The nursing contribution to chronic disease management: a discussion paper

International Journal of Nursing Studies
A Forbes, A While

Abstract

This paper explores the nature of the nursing contribution to chronic disease management (CDM) and identifies a number of key nursing activities within CDM both at the individual patient and care system levels. The activities were identified following a detailed review of the literature (160 reports and studies of nursing practice) relating to three tracer disorders: diabetes, chronic obstructive pulmonary disease and multiple sclerosis. The paper examines these activities collectively to generate models expressing some of the core functions of nursing within CDM. The paper illustrates some of the changing characteristics of nursing roles within CDM. More fundamentally, the paper questions the position of nursing in relation to the technologies that define CDM systems and proposes four levels of contribution: the nurse as technology; the nurse as technologist; the nurse as system engineer; and the nurse as architect. These different levels reflect distinctions in the nature of the nursing gaze and power relations within the health care workforce. The paper also highlights how nurses are failing to develop the evidence for their practice in CDM. The paper concludes that there is a need for some clear principles to guide clinical...Continue Reading

References

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Citations

Jan 8, 2010·International Journal of Environmental Research and Public Health·Gretl A McHughKaren A Luker
Jun 19, 2013·Primary Care Diabetes·Eva BoströmUlf Isaksson
Apr 9, 2011·International Journal of Nursing Studies·Alison While, Guy Dewsbury
Jun 15, 2011·Nursing Philosophy : an International Journal for Healthcare Professionals·Sally Kimpson, Mary E Purkis
Feb 22, 2011·Journal of Advanced Nursing·Catriona KennedyLinda Veitch
Dec 21, 2013·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Elizabeth P Knight, Kimberly Shea
Feb 11, 2013·Journal of Nursing Management·Anne M PegramAlison E While
Feb 18, 2015·JMIR Research Protocols·Clémence DallaireElizabeth Bernardino
Oct 8, 2016·Informatics for Health & Social Care·Maria Andersson MarchesoniInger Lindberg
Oct 22, 2016·Current Diabetes Reports·Samir MalkaniDavid M Harlan
Mar 25, 2011·Qualitative Health Research·Helga Jonsdottir, Thorbjorg Soley Ingadottir
Sep 21, 2010·British Journal of Community Nursing·Rebecca Disler, Anne Jones
Sep 20, 2017·Australian Journal of Primary Health·Anna Askerud, Jenny Conder

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