Nurse-led service delivery models in primary care: a scoping review protocol

Abstract

BackgroundEnsuring equitable access to health care is reliant on the strengthening of primary care services. Increasing the utilisation of task-sharing and telehealth models is one strategy to improve patient access and outcomes in primary care. This protocol details the methodology of a proposed scoping review of nurse and midwife involvement in task-sharing and telehealth models in primary care.AimUndertaking this review will identify what models have been utilised in the primary care setting globally, the characteristics and health and economic outcomes of the models and whether these models are acceptable and feasible.Design and settingThis protocol was developed in line with Joanna Briggs Institute Methodology for Scoping Reviews and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis protocols (PRISMA-P).Methods and analysisFive databases (Ovid MEDLINE, Embase, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Cochrane Library) will be searched for relevant studies published in English. Articles will be screened for inclusion in Covidence by three authors, with data extracted and synthesised using a chart designed for this review. Evidence will be mapped in both tabular and narrative forms to show characteristics, outcomes and acceptability of the models of care. Ethical approval is not required as data utilised is publicly available.ConclusionsUnderstanding how nurse and midwife-led models of care may operate is crucial to strengthening service provision in primary care. Evidence on nurse and midwife led primary care models will be collated and synthesised to inform future models

Co‐design of a nurse‐led model of care to increase access to medical abortion and contraception in rural and regional general practice: A protocol

“…The facilitator will then introduce two expert keynote speakers who will discuss the barriers and facilitators of nurse‐led LARC and EMA provision in general practice. One researcher (JM) will present the results of a scoping review of nurse and midwife involvement in task‐sharing and telehealth models in primary care 28 . Participants will be encouraged to ask questions with the raise hand function and engage with the presentations via the chat function on Zoom.…”

“…A scoping review of nurse‐led models of task‐sharing and telehealth in primary care has also been conducted. 28 …”

Improving the provision of preconception care in Australian general practice through task-sharing with practice nurses

“…Task-sharing enables lay and mid-level healthcare professionals, including community health workers, nurses and midwives, to safely provide clinical tasks, which would otherwise be provided by highlevel healthcare professionals (WHO 2017). Internationally, nurse-led primary care interventions are increasingly being implemented to fill gaps in care, improve quality of care, and reduce health inequities (Hoare et al 2013;Moulton et al 2022). There is evidence that nurse-led interventions improve self-management and health outcomes in a number of different health contexts; for example, asthma, weight loss, and blood pressure control (Hoare et al 2013), and increase patients' satisfaction with their care (Laurant et al 2005).…”

“…The provision of PCC in Australian general practice could be enhanced by task-sharing between GPs and PNs (Walker et al 2021;Moulton et al 2022). In Australia, approximately 14 000 PNs work within general practice and around 63% of general practices employ at least one PN (Lane et al 2017), who could contribute to PCC services.…”

Nurse‐led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact

“…Conversely, the term ‘nurse‐led’ has been suggested to be nurses who provide care or perform certain health care actions that others may not be able, do not feel comfortable, or do not want to do. In addition, nurses may ‘absorb’ or take on key elements of other health professional work (Fernandez, 2007; Karimi‐Shahanjarini et al., 2019; Miles et al., 2003; Moulton et al., 2022).…”