Long term condition management: Health professionals’ perspectives
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Other Title
Authors
Ashworth, Natasha
Author ORCID Profiles (clickable)
Degree
Master of Nursing
Grantor
Eastern Institute of Technology
Date
2009
Supervisors
Thompson, Shona
McLeland, Anne
McLeland, Anne
Type
Masters Thesis
Ngā Upoko Tukutuku (Māori subject headings)
Keyword
Tairawhiti (N.Z)
New Zealand
long-term conditions
chronic illnesses
management
delivery of health care
primary care
Māori
health professionals
perspectives
barriers
interviews
New Zealand
long-term conditions
chronic illnesses
management
delivery of health care
primary care
Māori
health professionals
perspectives
barriers
interviews
ANZSRC Field of Research Code (2020)
Citation
Ashworth, N. S. (2009). Long term condition management: Health professionals’ perspectives. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Nursing). Eastern Institute of Technology (EIT), New Zealand.
Abstract
Long term conditions are the leading cause of morbidity and mortality in New Zealand. The burden upon secondary health care services to manage the complications of long term conditions has prompted calls for primary health care to lead the way in early diagnosis, management and coordination of care for long term conditions. Nurses are in an ideal position to lead primary care initiatives for long term condition management. The aim of all involved in primary care should be to provide long term condition management that is evidence-based and culturally acceptable. This gives rise to questions such as: What is the key to successful long term condition management? How can nurses be at the forefront of this? What do central stakeholders in the planning, funding and delivery of primary care believe to be the solutions? How can we ensure that Māori needs are prioritised in delivery strategies?
This qualitative study aims to describe health professional’s perspectives on long term condition management and identify barriers to future change in service delivery, by interviewing 10 health professionals in the primary care field in a geographically isolated area of New Zealand. Four General Practitioners, four nurses and two management team personnel were interviewed and the resultant data were analysed using a general inductive approach (Thomas, 2006). Thematic analysis of the interviews conducted revealed over 30 themes on the subject of long term condition management. These were categorised into five main headings: management issues; information technology, leadership, patient centred care and power.
The results highlighted that long term condition management is rated as highly important by all the participants and that they are aware of the need to change current delivery methods to improve client outcomes. However, all participants raised the issue of funding as a significant barrier to implementing innovations in long term condition management, including nurse led services. Future plans to develop Integrated Family Health Centres and increased collaboration between clinicians involved in delivering services, were hailed as potential solutions to improve long term condition management.
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