48x48 Poster Template

1
A weekly consultation hour in a residential by
the Nurse Practitioner Primary Care Author
Ms.S.H.Barto, MANP Delft. Co-authors
Mr.J.P.Bijl, GP Delft. Mr.J.A.Brienen, University
of Rotterdam.
OPTIONALLOGO HERE
Introduction
Results
Conclusion

• Due to an ageing and growing elderly population
  in the Netherlands there is an increasing demand
  for complex care for the elderly. Access to
  primary home care in residentials is decreasing.
  
• 2001 Pilot and start weekly consultation GP
• 2005 Start weekly consultation NP
• 2007 Qualitative study
• Objective
• Insight in patients perceptions and experiences
  relating to primary care given by the Nurse
  Practitioner.
• To part a more efficient and effective both
• cure and care program and meeting the needs
  and
• wishes of the residents.

• The findings in this study show
• The weekly consultation hour meets the needs and
• wishes of the residents
• They felt more understood and more
  self-confident
• For the Nurse Practitioner its important to
  continue
• investing time in the consultation hour when
  it
• concerns time, attention and the combination
  of
• a good combination of care and cure treatment
• To provide more efficient and effective primary
  care
• and at the same time increase patient
  involvement and
• satisfaction a structured care plan is needed

Prognosis population growth in the Netherlands
Literature


Bijl, J.P. 2001. Een schets van de huisartsenzorg
in verzorgingshuizen. Delft 2001. Bilsen, P.M.A.
e.a. 2002. Welke zorg vragen ouderen, een
inventarisatie Provinciale Raad voor de
Volksgezondheid Limburg. Maastricht Datawyse
Universitaire Pers Maastricht. Fahey T. e.a..
2003. Quality care for elderly residents in
nursing homes and elderly people living at home
controlled observational study. British Medical
Journal (15 maart 2003) 326-580. Horrocks S.e.a.
2002. Systematic review of whether nurse
practitioners working in primary care can provide
equivalent care to doctors. British Medical
Journal (6 april 2002)819-823. Huijsman. R en
Klerk. M. Succesvolle zorgverlening aan ouderen
in Nederland. Tijdschrift Sociale gezondheidszorg
nr. 75 blz. 410, 1997 IGZ, Medische zorg onder
druk, 2002.internet Inspectie voor
Gezondheidszorg, Den Haag 2002 aangehaald op
09-09-2006. Bereikbaar op www.igz.nl Laurant M
e.a. 2004. Impact of Nurse Practitioners on
workload of general practitioners randomised
controlled trial. British Medical Journal.( 17
april 2004) 927-930. Polit, D.F. Beck C.T.
2003. Nursing Research. Principles and Methods.
7e editie. Philadelphia Baltimore New York London
Buenos Aires Hong Kong Sydney Tokyo Lippincott
Williams Wilkins. a Wolters Kluwer
Company. Pool. A en Lambregts. J.
Verpleegkundige zorgverlening aan chronisch
zieken. Utrecht 2003 Rijdt v.d. A.H.J.e.a. 2004.
Handreiking voor de organisatie van de medische
en farmaceutische zorg aan ouderen in een
verzorgingshuis en thuis. Landelijk Huisartsen
Vereniging. Schuurmans. M.J. en Duijnstee M.S.H.
Ouder worden Blijvend in Balans, een dagelijkse
zorg. Lectoraat Utrecht 2004 Thé, B.A.M. 2000.
Naar een zorgethisch perspectief op de
multidisciplinaire verpleeghuiszorg voor ouderen
met dementie. internet VU medisch centrum,
huisarts en verpleeghuisgeneeskunde en sociale
geneeskunde.aangehaald op 19-05-07.Bereikbaar
op http//www.nwo.nl Widdershoven G.A.M.e.a.
Autonomie in de Psychiatrie. Tijdschrift voor
psychiatrie.(42, juni 2000),389-398. Womack S.
1997. The Elderly in Nursing Homes A Special
Population. Nurse Practitioners Forum. (volume
8,no1 march), 32-35.
Prognosis population growth in the Netherlands
(CBS, Bevolkingsprognose)

• This study demonstrates the importance
  of an
• appropriate approach and treatment in primary
  care
• when it concerns the elderly
• Confidence
• Understanding
• Honesty
• An appropriate approach and treatment
  promotes
• patient carer confidence and has a positive
  effect on
• the perception of the given care
• The patient starts feeling better already
• The elderly concerned in this study came from
  the
• pre first and second world war generation
• In the Netherlands
• known as the thank you very much generation
• The findings showed that the patients saw the
  doctor

Methods A qualitative study in which data were
gathered from semi-structured interviews with
eight residents. The interviews were audio taped
and transcribed and a thematic analyses carried
out using a grounded theory approach.
.