| Literature DB >> 14499163 |
Irmgard M J G Eijkelberg1, Cor Spreeuwenberg, Bruce H R Wolffenbuttel, Loek J G P van Wilderen, Ingrid M Mur-Veeman.
Abstract
This paper explores the experiences of four nurse practitioners specialised in diabetes care, in the development and implementation of two Dutch nurse-led shared care projects to improve quality of care. The focus is on the impeding factors involved. The nurses' views are compared to those of the 38 participating physicians by using instruments of qualitative research. Both nurses and physicians consider the way shared care delivery has been structured as the most impeding factor, particularly downward substitution of care from doctor to nurse. In the end, lessons are drawn for nurses, doctors and managers, to solve the assessed impediments to shared care.Entities:
Mesh:
Year: 2003 PMID: 14499163 DOI: 10.1016/s0168-8510(03)00041-1
Source DB: PubMed Journal: Health Policy ISSN: 0168-8510 Impact factor: 2.980