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  5. Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review
 
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Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review

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Download Leahy-Warren2017_Article_ConceptualisingAModelToGuideNu.pdf1.27 MB
Author(s)
Leahy-Warren, Patricia 
Mulcahy, Helen 
Benefield, Lazelle 
Donohoe, Ann 
Frawley, Timothy 
Paul, Gillian 
Phelan, Amanda 
Stokes, Diarmuid 
Walsh, Jessica 
et al. 
Uri
http://hdl.handle.net/10197/10324
Date Issued
29 June 2017
Date Available
07T14:14:09Z May 2019
Abstract
Background: Successful models of nursing and midwifery in the community delivering healthcare throughout the lifespan and across a health and illness continuum are limited, yet necessary to guide global health services. Primary and community health services are the typical points of access for most people and the location where most care is delivered. The scope of primary healthcare is complex and multifaceted and therefore requires a practice framework with sound conceptual and theoretical underpinnings. The aim of this paper is to present a conceptual model informed by a scoping evidence review of the literature. Methods: A scoping evidence review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. Databases included CINAHL, MEDLINE, PsycINFO and SocINDEX using the EBSCO platform and the Cochrane Library using the keywords: model, nursing, midwifery, community, primary care. Grey literature for selected countries was searched using the Google 'advanced' search interface. Data extraction and quality appraisal for both empirical and grey literature were conducted independently by two reviewers. From 127 empirical and 24 non-empirical papers, data extraction parameters, in addition to the usual methodological features, included: the nature of nursing and midwifery; the population group; interventions and main outcomes; components of effective nursing and midwifery outcomes. Results: The evidence was categorised into six broad areas and subsequently synthesised into four themes. These were not mutually exclusive: (1) Integrated and Collaborative Care; (2) Organisation and Delivery of Nursing and Midwifery Care in the Community; (3) Adjuncts to Nursing Care and (4) Overarching Conceptual Model. It is the latter theme that is the focus of this paper. In essence, the model depicts a person/client on a lifespan and preventative-curative trajectory. The health related needs of the client, commensurate with their point position, relative to both trajectories, determines the nurse or midwife intervention. Consequently, it is this need, that determines the discipline or speciality of the nurse or midwife with the most appropriate competencies. Conclusion: Use of a conceptual model of nursing and midwifery to inform decision-making in primary/community based care ensures clinical outcomes are meaningful and more sustainable. Operationalising this model for nursing and midwifery in the community demands strong leadership and effective clinical governance.
Other Sponsorship
Department of Health, Ireland
Type of Material
Journal Article
Publisher
BioMed Central
Journal
BMC Nursing
Volume
16
Issue
35
Start Page
1
End Page
13
Copyright (Published Version)
2017 the Authors
Keywords
  • Conceptual model

  • Nursing

  • Midwifery

  • Community

  • Primary care

  • Scoping review

DOI
10.1186/s12912-017-0225-3
Language
English
Status of Item
Peer reviewed
ISSN
1472-6955
This item is made available under a Creative Commons License
https://creativecommons.org/licenses/by-nc-nd/3.0/ie/
Owning collection
Nursing, Midwifery & Health Systems Research Collection
Scopus© citations
2
Acquisition Date
Feb 1, 2023
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Views
892
Acquisition Date
Feb 1, 2023
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Downloads
248
Acquisition Date
Feb 1, 2023
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