Care coordination: Identifying and connecting the most appropriate care to the patients

Shigeko Izumi, Patricia A. Barfield, Basilia Basin, Laura Mood, Caroline Neunzert, Ruth Tadesse, Katherine J. Bradley, Christine A. Tanner

Research output: Contribution to journalArticle

Abstract

Although nurses are increasingly expected to fulfill the role of care coordinator, the knowledge and skills required to be an effective care coordinator are not well understood. The purpose of this study was to describe the knowledge and skills required in care coordination practice using an interpretive phenomenological approach. Fifteen care coordinators from 10 programs were interviewed over a 6-month period. Semi-structured face-to-face interviews were audio recorded, transcribed, and analyzed using interpretive phenomenology. The central theme of care coordination practice was bridging the patient and the healthcare systems. To bridge, care coordinators needed to have knowledge of the patient and healthcare system as well as the skills to identify and negotiate treatments appropriate for the patient. The most salient finding and new to this literature was that care coordinators who used their medical knowledge about available treatment options to discern and negotiate for the most appropriate care to the patient made differences in patient outcomes. Nurses with medical and healthcare system knowledge, combined with the skills to navigate and negotiate with others in an increasingly complex healthcare system, are well situated to be care coordinators and generate optimal outcomes. Further investigations of critical care coordinator competencies are needed to support nurses currently enacting the role of care coordinator and to prepare future nurses to fulfill the role.

LanguageEnglish (US)
Pages49-56
Number of pages8
JournalResearch in Nursing and Health
Volume41
Issue number1
DOIs
StatePublished - Feb 1 2018

Fingerprint

Patient Care
Nurses
Delivery of Health Care
Critical Care
Interviews
Therapeutics

Keywords

  • care coordination
  • care management
  • interpretive phenomenology
  • nurse coordinator

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Izumi, S., Barfield, P. A., Basin, B., Mood, L., Neunzert, C., Tadesse, R., ... Tanner, C. A. (2018). Care coordination: Identifying and connecting the most appropriate care to the patients. Research in Nursing and Health, 41(1), 49-56. DOI: 10.1002/nur.21843

Care coordination : Identifying and connecting the most appropriate care to the patients. / Izumi, Shigeko; Barfield, Patricia A.; Basin, Basilia; Mood, Laura; Neunzert, Caroline; Tadesse, Ruth; Bradley, Katherine J.; Tanner, Christine A.

In: Research in Nursing and Health, Vol. 41, No. 1, 01.02.2018, p. 49-56.

Research output: Contribution to journalArticle

Izumi, S, Barfield, PA, Basin, B, Mood, L, Neunzert, C, Tadesse, R, Bradley, KJ & Tanner, CA 2018, 'Care coordination: Identifying and connecting the most appropriate care to the patients' Research in Nursing and Health, vol. 41, no. 1, pp. 49-56. DOI: 10.1002/nur.21843
Izumi S, Barfield PA, Basin B, Mood L, Neunzert C, Tadesse R et al. Care coordination: Identifying and connecting the most appropriate care to the patients. Research in Nursing and Health. 2018 Feb 1;41(1):49-56. Available from, DOI: 10.1002/nur.21843
Izumi, Shigeko ; Barfield, Patricia A. ; Basin, Basilia ; Mood, Laura ; Neunzert, Caroline ; Tadesse, Ruth ; Bradley, Katherine J. ; Tanner, Christine A./ Care coordination : Identifying and connecting the most appropriate care to the patients. In: Research in Nursing and Health. 2018 ; Vol. 41, No. 1. pp. 49-56
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