Strategic directions for developing the Australian general practice nurse role in cardiovascular disease management

2007 ◽  
Vol 26 (1) ◽  
pp. 125-135 ◽  
Author(s):  
Elizabeth J Halcomb ◽  
Patricia M Davidson ◽  
Julie Yallop ◽  
Rhonda Griffiths ◽  
John Daly
Keyword(s):  
Cardiovascular Disease ◽  
General Practice ◽  
Disease Management ◽  
Practice Nurse ◽  
Nurse Role ◽  
Australian General Practice

scholarly journals Cardiovascular disease management: time to advance the practice nurse role?

2008 ◽  
Vol 32 (1) ◽  
pp. 44 ◽  
Author(s):  
Elizabeth J Halcomb ◽  
Patricia M Davidson ◽  
Rhonda Griffiths ◽  
John Daly
Keyword(s):  
Cardiovascular Disease ◽  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
General Practitioner ◽  
Disease Management ◽  
Practice Nurse ◽  
Practice Nurses ◽  
Primary Health ◽  
Nurse Role

Objective: More than two-thirds of health expenditure is attributable to chronic conditions, of which a significant proportion are related to cardiovascular disease. This paper identifies and explores the factors cited by practice nurses as impacting on the development of their role in cardiovascular disease management. Methods: Sequential mixed methods design combining postal survey (n = 284) and telephone interviews (n = 10) with general practice nurses. Results: The most commonly cited barriers to role extension were legal implications (51.6%), lack of space (30.8%), a belief that the current role is appropriate (29.7%), and general practitioner attitudes (28.7%). The most commonly cited facilitators of role extension were collaboration with the general practitioner (87.6%), access to education and training (65.6%), the opportunity to deliver primary health care (61.0%), a high level of job satisfaction (56.0%) and positive consumer feedback (54.6%). Conclusions: Australian government policy demonstrates a growing commitment to an extended role for general practice in primary health care and cardiovascular disease management. In spite of these promising initiatives, practice nurses face a range of professional and system barriers to extending their role. By addressing the barriers and enabling features identified in this investigation, there is potential to further develop the Australian practice nurse role in cardiovascular disease management.

scholarly journals The Role of Practice Nurses in an Integrated Model of Cardiovascular Disease Management in Australian General Practice

2006 ◽  
Vol 12 (2) ◽  
pp. 34 ◽  
Author(s):  
Elizabeth J Halcomb ◽  
Patricia M Davidson
Keyword(s):  
Cardiovascular Disease ◽  
General Practice ◽  
Disease Management ◽  
Policy Makers ◽  
Management Framework ◽  
Practice Nurses ◽  
Australian General Practice ◽  
Minimal Data ◽  
Multidisciplinary Model

While various models of chronic disease management have been developed and evaluated, minimal data is available relating specifically to Australian general practice and, in particular, the role of the nurse within the multidisciplinary general practice team. This paper presents a multidisciplinary model of cardiovascular disease management, focused on Australian general practice, and identifies barriers and facilitators to its implementation. This model was developed from data arising from a series of investigations that (1) examined the epidemiology and current general practice management of cardiovascular disease (2) explored the demographics and role of the practice nurse, and (3) established strategic recommendations for future practice development. The model proposes an integrated and multidisciplinary cardiovascular disease management framework to inform policy-makers and health planners in the development of primary health services in Australian general practice.

Outcomes and opportunities: a nurse-led model of chronic disease management in Australian general practice

2013 ◽  
Vol 19 (2) ◽  
pp. 150 ◽  
Author(s):  
Diann S. Eley ◽  
Elizabeth Patterson ◽  
Jacqui Young ◽  
Paul P. Fahey ◽  
Chris B. Del Mar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
General Practice ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Models Of Care ◽  
Practice Nurses ◽  
Australian General Practice ◽  
General Practices

The Australian government’s commitment to health service reform has placed general practice at the centre of its agenda to manage chronic disease. Concerns about the capacity of GPs to meet the growing chronic disease burden has stimulated the implementation and testing of new models of care that better utilise practice nurses (PN). This paper reports on a mixed-methods study nested within a larger study that trialled the feasibility and acceptability of a new model of nurse-led chronic disease management in three general practices. Patients over 18 years of age with type 2 diabetes, hypertension or stable ischaemic heart disease were randomised into PN-led or usual GP-led care. Primary outcomes were self-reported quality of life and perceptions of the model’s feasibility and acceptability from the perspective of patients and GPs. Over the 12-month study quality of life decreased but the trend between groups was not statistically different. Qualitative data indicate that the PN-led model was acceptable and feasible to GPs and patients. It is possible to extend the scope of PN care to lead the routine clinical management of patients’ stable chronic diseases. All GPs identified significant advantages to the model and elected to continue with the PN-led care after our study concluded.

Gaps in cardiovascular disease risk management in Australian general practice

2009 ◽  
Vol 191 (6) ◽  
pp. 324-329 ◽  
Author(s):  
Ruth J Webster ◽  
Emma L Heeley ◽  
David P Peiris ◽  
Clare Bayram ◽  
Alan Cass ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Risk Management ◽  
General Practice ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Australian General Practice

scholarly journals What is the role of the Practice Nurse in the care of people living with dementia, or cognitive impairment, and their support person(s)? : A systematic review.

