The fifth and final step of the nursing care plan is the evaluation phase. This is when it is assessed whether the desired result has been achieved during the shift. There are three possible outcomes that can be determined based on the evaluation, which can then be used to modify goals and interventions if necessary. This is especially important in primary care, where there is a high prevalence of multimorbidity and healthcare providers must apply several recommendations to the same patient. The government is committed to establishing programs that evaluate and support providers who adopt electronic care management systems, ensuring they have the digital capabilities needed to provide safe, efficient, and high-quality care.
However, none of these interventions have synthesized a patient-centered care approach to multimorbidity care. People affected by multimorbidity use social and health services more intensively than the rest of the population. A typical organization was an interdisciplinary team clinic that included several health professionals working together for a common group of patients. We are looking for interventions for people with multimorbidity or patient-centered care in primary care. The elements of patient-centered interventions and interventions for patients with multimorbidity could be grouped into seven types of interventions related to positive health-related outcomes.
Nursing care plans serve as a basis for managing, maintaining, and evaluating the effectiveness of positive patient outcomes. They also refer to protocols to help healthcare providers plan and coordinate the care of patients with chronic illnesses. Nursing care plans help define nursing guidelines and some treatment guidelines (as requested) for a specific patient. This inductive process is based on knowledge from qualitative and quantitative research and is firmly based on the current concerns of primary health care providers. If you're aspiring to become a nurse, you'll want to familiarize yourself with nursing care plans (NCPs).
To date, emphasis has been placed on two different types of interventions: those that are based on a patient-centered approach to care for people with chronic diseases and those created specifically for people with multimorbidity. For future research, this prospective review is a starting point and it is necessary to carry out other research such as a systematic review or summarizing other relevant literature such as policy documents, gray literature, and unpublished articles in order to propose innovative ways of including patients with multimorbidity in primary health care services.