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Nurse Educ Today. 2015 Jan;35(1):288-92. doi: 10.1016/j.nedt.2014.05.006. Epub 2014 May 29.

The challenge of multimorbidity in nurse education: an international perspective.

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School of Nursing and Midwifery, Keele University, England, UK. Electronic address:
School of Nursing and Midwifery, Keele University, England, UK.
Department of Social and Welfare Studies, University of Linköping, Sweden.
Department of Medical and Health Sciences, Linköping University, Sweden; Department of Cardiology, County Council of Östergötland, Sweden.
Health Services Research Unit, Keele University, England, UK.


The rise in prevalence of chronic diseases has become a global healthcare priority and a system wide approach has been called for to manage this growing epidemic. Whilst healthcare reform to tackle the scale of chronic disease and other long term conditions is still in its infancy, there is an emerging recognition that in an ageing society, people often suffer from more than one chronic disease at the same time. Multimorbidity poses new and distinct challenges and was the focus of a global conference held by the Organization of Economic Cooperation and Development (OECD) in 2011. Health education was raised as requiring radical redesign to equip graduates with the appropriate skills to face the challenges ahead. We wanted to explore how different aspects of multimorbidity were addressed within pre-registration nurse education and held an international (United Kingdom-Sweden) nurse workshop in Linköping, Sweden in April 2013, which included nurse academics and clinicians. We also sent questionnaire surveys to final year student nurses from both countries. This paper explores the issues of multimorbidity from a patient, healthcare and nurse education perspective and presents the preliminary discussions from the workshop and students' survey.


Comorbidity; Curriculum; Education; Multimorbidity; Nursing

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