1. Fairlie, Cathy RN
  2. Walsh, Sandra RN, BN, DNC

Article Content


The overwhelming challenge for patients with chronic disease is how to continue with treatment over the course of their lifetime. In response to the unique needs of the patient with chronic skin diseases, the Phototherapy Education and Research Centre (PERC) has developed a nurse-driven model of care. Access, education and support are the foundations of this model, resulting in improved patient satisfaction and medical outcomes.



PERC's nurse-driven model of care consists of three components:


1. Access to care


2. Patient education and empowerment


3. Patient-Nurse relationship





* Distance is not a barrier limiting access to PERC services


* Specialized patient education resulting in successful long-term management of psoriasis


* 97% patient satisfaction with overall care


* 33,000 patient visits per year managed by 4.6 FTE RNs, 1 secretary and 10 physician clinic hours



The nurse-driven model of care is an efficient means of providing treatment, education and support to patients with chronic skin diseases.



Nurses have the ability to take a leadership role in enhancing patient self-management of chronic diseases.




Ahluwalia, R. (2006). Psoriasis, self-esteem & social support. Dermanities, 2(4).


Hinek, A. (2005). Patient accessibility: Transportation study. Toronto, Ontario, Canada: Peter Boyd Academy, University of Toronto.


Skarpathiotakis, M., Fairlie, C., & Ryan, S. (2006). Specialized education for patients with psoriasis: a patient survey on its value and effectiveness. Dermatology Nursing, 18(4), 358-361.


Winkleman, W., & Halifax, N. (2007). Power is only skin deep: An institutional ethnography of nurse-driven outpatient psoriasis treatment in the era of clinic Web sites. Journal of Medical Systems, 31(2), 131-139.