professionals improved. The one skeptical patient changed this lady emotions given that the girl condition worsened and need for support arose. The fresh customers inside our research sustained the out of significant COPD and each of them, relative to most other populations, described a need prevent hospitals entry , together with the action that the the latest business lead to stop that it. The latest patients demonstrated no barriers from inside the calling their c-nursing assistant because of the cellular telephone, and often it was earliest selection opposed to contacting the fresh new GP. Transportation into GP was difficult therefore the feel one to an enthusiastic severe stop by at the newest GP commonly triggered hospitalizations was thought because of the customers as the a buffer having calling new GP.

The fresh customers discussed the way they noticed secure calling the c-nurse to possess suggestions when they suspected an enthusiastic exacerbation or it expected mental assistance, and just how it speculated one render diagnostics and you can procedures prevented hospital admissions. “All of the customers was indeed knowledgeable during the thinking-government procedures of the the c-nurse and you will c-doctor and you may understood just what course of action one another into weekdays, in vacations, or regarding circumstances”.Mobile appointment are possible by currently established matchmaking between clients and you can c-nurse and also the first and most regular particular contact. Family visit because of the c-nurse, random outpatient check outs with the c-medical practitioner, suggestion with the GP, or healthcare admissions were next step if your state are beyond just what will be repaired because of the information or service across the phoneEach contact between c-nursing assistant and you may diligent is actually documented regarding the electronic diligent statement. These reports otherwise summaries was in fact sent to new GP whenever changes regarding the condition or therapy of the fresh new people took place.

It had been the mixture out of accessibility together with elite group connection with the newest c-nursing assistant you to managed to make it possible for this new clients to react timely towards expanding attacks and other need away from service

One can believe the latest angle of your c-nurse and you may GP is additional and several choice of treatment could be put-off in the event the customers contact c-nurses rather than the the GP. The option of whom to-name will be the people if in case people name the c-nurse with good COPD related situation, the new c-nurses part is always to support and help in her level of competences. The alternative is not calling medical researchers at all toward danger of the matter extracting and you may resulting in a keen crisis phone call. The customers discussed the way they sensed secure consulting the c-nurse to own advice in case they suspected a keen exacerbation, otherwise it required emotional assistance, and how they thought that it potential to operate early once the something one to probably perform prevent medical admissions.

Captain is made and observed contained in this a preexisting financial funds which have the goal of boosting procedures and you can proper care of people having COPD [23, 24]. The new Head build was found to be feasible and after this Master make-up standard care for all the customers associated into pulmonary outpatient infirmary. The traditional outpatient framework one to Master changed, normally present in other outpatients clinics having persistent problem including alzhiemer’s disease, heart problems, diabetes, an such like. We hope the findings is convince others so you can think on and you may maybe alter its normal workflow and you may ways Sapiosexual dating apps of thought out of standardised outpatient check outs to individualised care and attention, according to the patient’s needs.

Strengths and you may limitations

It is experienced a strength we been able to are people which suffered from significant COPD with high Pet, MRC, and you may a minimal FEV step one and you can thereby show the features out-of the fresh Head people. The fresh shot size tends to be regarded as short, but for a good qualitative data ten people which have understanding and feel during the given job are believed somewhat enough. We sensed our very own research becoming rich and you will nuanced, by the end of the final interviews there’s a beneficial redundancy regarding the investigation when considering the newest themes identified enhancing the fresh precision of one’s investigation. Honesty had been established from the all authors being active in the research, sharing layouts and you will subthemes within the an iterative procedure. The author group are interdisciplinary and associated departments at the various other hospitals on the Capital Area for Denmark, reducing the danger of bias in form out of preconception and prejudices influencing the analysis and you can translation.