title: From hospital to home after cardiac surgery: evaluation of a community nursing care management model.
abstract: OBJECTIVE
  This quasi-experimental research aims to (1) evaluate the implementation process of a community nursing care management model and (2) assess the effects of this model on patients followed at home.
  
  
  METHODS
  Two community healthcare centers had introduced a community nursing care management model in their practice (experimental groups), whereas another health community care center with no experience with such a model served as a control group. The community nursing care management model included clinical pathways designed for a clientele who had been hospitalized for cardiac surgery.
  
  
  CONCLUSIONS
  Even though the implementation process was challenging, the community nursing care management model was found useful enough to be integrated into routine nursing home care practice after cardiac surgery. Although the effects produced by this systematic home care program on the clientele did not differ significantly from those produced by usual nursing care, there was a positive effect for the clientele recorded on all measurement indicators used.
  
  
  CONCLUSIONS
  The introduction of the nursing care management model enabled nurses to structure the care provided and reduced interindividual variation. The application of this program also proved to be an opportunity to initiate and assimilate new professional roles. Additional studies should be conducted to assess its effectiveness in home care for other health problems.
authors.affiliation: Faculty of Nursing Sciences, Université Laval, Québec, Québec, Canada. diane.morin@fsi.ulaval.ca
authors.forename: Diane
authors.initials: D
authors.lastname: Morin
authors.forename: Michele
authors.initials: M
authors.lastname: Aubin
authors.forename: Lucie
authors.initials: L
authors.lastname: Vezina
authors.forename: Johanne
authors.initials: J
authors.lastname: Gagnon
authors.forename: Sandra
authors.initials: S
authors.lastname: Racine
authors.forename: Daniel
authors.initials: D
authors.lastname: Reinharz
authors.forename: Michele
authors.initials: M
authors.lastname: Paradis
authors.forename: Clemence
authors.initials: C
authors.lastname: Dallaire
authors.forename: Karine
authors.initials: K
authors.lastname: Aubin
mesh_terms: D000704:Analysis of Variance; D006348:Cardiac Surgical Procedures; D019090:Case Management; D003152:Community Health Nursing / Q000458:organization & administration*; D003266:Continuity of Patient Care; D005260:Female; D006305:Health Status Indicators; D018575:Home Care Services, Hospital-Based; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D016294:Models, Nursing; D009732:Nursing Care; D011184:Postoperative Period; D015397:Program Evaluation; D011792:Quebec