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Title: The role of the nurse practitioner in the implementation of group prenatal visits for aboriginal women: exploring a new type of care
Contributors: Rona Loewen (author), Lela Zimmer (Thesis advisor), Linda Van Pelt (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: Nurse practitioners in British Columbia have an opportunity to introduce an innovative model of prenatal care for Aboriginal women. BC Aboriginal women are at greater risk for pregnancy complications than non-Aboriginal women are. Prenatal care has traditionally offered standardized individual visits for every pregnant woman, regardless of their needs, preferences, or culture. Nurse practitioner (NP)-facilitated group prenatal visits (GPVs) have the potential to provide culturally relevant and accessible prenatal care. An integrative review of the literature demonstrates that by using the Centering Pregnancy model of group prenatal care, NPs can provide relevant, holistic, and safe GPVs. Group prenatal visits can improve the experience of prenatal care for Aboriginal women in British Columbia. Further research is recommended to explore the outcomes of NP-facilitated GPVs and define culturally relevant and safe prenatal care according to BC Aboriginal women. --P. 2.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:04:33.458Z

Title: Reduce obesogenic environments for children: the role of nurse practitioners in community-oriented primary care
Contributors: Ann-Marie Gill (author), Lela Zimmer (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: The purpose of this project is to conduct a critical examination and synthesis of knowledge in the subject area of obesogenic environments contributing to childhood obesity and how nurse practitioner (NP) practice can reduce these factors. The result is a literature review and position paper that concludes with evidence-informed recommendations on the use of the community-oriented primary care practice (COPC) model that are tailored for use by NPs. The critical examination and synthesis of knowledge is designed to address the following clinically significant question: What is the potential for NPs to foster environments that enable a reduction in childhood obesity for Canadian children under the age of 5, using COPC? Approximately 26% of Canadian children ages 2-17 years old are currently overweight or obese and are likely to remain obese as adults. Childhood obesity is a concern for parents, teachers, health care professionals, and public health organizations because of the associated health problems that develop earlier in childhood and will persist into adulthood. In addition, the impact of adult and childhood obesity, and associated chronic diseases, adds a substantial cost to the Canadian health care system. These are incentives to consider the multiple factors contributing to the obesogenic environment and potential areas of intervention. The COPC model is an excellent way to integrate primary care screening and health promotion with population-based health promotion to help reduce obesogenic environments for children. The model can first be applied during the first 5 years of life, as this is a time where primary care providers can take advantage of the periodic health examination to screen for childhood obesity and offer advise to families on diet, exercise, and screen time. The community-based interventions that are part of the COPC model can be aimed at reducing obesogenic environments. Such interventions are within the scope of practice for primary care providers. This paper argues that NPs are well
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:03:59.795Z

Title: Addressing the mental health of women after sexual assault: the role of follow-up care
Contributors: Lisa Creelman (author), Lela Zimmer (Thesis advisor), Tracey Day (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: Sexual assault is associated with debilitating mental health consequences, such as post-traumatic stress disorder (PTSD) and depression, yet a significant gap exists within the literature around the care needed to address these consequences. As a result, this project seeks to answer the question: In adult women of childbearing age who have experienced a recent sexual assault, can access to post-assault follow-up care within two weeks of the assault decrease the prevalence and severity of PTSD and depression? Eligibility criteria for this literature review included research data published in 2004 or later regarding mental health follow-up care for adult women of childbearing age who have experienced sexual assault. The majority of participants within these primary studies included adult women of childbearing age from large urbanized areas. This review utilized an ecological framework that identified individual, personal relationship, community and societal influences that impact the mental health of women after sexual assault while highlighting multi-level strategies aimed at decreasing the emotional distress experienced by women. Utilizing a trauma informed approach to care that encompasses thorough assessment and action orientated care planning, preferably within two weeks of a sexual assault, was suggested to be important for coping with emotional and psychological trauma. Limitations of this project include the retrospective nature of the studies reviewed and their reliance on participant recall or provider documentation practices. Further research is needed to develop multi-level strategies that improve the mental health of women after sexual assault. --Leaf 2.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-03-29T17:28:48.238Z

