Nurse-led care management models for patients with multimorbidity in hospital settings: a scoping review

Maria Isabel Rodrigues Gonçalves*, Diana Arvelos Mendes, Sílvia Caldeira, Elvio Jesus, Elisabete Nunes

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

3 Citations (Scopus)


Aim: The aim of this scoping review is to map the nurse-led care management models for patients with multimorbidity in hospital settings. Background: Patients with multimorbidity in hospital, due their complexity, benefit a nurse-led care management model. This care management model allows for better identification of patients' needs and a person-centred approach. Evaluation: This review followed the JBI methodology for scoping reviews. The search included the international databases Web of Science, CINAHL, MEDLINE, Nursing & Allied Health Collection and grey literature. A total of 21 articles were included in the final content analysis. Key issues: Three categories of nurse-led care management models emerged from the data, namely, nurse-led programs, case management and nurse facilitator models. The interventions focused on training, discharge support, follow-up, health promotion and patient-centred care. Conclusion: The centrality of the patient is a common characteristic of nurse-led care models, namely, the acquisition of disease self-management skills, preparation for hospital discharge and continuity of care in the community. Implications for nursing management: Nurse-led care management models can empower patients to manage their chronic conditions more effectively. Adapting these care management models in hospital settings will be a challenge for nurse managers. Scoping review protocol: The full protocol used can be accessed at doi:10.11124/jbies-20-00222.
Original languageEnglish
Pages (from-to)1960-1973
Number of pages14
JournalJournal of Nursing Management
Issue number6
Publication statusPublished - Sept 2022


  • Hospital
  • Multimorbidity
  • Nurse-led care
  • Patient-centred care


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