Community health nursing in Australia: A critical literature review and implications for professional development

Brookes, Kim; Davidson, Patricia M.; Daly, John; Hancock, Karen

doi:10.5172/conu.16.3.195

Cited by 27 publications

(27 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…They, however, face a number of barriers, in particular a lack of time and funding [9-12]. Generalist community nurses (GCNs) in Australia are also in a good position to offer individual lifestyle intervention, because they (a) often see patients with existing chronic conditions that might benefit from lifestyle change; (b) often have ongoing contact with patients over an extended period of time; (c) mostly see clients in their own homes, and can observe the living environment and involve the wider family/carers in the intervention; and (d) may reach disadvantaged individuals with limited contact with general practice [13,14]. Our previous research has shown that GCNs see lifestyle intervention as appropriate to their role and philosophy of providing holistic care, although some thought the age of their client group limited the scope for lifestyle change [15].…”

Section: Introductionmentioning

confidence: 99%

Is there scope for community health nurses to address lifestyle risk factors? the community nursing SNAP trial

et al. 2012

View full text Add to dashboard Cite

BackgroundThis paper examines the opportunity and need for lifestyle interventions for patients attending generalist community nursing services in Australia. This will help determine the scope for risk factor management within community health care by generalist community nurses (GCNs).MethodsThis was a quasi-experimental study conducted in four generalist community nursing services in NSW, Australia. Prior to service contacts, clients were offered a computer-assisted telephone interview to collect baseline data on socio-demographics, health conditions, smoking status, physical activity levels, alcohol consumption, height and weight, fruit and vegetable intake and 'readiness-to-change' for lifestyle risk factors.Results804 clients participated (a response rate of 34.1%). Participants had higher rates of obesity (40.5% vs 32.1%) and higher prevalence of multiple risk factors (40.4% vs 29.5%) than in the general population. Few with a SNAPW (Smoking-Nutrition-Alcohol-Physical-Activity-Weight) risk factor had received advice or referral in the previous 3 months. The proportion of clients identified as at risk and who were open to change (i.e. contemplative, in preparation or in action phase) were 65.0% for obese/overweight; 73.8% for smokers; 48.2% for individuals with high alcohol intake; 83.5% for the physically inactive and 59.0% for those with poor nutrition.ConclusionsThere was high prevalence of lifestyle risk factors. Although most were ready to change, few clients recalled having received any recent lifestyle advice. This suggests that there is considerable scope for intervention by GCNs. The results of this trial will shed light on how best to implement the lifestyle risk factor management in routine practice.

show abstract

Section: Introductionmentioning

confidence: 99%

Is there scope for community health nurses to address lifestyle risk factors? the community nursing SNAP trial

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Moreover, although the findings of this study represent the views of Canadian CHNs, those in other countries, including the United Kingdom and Australia, face similar trends and issues in community health nursing practice (Brookes, Davidson, Daly, & Hancock, 2004;Cook, 2009;Drennan, Andrews, Sidhu, & Peacock, 2006). Collaborative action-oriented discussions with international colleagues can provide promising opportunities to advance community health nursing practice globally.…”

Section: Discussionmentioning

confidence: 79%

Community Health Nursing Vision for 2020

et al. 2010

View full text Add to dashboard Cite

As health care is shifting from hospital to community, community health nurses (CHNs) are directly affected. This descriptive qualitative study sought to understand priority issues currently facing CHNs, explore development of a national vision for community health nursing, and develop recommendations to shape the future of the profession moving toward the year 2020. Focus groups and key informant interviews were conducted across Canada. Five key themes were identified: community health nursing in crisis now, a flawed health care system, responding to the public, vision for the future, and CHNs as solution makers. Key recommendations include developing a common definition and vision of community health nursing, collaborating on an aggressive plan to shift to a primary health care system, developing a comprehensive social marketing strategy, refocusing basic baccalaureate education, enhancing the capacity of community health researchers and knowledge in community health nursing, and establishing a community health nursing center of excellence.

show abstract

“…20 As a consequence of these prolonged illness trajectories communitybased services are frequently required to provide care for extended periods of time. 21,22 Absence of palliative care beds As there are no designated beds on the mid-north coast, palliative care patients requiring inpatient care are admitted to one of five local hospitals. A recent planning framework has estimated that 6.7 designated palliative care beds are required for this population.…”

Section: Increased Demand For Servicesmentioning

confidence: 99%

Enhancing palliative care delivery in a regional community in Australia

Phillips¹,

Davidson²,

Jackson³

et al. 2006

Aust. Health Review

Self Cite

View full text Add to dashboard Cite

Although access to palliative care is a fundamental right for people in Australia and is endorsed by government policy, there is often limited access to specialist palliative care services in regional, rural and remote areas. This article appraises the evidence pertaining to palliative care service delivery to inform a sustainable model of palliative care that meets the needs of a regional population on the mid-north coast of New South Wales.Expert consultation and an eclectic literature review were undertaken to develop a model of palliative care service delivery appropriate to the needs of the target population and resources of the local community. On the basis of this review, a local palliative care system that is based on a population-based approach to service planning and delivery, with formalised integrated network agreements and role delineation between specialist and generalist providers, has the greatest potential to meet the palliative care needs of this ACCESS TO PALLIATIVE CARE is a fundamental right for people in Australia and is endorsed by government policy. 1,2 Access, a key component of all palliative care service delivery models, implies fairness not determined by geographical location. [1][2][3][4][5] Despite this ideal, the increasing demand for palliative care in regional, rural and remote areas, combined with the limited number of palliative care specialists, presents considerable challenges for health service planners. 6,7 This discussion document reviews the evidence pertaining to model-of-care development, the policy environment and existing rural palliative care models in operation in rural Australia. This review was conducted to inform the development What is known about the topic? The provision of palliative care in rural and remote areas presents significant service delivery challenges, but it is not known how best to address these challenges. What does this paper add? This paper explores issues related to palliative care service delivery in a rapidly expanding regional coastal community. The paper outlines a populationbased planning strategy to enhance capacity. What are the implications for practitioners?The authors propose the development of a palliative care service that builds upon the existing specialist service with greater involvement of generalist providers and ensures service development and delivery is explicitly linked to consumer needs. Mid-north coast New South WalesThe mid-north coast consists of the Coffs Harbour, Bellingen and Nambucca local government areas (LGA) which now reside within the central network of the recently created North Coast Area Health Service. Although the reorganisation of the area health service boundaries in NSW occurred subsequent to the completion of this need assessment, this does not alter the significance of these findings. 8 This area has a population of 97 774 people, with the largest concentrated population residing in the Coffs Harbour LGA and the remaining population in smaller coastal townships, which are popular holiday des...

show abstract

Community health nursing in Australia: A critical literature review and implications for professional development

Cited by 27 publications

References 18 publications

Is there scope for community health nurses to address lifestyle risk factors? the community nursing SNAP trial

Is there scope for community health nurses to address lifestyle risk factors? the community nursing SNAP trial

Community Health Nursing Vision for 2020

Enhancing palliative care delivery in a regional community in Australia

Contact Info

Product

Resources

About