Title: The role of family nurse practitioners : promoting oral medication adherence to maintenance treatment among adolescents with inflammatory bowel disease
Contributors: LianJing Cui (author), Erin Wilson (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: The role of family nurse practitioners (FNPs) in promoting medication adherence in adolescents with inflammatory bowel disease (IBD) has not been established. This project provides intervention strategies that FNPs can use to promote oral medication adherence to maintenance treatment in adolescents with IBD. This is a critical need because non-adherence to maintenance therapy is the most significant factor associated with relapses of IBD and a serious health issue in adolescents with IBD. There are no current best practice guidelines in promoting adherence to maintenance medications in IBD patients. Findings from the literature review suggest that non-adherence to maintenance therapy is complex and multi-factorial. No single intervention strategy has been shown to be effective for all patients and conditions. However, individually tailored interventions that attend to behavioural, education and psychosocial factors appear promising. The bio-psychosocial model is used as a conceptual framework to examine the factors affecting medication adherence and to explore the intervention strategies for improving medication adherence. Findings of this project are limited by the paucity of research on medication adherence in adolescents with IBD. Implications and recommendations for family nurse practitioner practice, education and research are discussed.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-03-29T17:26:06.685Z

Title: The role of the nurse practitioner in promoting a reduction in the causes and outcomes of problematic polypharmacy among nursing home residents in British Columbia
Contributors: Sukhwant Jassar (author), Erin Wilson (Thesis advisor), University of Northern British Columbia College of Arts, Social, and Health Sciences (Degree granting institution), Shanda Rojas (Committee member)
Abstract: Problematic polypharmacy is an ongoing issue for older adults throughout Canada, and specifically among nursing home residents (Maher, Hanion, & Hajjar, 2013). Despite interventions that are currently in place in British Columbia (BC) to reduce the causes and outcomes of this issue, problematic polypharmacy continues to pose a risk for residents among BC nursing homes. This integrative review asks how nurse practitioners (NPs) can best promote a reduction in the causes and outcomes of problematic polypharmacy among residents in BC nursing homes... .
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-05-15T16:21:55.778Z

Title: Supporting informal caregivers through the dementia journey: a primary care approach
Contributors: Amanda L. McKnight (author), Catharine Schiller (Thesis advisor), University of Northern British Columbia College of Arts, Social, and Health Sciences (Degree granting institution), Helen Bourque (Committee member)
Abstract: Informal caregivers of persons with dementia often experience significant stressors which may result in detrimental physical, psychological, social, and financial consequences. In order for primary care providers to adequately support this burgeoning group of caregivers a greater understanding of their experiences and needs is essential. This literature review seeks to determine how primary care providers can best support informal caregivers of persons with dementia through the dementia journey. Studies were included that examined the needs or experiences of informal caregivers of persons with dementia. Additionally, studies that examined primary care-based interventions aimed at improving the caregiving experience for these individuals were also included. Four themes... .
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-05-15T16:21:59.066Z

Title: Food insecurity in aboriginal women living with HIV/AIDS: evidence-informed health promotion interventions for family nurse practitioner practice
Contributors: Shannon M. Martens (author), Lela Zimmer (Thesis advisor), Khaldoun Aldiabat (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: Food insecurity negatively affects HIV/AIDS populations. The purpose of this integrated literature review is to identify evidence-informed health promotion interventions to prevent and treat food insecurity amongst Aboriginal women living with HIV/AIDS in rural and remote British Columbia, Canada. A comprehensive literature search identified 31 pieces of literature for data analysis. The highest priority identified for family nurse practitioner practice was advocacy for healthy public policy: increase social assistance and the Family Bonus, expand the monthly nutritional supplement to include all with HIV/AIDS, and include remote Aboriginal communities in the Nutrition North Canada Program. The next identified priority was community action initiatives including: community hunter, gardening, and kitchen programs, as well as food banks. Finally, on the individual level, interventions included food insecurity assessment, nutritional counselling, micronutrient supplementation, and addressing depression and addictions. Through utilization of these interventions, family nurse practitioners will be enabled to effectively address food insecurity. --Leaf ii.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-03-29T17:22:26.294Z

