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J Nurs Manag. 2014 Mar;22(2):170-6. doi: 10.1111/jonm.12041. Epub 2013 Feb 27.

Relational coordination between community health nurses and other professionals in delivering care to community-dwelling frail people.

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  • 1Institute of Health Policy & Management (iBMG), Erasmus University, Rotterdam, the Netherlands.

Abstract

AIMS:

The first aim of this study was to investigate whether relational coordination is higher between primary care professionals and community health nurses than among other professionals. The second aim of this study was to investigate the relationship between different levels of relational coordination and primary care professionals' satisfaction with the care delivery of community health nurses.

BACKGROUND:

Community health nursing is based on the notion that all activities should respond to frail people's needs in a coordinated way, together with other professionals. Relational coordination is therefore important for the effective health-care delivery by these nurses.

METHODS:

This cross-sectional study was performed among 167 professionals (n = 323, response rate 52%) who regularly worked with community health nurses.

RESULTS:

The results showed a higher degree of relational coordination with community health nurses than with other primary care professionals. Multilevel analyses revealed that professionals' satisfaction with the care delivered by community health nurses was influenced positively by relational coordination.

CONCLUSION:

Enhancing relational coordination between community health nurses and other primary care professionals in the neighborhood may improve the delivery of care to community-dwelling frail people.

IMPLICATIONS FOR NURSING MANAGEMENT:

Comprehensive care delivery to community-dwelling frail people requires strong connections between all health and social care professionals. Community health nurses may be an important factor in strengthening these connections.

© 2013 John Wiley & Sons Ltd.

KEYWORDS:

community health nurses; community-dwelling frail people; primary care delivery; relational coordination; satisfaction with care

PMID:
23441966
[PubMed - indexed for MEDLINE]
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