Frail Older Adults’ Experiences With a Proactive, Nurse-Led Primary Care Program: A Qualitative Study
Authors: Bleijenberg Nienke , Boeije Hennie R. , Onderwater Astrid T. , Schuurmans Marieke J. 
Published: September 2015

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Instructions

1.3
contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded once you register, pay the registration fee, and complete the evaluation form online at
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1.
Read the article, “Frail Older Adults’ Experiences With a Proactive, Nurse-Led Primary Care Program: A Qualitative Study” found on pages 20–29, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz.

2.
Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study.

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Go to the Villanova website listed above to register for contact hour credit. You will be asked to provide your name; contact information; and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated.

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Contact Hours
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Activity Objective

1.
Review the findings of a study designed to explore frail older adults’ perceptions and experiences with a proactive, integrated nurse-led primary care program.

Disclosure Statement
Neither the planners nor the authors have any conflicts of interest to disclose.

The aim of the current study was to explore frail older adults’ perceptions and experiences with a proactive, integrated nurse-led primary care program. A qualitative study nested within a randomized trial in primary care was conducted. In total, 11 semistructured interviews were conducted in a subsample of participants who received nurse-led care in the intervention group. Generally, proactive, nurse-led care was well-received and four different nursing roles were observed: (a) monitor, (b) director, (c) coach, and (d) visitor. The monitor role (i.e., observing and assessing potential risks) was perceived as the most important. The relationship with the nurse, timing of visits, and provided care, as well as tailoring the care to individual needs, were identified as conditions related to appreciation. If the care was well-regarded, older adults were more likely to accept it, which helped them anticipate changes or handle consequences of aging more easily. [
Journal of Gerontological Nursing
,
41
(9), 20–29.]