Title: What actions can novice nurse practitioners take to develop and maintain therapeutic relationships with adult patients in primary care?
Contributors: Tasenka Kushner (author), Erin Wilson (thesis advisor), Martha MacLeod (thesis advisor)
Abstract: Therapeutic relationships between health care providers and patients can have wide effects on patients’ health outcomes. There is a significant body of literature that has investigated therapeutic relationships in nursing and medicine. However, there is a lack of literature investigating therapeutic relationships between nurse practitioners and patients in primary care. The purpose of this integrative literature review is to identify actions that novice nurse practitioners can take to develop and maintain therapeutic relationships with adult patients in primary care. Using an integrative literature review approach, actions related to competence and knowledge, valuing and affirming exchanges, patient engagement and reciprocity, and appreciating context were identified. Engaging in these actions may help novice nurse practitioners develop and maintain therapeutic relationships with patients in primary care. Focusing on the British Columbian practice environment, this review makes recommendations related to professional identity, solidarity, role ambiguity, patient empanelment, complex patients, and transitions in care.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-08-30T15:17:34.124Z

Title: Complementary and alternative therapies: supporting the woman with inadquate milk production
Contributors: Eunice Finch (author), Lela Zimmer (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: While the benefits of breastfeeding are well established, and high initiation rates indicate that women recognize these benefits and wish to provide their infants with the healthiest beginnings, duration rates indicate that women are having difficulty overcoming challenges in the early weeks of breastfeeding. Studies indicate that early breastfeeding cessation is correlated with perceived or actual inadequate milk supply (Lewallen et al., 2006). While the traditional management of insufficient supply during breastfeeding has involved breastfeeding support with particular attention to effectiveness of maternal and infant position, milk transfer, and frequency of feeds, some women may not see improvement in supply from traditional measures. Breastfeeding websites, parenting books, and review articles by breastfeeding professionals suggest the use of complementary and alternative therapies such as acupuncture, herbal medicines, relaxation therapy, aromatherapy, and homeopathy to increase milk supply, however little clinical evidence exists to support the use of such therapies. This literature review summarizes the available data in research and grey literature regarding the use of acupuncture and herbal medicine in managing insufficient milk supply. The majority of evidence supporting the use of acupuncture and herbal medicine in the breastfeeding woman is qualitative and quasi-experimental, with few randomized controlled trials supporting the safety and efficacy of these treatments for increasing milk production in the lactating woman. The role of the nurse practitioner in supporting patients using complementary and alternative therapies is discussed. --Leaf 2.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:07:41.31Z

Title: Collaborating with palliative care teams to provide end of life care for patients with heart failure
Contributors: Melanie Starzyk (author), Shannon Freeman (thesis advisor), University of Northern British Columbia College of Arts, Social, and Health Sciences (Degree granting institution), Fiona Hutchison (committee member)
Abstract: Advanced heart failure (HF) can be difficult for nurse practitioners (NPs) to manage in primary care due to the unpredictable nature of the condition. Further, barriers that patients with HF experience in regards to receiving end of life (EOL) care hinder NP collaboration with palliative care teams. The goal of the project is to answer: How can NPs working in a primary care setting collaborate with palliative care teams to provide patients who have HF with EOL care? A literature search was conducted using the Cumulative Index of Nursing and Allied Health, PubMed Medline, PsychInfo, Social Work Abstracts and the National Guideline Clearinghouse electronic databases. Evidence was also gathered using backward and forward reference searching, and highly relevant grey literature from the BC Heart Failure Network. The Canadian Interprofessional Health Collaborative (CIHC) framework was used to describe the theoretical underpinnings of this paper by outlining the factors involved to achieve interprofessional collaboration. There were 33 articles retrieved during the literature search to inform how NPs can collaborate with palliative care teams for patients with HF at EOL. There were no articles that answered the research question directly. Instead, barriers and issues for patients with HF receiving EOL care were identified in the findings. Nurse practitioners can collaborate with palliative care teams by addressing the barriers to EOL care for patients with HF that relates to communication, leadership, role clarification, team functioning, and conflict resolution. Nurse practitioners should be encouraged to collaborate with palliative care teams to improve accessibility to palliative care for patients with HF at EOL. Future research is needed to directly inform how collaboration can occur with palliative teams to provide patients who have HF with EOL care.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2019-04-15T20:32:06.053Z

