Open-access Model of care in chronic disease: inclusion of a theory of nursing

In implementing the Chronic Care Model, the nurse has been indicated as key. The present study gives a theoretical reflection which aims to reflect on the integration of a theory of nursing into the Chronic Care Model. This reflection originates from a thesis project, in the context of a University Hospital which is a benchmark in the attendance of patients with diabetes, in specialized and hospital care. This proposal relates four elements of the model for organizing the nursing care for this clientele, associated with Horta's Basic Human Needs Theory. It is considered that using the Chronic Care Model, associated with Horta's Basic Human Needs Theory, can advance nursing practice with this clientele, evidencing the practice's elements and, consequently, evidencing the visibility of the nurse's competences and practice activities in care for the chronic illnesses.

Nursing; Nursing theory; Chronic illness; Diabetes mellitus


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Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br
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