2020 ◽  
Author(s):  
Caroline Gibson ◽  
Dianne Goeman ◽  
Dimity Pond
Keyword(s):  
General Practice ◽  
Cognitive Impairment ◽  
Practice Nurse ◽  
Early Recognition ◽  
Dementia Care ◽  
Care Provision ◽  
Support Person ◽  
Practice Nurses ◽  
Nurse Role

Abstract Background: The potential value of expanding the Practice Nurse role to include the recognition and management of dementia has been acknowledged and Practice Nurses are well-positioned to provide comprehensive dementia information and support so that people living with dementia are better equipped to self-manage their health and live well with dementia. The purpose of this review was to systematically examine published Australian and international literature to identify the existing and potential roles of Practice Nurse’s involvement in the delivery of care to people living with dementia or cognitive impairment and their support person(s) and also describe the characteristics and effectiveness of nurse interventions in dementia models of care in general practice. Methods: We systematically reviewed the evidence for roles and characteristics of the Practice Nurse in the delivery of dementia care. A comprehensive literature search identified relevant original research published in English between January 2000 and January 2019 and available in full text. Thirteen articles were included. Results: Characteristics of roles, undertaken by nurses working in the general practice setting, which were potentially beneficial to people living with dementia and their support person were identified. These included increased patient accessibility to the Practice Nurse, early recognition and management of cognitive changes, care management and collaboration with the General Practitioner. Limitations of the provision of dementia care by Practice Nurses included a lack of definition of the role, inadequate dementia specific training, time constraints and poor communication with General Practitioners. Conclusions Further research is required to define and evaluate the scope of practice and characteristics of the Practice Nurse role in dementia care provision. Embedding in usual general practice care an evidence-based model of care describing the role of the Practice Nurse in dementia care provision has the potential to increase early recognition of cognitive impairment and more appropriate primary care management of dementia. Systematic Review registration number PROSPERO 2018 CRD42018088191

scholarly journals What is the role of the Practice Nurse in the care of people living with dementia, or cognitive impairment, and their support person(s)? : A systematic review.

2020 ◽  
Author(s):  
Caroline Gibson ◽  
Dianne Goeman ◽  
Dimity Pond
Keyword(s):  
General Practice ◽  
Cognitive Impairment ◽  
Practice Nurse ◽  
Early Recognition ◽  
Dementia Care ◽  
Care Provision ◽  
Support Person ◽  
Practice Nurses ◽  
Nurse Role

Abstract Background: The potential value of expanding the Practice Nurse role to include the recognition and management of dementia has been acknowledged and Practice Nurses are well-positioned to provide comprehensive dementia information and support so that people living with dementia are better equipped to self-manage their health and live well with dementia. The purpose of this review was to systematically examine published Australian and international literature to identify the existing and potential roles of Practice Nurse’s involvement in the delivery of care to people living with dementia or cognitive impairment and their support person(s) and also describe the characteristics and effectiveness of nurse interventions in dementia models of care in general practice. Methods: We systematically reviewed the evidence for roles and characteristics of the Practice Nurse in the delivery of dementia care. A comprehensive literature search identified relevant original research published in English between January 2000 and January 2019 and available in full text. Thirteen articles were included. Results: Characteristics of roles, undertaken by nurses working in the general practice setting, which were potentially beneficial to people living with dementia and their support person were identified. These included increased patient accessibility to the Practice Nurse, early recognition and management of cognitive changes, care management and collaboration with the General Practitioner. Limitations of the provision of dementia care by Practice Nurses included a lack of definition of the role, inadequate dementia specific training, time constraints and poor communication with General Practitioners. Conclusions Further research is required to define and evaluate the scope of practice and characteristics of the Practice Nurse role in dementia care provision. Embedding in usual general practice care an evidence-based model of care describing the role of the Practice Nurse in dementia care provision has the potential to increase early recognition of cognitive impairment and more appropriate primary care management of dementia. Systematic Review registration number PROSPERO 2018 CRD42018088191

scholarly journals Process evaluation of a practice nurse-led smoking cessation trial in Australian general practice: views of general practitioners and practice nurses

2015 ◽  
pp. cmv041 ◽  
Author(s):  
Elizabeth J Halcomb ◽  
John S Furler ◽  
Oshana S Hermiz ◽  
Irene D Blackberry ◽  
Julie P Smith ◽  
...  
Keyword(s):  
General Practice ◽  
Smoking Cessation ◽  
Process Evaluation ◽  
General Practitioners ◽  
Practice Nurse ◽  
Practice Nurses ◽  
Australian General Practice

Building chronic disease management capacity in General Practice: The South Australian GP Plus Practice Nurse Initiative

2015 ◽  
Vol 22 (2) ◽  
pp. 191-197 ◽  
Author(s):  
Jeffrey Fuller ◽  
Kristy Koehne ◽  
Claire C. Verrall ◽  
Natalie Szabo ◽  
Chris Bollen ◽  
...  
Keyword(s):  
General Practice ◽  
Chronic Disease ◽  
Disease Management ◽  
Chronic Disease Management ◽  
Practice Nurse ◽  
The South ◽  
Management Capacity
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