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Empowering general practice nurses to provide person-centred care for patients living with chronic respiratory disease (ID 506)

Lippiett, KA; Gillett, K; Portillo, MC

Living Well Primary Care Partnership

Abstract

Aims:
1. To undertake a service improvement project optimising an existing innovative nurse-led respiratory training package aiming to increase knowledge/confidence for general practice nurses (GPNs) caring for people
living with chronic respiratory disease (CRD).
2. To evaluate the service improvement project using multiple methods (questionnaires, surveys and focus groups) further optimising the nurse-led respiratory training package
Background
There is significant variation in respiratory care, affected by disparity in availability and quality of training and education. This variation leads to unnecessary hospitalisation, morbidity and mortality. GPNs predominantly provide chronic respiratory care in primary care but may not have the necessary knowledge and skills required to provide it.
Methods
The training package will offer three cohorts of approximately five GPNs one session/week for eight weeks with a nurse-led respiratory hub located in primary care, observing and undertaking diagnostic/complex reviews for people with CRD. GPNs will build on existing respiratory knowledge, learning from and observing specialist respiratory nurses. They will have opportunities to share case studies, raise questions and concerns, address their individual learning needs and develop skills and confidence in respiratory care delivery. We will undertake a multi-method (questionnaires, surveys, focus groups) implementation evaluation underpinned by a logic model (a diagrammatic representation of how the project is expected to work) co-produced with
stakeholders. Plan-Do-Study-Act cycles will be used from project outset to feed lessons learnt from each cohort
into the training.
Results
We anticipate that results from the project will optimise the existing training package. If well evaluated, the refined and optimised training package will be rolled out across the integrated care system, with the potential for national reach.
Conclusion:
This project will begin to address significant variation in respiratory care through the delivery of a robustly evaluated training package.

Funding: Burdett Trust for Nursing

Conflicts of interest: None

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