Title: NP-led obesity clinics: a NP guided primary care approach for managing obesity in low income preschool-age children in Canada
Contributors: Echo Heighes (author), Susan Johnson (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: Childhood obesity continues to increase at alarming rates despite health prevention efforts to date. New innovative approaches are needed to help address this public health concern. Moreover, current literature confirms that early childhood is a fundamental time for establishing life behaviors that will follow into adulthood thus, the early years are considered to be an essential stage for developing both an unhealthy weight and its precursor behaviors. Social circumstances including socioeconomic status greatly impact health and are notable risk factors for the development of obesity. Acknowledging sociological influences and working within these constructs helps to create programs and care plans that are contextual. The purpose of this paper is to explore the role of nurse practitioners when working with low income families to address childhood obesity in the preschool-aged population in Canada, specifically within the setting of a NP-led obesity clinic. Literature to date does not exist for NP-led obesity clinics as this is a proposed approach to helping combat pediatric obesity. Existing literature regarding nurse-managed health centers and pediatric weight management programs were utilized to support the creation of a NP-led obesity clinic. Nurse-managed health centers have established that NPs are capable of providing appropriate medical treatment with positive health outcomes. Further, level of patient satisfaction and quality of care provided at nurse-managed health centers either met or exceeded national benchmarks for care. Pediatric weight management programs are in the infancy phase in Canada but have demonstrated positive weight management outcomes. Existing Canadian programs are informally evaluated to provide further support for the use of NP-led obesity clinics within the current Canadian health care system. This paper proposes that NP-led obesity clinics are a novel approach to help address childhood obesity within the primary care environment. --Leaf 2.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:05:06.755Z

Title: Nurse practitioner use of a family centered care approach to manage childhood obesity in the primary health care setting
Contributors: Colleen Patenaude (author), Martha MacLeod (Thesis advisor), Linda Van Pelt (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: Childhood obesity rates are rising at an alarming rate. Obesity has a negative impact on health and well being as well as social development. Obese children have a higher incidence of morbidity and mortality. Current clinical practice guidelines recommend practitioners use a family centered approach to managing childhood obesity. The purpose of this project is to examine the use of a family centered care (FCC) approach in managing childhood obesity in the primary health care setting and determine how best to incorporate it into managing childhood obesity in nurse practitioner (NP) practice. The principles of FCC are reviewed. NP use of existing nursing models such as the McGill model of nursing for guidance in incorporating family centered care into practice is examined and discussed. The research obtained during the literature review indicates using a FCC approach to disease management is effective and can be achieved in the primary health care setting. As a result of the findings, a five step approach to assessing and managing childhood obesity is recommended for NPs practicing in the primary health care setting. --Leaf ii.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:05:16.282Z

Title: What constitutes a good death?: implications for family nurse practitioners in rural British Columbia
Contributors: Cindy Allison Fehr (author), Martha MacLeod (Thesis advisor), Khaldoun Aldiabat (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: Death in an inevitable part of each individual's life. It is how that final event occurs and the time prior to and during one's last phase of life that greatly influence the dying experience for everyone involved. This project aimed to methodically and critically review research evidence to identify key elements necessary for a good death from patients' perspectives. The final number of articles totaled 35, with a dimensional analysis technique used to review and theme data. A key message following data analysis was that there is a diversity of perspectives and subjective characterizations of what constitutes a good death within and across sociocultural groups. Contributions to a good death involved four overarching domains: 1) preparation for death, 2) sources of support, 3) communication, 4) quality of life issues. The rural family nurse practitioner (FNP) role in supporting a good death needs to be based on working to full scope engaging in end-of-life (EOL) care planning and anticipating life expectancy providing holistic and consistent care engaging in multidisciplinary collaboration and effective communication providing caregiver support and education engaging in continuing competence and providing leadership to ensure the best EOL care is available for all patients wishing to remain in their rural home community to die. --Leaf ii.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:08:45.114Z

