K J Topping, S Trickey
Collaborative philosophical enquiry for school children: cognitive effects at 10-12 years
The British journal of educational psychology
lack access primary care contributes health inequities treatment settings utilize full experience training nurses registered nurses rns advanced practice registered nurses aprns expand primary care successfully address health inequities small study describes implementation model primary care called intensive primary care ipc eight elements support full utilization nurses experience training mixed method qualitative study reports observations implementation pre postintervention measures ipc model implemented free clinic targeted underserved population 2020 2023 participants selected convenience sample participants two chronic health problems participants received primary care using ipc model included setting selfmanagement goals meeting rn aprn monthly basis face face via phone zoom monitor progress toward goals twentytwo people approached 19 completed intervention pre postintervention measures patient assessment chronic illness care pacic20 functional communicative critical thinking health literacy perceived stress patient activation perceived self efficacy chronic disease euroqo 5 dimension eq5d trust provider emotional supportpatient reported outcome measure information system promis patient health questionnaire9 obtained analyzed paired test 05 nurses involved meet weekly share observations recorded free form notes observations summarized two authors md kf end study patients improved physical health outcomes importantly significant improvements measures known impact health health outcomes specifically patient activation selfefficacy chronic illness pacic trust provider time spent patients duration frequency contact observed significant impacts