Chronic Disease Management in a Nurse Practitioner Led Clinic: An Interpretive Description Study
Abstract
Statement of research problem: Nurse practitioner led clinics (NPLC) in Ontario (ON) represent a model of care that is potentially well-situated to improve primary healthcare delivery. There is currently limited knowledge about this model of cares impact on patients with chronic disease. This study explored current chronic disease management practices implemented by Nurse Practitioners (NP) within NPLCs across ON.
Methods: Using a qualitative interpretive description methodology, eleven in-depth semi-structured interviews were conducted with nurse practitioners practicing within NPLCs in Ontario.
Results: Results indicate NPLCs successfully support patients with chronic disease through provision of on-site multidisciplinary care, continuity in service provision and increased access to primary healthcare services.
Conclusions: Findings suggest that NPLCs are beneficial in supporting patients to manage chronic disease. This paper provides insights into the NP-led primary healthcare model and how it can facilitate access to services, foster patient self-management and provide a successful alternative model of care.