Title: Considering the use of motivational interviewing for nurse practitioner practice with Aboriginal clients
Contributors: Colleen Isaiah (author), Lyle Grant (Thesis advisor), Sylvia Barton (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: The purpose of this scholarly project was to explore how motivational interviewing (MI) as a behaviour change intervention may be used with Aboriginal clients by nurse practitioners (NPs) in primary health care settings. Four systematic peer-reviewed articles with meta-analyses were located through a literature search of 11 databases, annotated, and evaluated for empirical evidence supporting its use in clinical practice by health care professionals. Four themes relevant to the application of MI by NPs were identified across the four articles: dose of MI, target behaviours, practitioner training in MI, and the essential components of MI. Project findings provide support for the use of MI with Aboriginal clients, in order to influence health behvioural change. It is proposed, that based on a potential theoretical fit between MI and Aboriginal concepts of health, such as interconnectedness, balance, and respect. Aboriginal clients might be more receptive of an intervention that is flexible enough to incorporate an Aboriginal worldview. The project concludes with a discussion of the implications MI has for nurse practitioner practice.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:03:42.951Z

Title: Addressing chlamydia in middle aged and older women in rural and northern British Columbia
Contributors: Leona Christine Smith (author), Martha MacLeod (Thesis advisor), Kathy Banks (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: The purpose of this literature review is to identify the ways in which nurse practitioners working in primary care can incorporate sexually transmitted infection (STI) screening as part of the well woman examination, especially among middle-aged and older women and Aboriginal women, in order to prevent long-term complications of undiagnosed STIs, such as pelvic inflammatory disease (PID) and an increased risk of acquiring HIV. An integrative literature review revealed that there is an abundance of research about STI screening for women under the age of 25. However, there is limited research about STI screening, prevention, and treatment among sexually active middle-aged and older women. Primary care providers can conduct screening and prevention practices for chlamydia and other STIs by normalizing STI screening with a nonjudgmental attitude. All primary care providers need further education about the increasing rates of chlamydia and other STIs in middle-aged and older women. --Leaf ii.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-03-29T17:25:24.004Z

Title: The role of nurse practitioners in primary care in optimizing risk stratification for coronary heart disease in Canadian women: an integrative review
Contributors: Parveen Sangha (author), Caroline Sanders (Thesis advisor), Linda Van Pelt (Thesis advisor), Davina Banner-Lukaris (Thesis advisor), University of Northern British Columbia College of Arts, Social, and Health Sciences (Degree granting institution), Natasha Prodan-Bhalla (Committee member)
Abstract: Coronary heart disease (CHD) is the most common cause of morbidity and mortality in Canadian women. Despite advances in screening and research, CHD continues to pose a significant health care burden to Canadian women. This integrative literature review explores how a Nurse Practitioner (NP) in primary care can optimize risk stratification for CHD in Canadian women. A systematic search of the contemporary literature identified 11 key articles. These were analyzed using the Critical Appraisal Skills Programme tools to assess relevance and the strengths and weaknesses of the evidence. Three key themes emerged from the literature and are explored in detail: the limitations of current risk prediction models for risk stratification in women; the emergence and evolving importance of female-specific risk factors; and additional adjunctive testing (coronary artery calcium screening) that may improve the accuracy of risk prediction models in women. ...
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-05-15T21:10:39.81Z

Title: Nurse practitioner use of patient-centered care to improve the quality of life of women experiencing vasomotor symptoms of menopause
Contributors: Shannon Campbell (author), Lela Zimmer (Thesis advisor), Linda Van Pelt (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: Menopause is a passage in every woman's life. Hormonal changes are responsible for the cessation of ovulation, and this transition can be difficult for some women. Vasomotor symptoms (VMS), consisting of hot flashes/flushes and night sweats, can be bothersome for some, and VMS are the primary reason for women to seek medical attention during menopause. Patient-centered care (PCC) is an approach which improves discussion, promotes patient involvement, and creates a positive provider/patient relationship with a result of improved quality of life (QOL). Hormone therapy, the gold standard for VMS relief, has come under scrutiny in recent years due to a fear of increased health risks with its use. Complementary and alternative medicines are being promoted as natural alternatives. Women are seeking help to make sense of the variety of treatment options available for VMS relief and nurse practitioners are in an optimal position to help these women. Through the use of PCC, nurse practitioners (NP) can conduct a thorough health history and assessment. They can provide expert advice, hold discussions with women about their preferences and assess them for individual risks with the ultimate provision of appropriate and individualized care for women experiencing VMS of menopause. --P. ii.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:06:22.807Z

