Impact of an Intervention Integrating the MPHS Nursing Model of Care on the Partnership in Health, With the Patient Followed in Primary Care by an Advanced Practice Nurse (APN) for One or More Stabilized Chronic Pathologies
This study, called the IMPACT program, is exploring a new way for nurses to work with people who have long-term health conditions like diabetes, heart disease, or Parkinson's. It aims to see if a special kind of nursing care, where patients and nurses work together as partners, can help people manage their conditions better. This approach focuses on understanding a patient's personal goals and how their condition affects their daily life. The goal is to help patients feel more in control of their health, improve their quality of life, and make decisions about their care alongside their nurse. It's about empowering patients to play an active role in their own health journey, supported by an advanced practice nurse outside of traditional hospital settings.
At a glance
What is this study about?
This study is called the IMPACT program, and it's looking into a new way that nurses can support people living with long-term health conditions. Think of conditions like diabetes, heart problems, or Parkinson's disease, which need ongoing care. Currently, healthcare organisations and experts agree that care should be built around you, the patient, taking into account what's important to you, your needs, and your personal goals. This approach helps you learn how to manage your condition in your daily life.
Living with a long-term condition can be tricky, as many things can affect how well you cope, such as how much you know about your condition, how you manage it yourself, and your overall quality of life. This study introduces a special method where an advanced practice nurse (a highly skilled nurse) works closely with you. Together, you'll create a personalised plan to manage your health, keeping your dreams and priorities in mind while also dealing with your condition. The main idea is to make sure you have an active say in your care and feel supported.
The IMPACT program will use a specific 'partnership' model of nursing care. This means your nurse will focus on understanding your ability to manage your health, how much you know about your condition (health literacy), your quality of life, and your experiences with healthcare. The program has three main steps: first, you and your nurse will discuss your health situation in detail; then, you'll plan your care and actions together; and finally, you'll review how things are going with your nurse and care team. This entire process is designed to strengthen the partnership between you and your nurse, helping you live your life as fully as possible while managing your condition.
Key takeaways
- This study explores a new way for nurses to help people with long-term conditions.
- It focuses on patients and nurses working together as partners in care.
- The goal is to help you better manage your condition and improve your quality of life.
- You'll work with an Advanced Practice Nurse to set goals and plan your care.
- There are no new medicines; it's about a different approach to care.
- You can stop participating at any time.
Who may be eligible?
To join this study, you need to be an adult (18 years or older) and currently receiving care from an advanced practice nurse (APN) for one or more specific long-term conditions. These conditions include strokes, certain heart diseases, type 1 or type 2 diabetes, long-term breathing problems, Parkinson's disease, or epilepsy.
Your care from the advanced practice nurse must be provided in a specific way. This could be direct care if your nurse works within a healthcare facility, or if your nurse works in private practice, their care needs to have been referred or prescribed by a doctor.
Finally, you need to be part of a social security plan in the UK, and you must have received all the necessary information about the study. If you decide to take part, you'll also need to sign a consent form with the study team.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Do you have one of these stable long-term conditions: stroke, certain heart diseases, type 1 or type 2 diabetes, long-term breathing problems, Parkinson's, or epilepsy?
- Are you currently receiving care from an Advanced Practice Nurse (APN)?
- Is your APN care either direct (in a facility) or referred by a doctor (in private practice)?
- Are you part of a UK social security plan?
What does participation involve?
This study aims to understand how a special type of nursing care, focusing on partnership, helps people with long-term health conditions. If you join, you will continue to receive care from your advanced practice nurse as usual, but it will follow the IMPACT program's structured approach. This involves working closely with your nurse to agree on your health situation, plan your care activities, and regularly review your progress together. The study itself doesn't involve new medications handed out for the study, but rather a different way your existing care is managed. The total duration of your participation will be as long as you are receiving care from the advanced practice nurse under the IMPACT program, allowing for ongoing assessment of how this partnership helps you manage your chronic condition. There won't be extra visits beyond your usual appointments with your advanced practice nurse, but these appointments will follow the specific steps of the IMPACT program.
Potential risks and benefits
Locations (5)
- CH le Corbusier - FirminyVerified postcodeFirminy, France· Not yet recruiting
- Hôpital du GierVerified postcodeSaint-Chamond, France· Not yet recruiting
- Centre Hospitalier Universitaire - PneumologieVerified postcodeSaint-Etienne, France· Not yet recruiting
- Centre Hospitalier Universitaire - CardiologieVerified postcodeSaint-Etienne, France· Not yet recruiting
- Direction de la Prévention et de la Santé des PopulationsVerified postcodeSaint-Etienne, France· Recruiting
Common questions
What is an Advanced Practice Nurse (APN)?
An Advanced Practice Nurse is a highly experienced and specially trained nurse who can provide more advanced care, often helping patients manage complex health conditions.
What does 'stabilised chronic pathologies' mean?
This refers to long-term health conditions, like diabetes or heart disease, that are generally stable and not in a sudden, severe flare-up or crisis.
Will I have to take new medicine?
No, this study is about a new way of providing nursing care and working with you, not about testing new medicines. You'll continue with your existing treatments.
How long will I be in the study?
You'll be part of the study for as long as you are receiving care from your advanced practice nurse under this new IMPACT program model.
Can I leave the study at any time?
Yes, your participation is voluntary, and you can choose to leave the study at any point without it affecting your medical care.
How to find out more
Elise VEROT, MD
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
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