Alvarez Irusta, Lucia
[UCL]
Van Durme, Thérèse
[UCL]
Macq, Jean
[UCL]
This presentation aims to share an approach of analysis of care contexts. In these contexts, nurses and other primary care providers are involved in the care of patients with chronic wounds, cared for at home and living in complex situations. In Europe, people with chronic wounds are mostly cared for at home by nurses and other primary care providers. Chronic wounds are generally associated with age, the presence of chronic diseases and vulnerability, creating multiple needs. This means that many care providers may be involved in their care, which can jeopardise the continuity of care. The combination of patient-specific factors and the interaction with multiple providers creates very different care contexts, with specific resources and barriers. Because of these interactions of multiple factors, the situation can be described as complex. We collected stories from care providers (mostly nurses) through interviews and work groups in a workshop. These stories are based on the participants' experiences in various contexts of home care of people with chronic wounds. In view of the complexity of the situations but also of the materials, we opted for a realist approach (identifying different hypotheses in the form of context-mechanisms-outcomes). The analysis identified hypothetical relationships between interprofessional collaboration and patient-specific factors and the role of nurses that impact on relational, clinical and organisational continuity. Contextual factors seem to shape the role of primary care nurses, restricting or expanding their potential for action.


Bibliographic reference |
Alvarez Irusta, Lucia ; Van Durme, Thérèse ; Macq, Jean. Contextual factors and the role of primary care nurses with patients with chronic wounds cared for in the community.EFPC 2022 Integrated community care : a new opportunity for primary care (Ghent, du 25/09/2022 au 27/09/2022). |
Permanent URL |
http://hdl.handle.net/2078.1/273698 |