Title: Role of nurse practitioner in addressing aboriginal diabetes prevention
Contributors: Douglas Andrew King (author), Martha MacLeod (Thesis advisor), Denise Tarlier (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: The current epidemic of Type-2 diabetes among Aboriginal Peoples in Canada has been associated with the poor socioeconomic status of Aboriginal Peoples. Most strategies in diabetes prevention treat health behaviour as an individual choice and ignore how the social determinants of health shape people's health behaviour. The purpose of this project is to explore how NPs might more effectively approach diabetes prevention in Aboriginal communities. This integrative literature review includes a critical analysis of Aboriginal community-based diabetes prevention strategies. A synthesis of their shared characteristics shows that effective community-based diabetes prevention strategies are congruent with primary health care and social justice perspectives on health, which focus on empowering communities and correcting institutionalized discrimination. Community-based strategies empower communities to take control of health promotion efforts and improve community resources and infrastructures that support healthier lifestyles. With an understanding of community-based programs, NPs can begin identifying how primary health care and social justice perspectives can strengthen existing diabetes prevention efforts in Aboriginal communities. --P. i.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-04-10T22:05:48.767Z

Title: Adolescence and depression: reducing cardiovascular disease through preventive health checks
Contributors: Ashley Elizabeth Gueret (author), Lela Zimmer (thesis advisor), Celia Evanson (thesis advisor), University of Northern British Columbia College of Arts, Social, and Health Sciences (Degree granting institution), Sandra Allison (committee member)
Abstract: Adolescent depression is a prevalent, serious health condition seen in primary care that is associated with many adverse physiologic changes, including cardiovascular disease. The aim of this integrative review was to examine those cardiovascular changes and determine whether preventive health checklists can help screen, identify, and ultimately prevent these changes. The eight studies selected for this review do not provide enough evidence to support the use of preventive health checklists as a way to prevent the cardiovascular effects of depression in adolescents. However, they form the basis for recommendations to be implemented in the primary care setting for ways to mitigate the risk of cardiovascular disease in adolescents with depression including using a multidisciplinary approach and guidelines for monitoring vital signs, weight, and bloodwork of these adolescents. Areas for future research are suggested and limitations of the evidence are also acknowledged.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2019-04-05T20:31:50.178Z

Title: Transition of care from acute psychiatric care to primary care
Contributors: Cheryl Dussault (author), Martha MacLeod (Thesis advisor), Linda Van Pelt (Thesis advisor), University of Northern British Columbia (Degree granting institution)
Abstract: For adults with severe mental illness there are serious issues with poor transitions of care. There are many types of transitions that patients experience that can negatively affect continuity of care. These transitions can also compound a patient's illness. The focus within the limits of this project is on care setting transitions from acute to primary care. The point of discharge from acute psychiatric care to primary care is a critical time in the care continuum, and it should be treated with the utmost importance. The purpose of this integrative review is to examine evidence based practices and processes in order to identify ways to facilitate seamless transitions and continuity of care for mentally ill adults discharged from acute psychiatric care to primary care. Further, to offer recommendations for Family Nurse Practitioners practicing in primary care in Canada. Background information on severe mental illness, care transitions, and a case example are presented along with an overview of primary care. A comprehensive search strategy identified 17 relevant studies. Four key findings underline the importance of confidentiality, linkage between acute and primary care, communication, and therapeutic relationships. The recommendations offered are directed to the FNP in primary care, but are relevant to many healthcare providers. They may also be helpful in other settings, such as acute psychiatric care or community mental health. --Leaf ii.
Discipline: Nursing-Family Nurse Practitioner
Date added: 2017-03-29T17:26:03.539Z

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