Integrated chronic disease nurse practitioner (ICDNP) model of care: Improving the patient journey

Hetherington, Justine, Stone, Cassandra, Barnes, Maureen, Abel, Jennifer, Douglas, Clint, Havas, Kathryn, & Bonner, Ann (2016) Integrated chronic disease nurse practitioner (ICDNP) model of care: Improving the patient journey. In Renal Society of Australasia 44th Annual Conference, 20-22 June 2016, Gold Coast, Qld.

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Chronic kidney disease, cardiovascular disease and diabetes mellitus and are highly prevalent in Australia and there is a well-established association between these three diseases. In 2014 an Integrated Chronic Disease Nurse Practitioner (ICDNP) model commenced to provide streamlined care, improve access through a coordinated approach for patients with at least two of these three chronic diseases, and to improve the patient journey and quality of life.


To examine the perceptions of stakeholders following the introduction of the ICDNP clinic.


Using a qualitative descriptive design, 14 patient interviews and 3 focus groups with staff (medical, allied health, nursing and administrative) were conducted. Data was analysed for themes.


Overall patients described the benefits of attending the clinic were due to the good communication and interaction with the nurse practitioners and how this contributed to building trust and enabling them to have a better understanding of their chronic diseases. Staff recognised the positive impact that the ICDNP clinic had on the patient’s navigation of the healthcare system, reducing the need for multiple clinic appointments, and how the clinic contributes to improving chronic disease self-management.


The ICDNP model of care has shown a high level of patient satisfaction with regard to their journey of chronic disease self-management. Importantly healthcare professionals are supportive and engaged with the clinic due to improved communication and collaboration across multiple specialties and relevant team members.

Impact and interest:

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ID Code: 96411
Item Type: Conference Item (Poster)
Refereed: No
Additional URLs:
Keywords: Chronic Kidney Disease, Nurse Practitioner
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2016 The Author(s)
Deposited On: 30 Jun 2016 22:13
Last Modified: 30 Jun 2016 22:13

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