A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care - A pilot study

2^nd International Conference on Nursing & Healthcare

November 17-19, 2014 DoubleTree by Hilton Hotel Chicago-North Shore Conference Center, USA

Lena Persson

Scientific Tracks Abstracts: J Nurs Care

Abstract :

Patients who repeatedly seek care directly at hospital based somatic emergency departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive. The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patient?s health care utilization related to pilot testing the model and III) the team?s experiences of implementing the model. A mixed method convergent parallel design was used. The development of the model began as a top-down process and later on in the process into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 55%. The inference quality description is that such a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. The freedom of being able to structure the model led to steps being taken that were beyond the project?s original limitations.

Biography :

Lena Persson completed her PhD 1998 at the Medical Faculty, Lund University, Sweden. She is working with implementing evidence based nursing in different health-care organizations. She has published more than 15 papers in international journals with focus on daily life problems from a nursing perspective in patients with leukemia, prostate cancer and food distribution to home-living elderly people. She was involved in staring and since 2008 she is the Chairman of the Research Platform for Collaboration for Health, which is a unique collaboration between Kristianstad University, the County Council Region Skåne and six municipalities in the northeast county of Skane.