Nurse-led care management models for patients with multimorbidity in hospital settings: A scoping review

Abstract

Aim: The aim of this scoping review is to map the nurse-led care management models for patients with multimorbidity in hospital settings.

Background: Patients with multimorbidity in hospital, due their complexity, benefit a nurse-led care management model. This care management model allows for better identification of patients' needs and a person-centred approach.

Evaluation: This review followed the JBI methodology for scoping reviews. The search included the international databases Web of Science, CINAHL, MEDLINE, Nursing & Allied Health Collection and grey literature. A total of 21 articles were included in the final content analysis.

Key issues: Three categories of nurse-led care management models emerged from the data, namely, nurse-led programs, case management and nurse facilitator models. The interventions focused on training, discharge support, follow-up, health promotion and patient-centred care.

Conclusion: The centrality of the patient is a common characteristic of nurse-led care models, namely, the acquisition of disease self-management skills, preparation for hospital discharge and continuity of care in the community.

Implications for nursing management: Nurse-led care management models can empower patients to manage their chronic conditions more effectively. Adapting these care management models in hospital settings will be a challenge for nurse managers.

Scoping review protocol: The full protocol used can be accessed at doi:10.11124/jbies-20-00222.

Keywords: hospital; multimorbidity; nurse-led care; patient-centred care.