PEARLE

The nursing, midwifery and health visiting contribution to CDM: a whole systems approach

Project  funder: SDO Project grant total: £354,939

PI: Sally Kendall CRIPACC staff: Fiona Brooks, Tricia Wilson, Frances Bunn, Jo Magnusson, Elaine McNeilly, Janice Morgan Collaborating Investigators and Centres: Prof. Sue Proctor, City University, Prof. Heather Gage, University of Surrey Project Duration: March 2006 – September 2009   

Objectives

• Systematic mapping of the literature of the nursing, midwifery and health visiting role in chronic disease management    
• Identify the range of chronic disease management models nationally and their origins   
• Explore the user, carer and professional experience of chronic disease management models    
• Explore the characteristics of an enabling context for chronic disease management    
• Identify, measure and benchmark outcomes of a selected range of chronic disease management models   
• Define the key characteristics of cost effective chronic disease management  
• Define the characteristics and mechanisms required for effective nursing involvement within chronic disease management 

Study Phases

Phase 1: objectives 1,2. A systematic mapping of the literature and a parallel review of the internet to identify dissemination of good practice in CDM.

Phase 2: objectives 2,4. Stakeholder consensus conference. Recruited via phase one an invited audience will function to refine the debate around CDM and reach a consensus on the criteria for selection of case studies in phase three.

Phase 3: Multiple case study evaluation (objectives 3,5,6,7).

Seven case studies will be evaluated in terms of their origins, processes and outcomes and the contribution of nurses Data will consist of semi-structured interviews with staff, patients/users and carers, questionnaires to patients/users and carers and documentary analysis of operational and strategic documents.

Questionnaires will include the CDM self-efficacy questionnaire, EuroQol, SF36, and a health service utilisation questionnaire.

Nursing contribution to chronic disease management: An integration of reviews (completed 2009)

This project integrated the evidence from three related, but independent, reviews commissioned by the National Institute for Health Research (NIHR) Service Delivery Organisation (SDO) to evaluate the nursing, midwifery and health visiting (NMHV) contribution to models of chronic disease management (CDM).

It was commissioned in the context of recognition of the growing prevalence of people with chronic diseases and the associated costs to them, their families, the health and social care services and the economy.

The study developed a new method for integrating diverse reviews and a framework for synthesising evidence. It provides an overview of the evidence of impact of NMHV to CDM.

Funded by NIHR SDO  

Project grant £53,060  

UH staff: Professor Sally Kendall, Dr Daksha Trivedi, Professor Claire Goodman, Dr Frances Bunn

Collaborators: Professor Alison While & Dr Angus Forbes (King’s College, London), Dr Susan Proctor (City University, London), Ms Cherill Scott, Royal College of Nursing Institute, London, Professor Vari Drennan, St George’s University of London & Kingston University)