Primary care nursing activities with patients affected by physical chronic disease and common mental disorders: a qualitative descriptive study

Girard, Ariane; Hudon, Catherine; Poitras, Marie-Ève; Roberge, Pasquale; Chouinard, Maud‐Christine

doi:10.1111/jocn.13695

Cited by 16 publications

(19 citation statements)

References 23 publications

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“…In their day‐to‐day practice, PCNs usually have activities similar to those of the CM when caring for people with physical long‐term disease and common mental illnesses (Girard et al . ; Poitras et al . ).…”

Section: Introductionmentioning

confidence: 99%

Challenges of adopting the role of care manager when implementing the collaborative care model for people with common mental illnesses: A scoping review

Girard

Ellefsen

Roberge

et al. 2019

Int J Mental Health Nurs

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This review aimed to identify the main factors influencing the adoption of the role of care manager (CM) by nurses when implementing the collaborative care model (CCM) for common mental illnesses in primary care settings. A total of 19 studies met the inclusion criteria, reporting on 14 distinct interventions implemented between 2000 and 2017 in five countries. Two categories of factors were identified and described as follows: (i) strategies for the CCM implementation (e.g. initial care management training and supervision by a mental health specialist) and (ii) context‐specific factors (e.g. organizational factors, collaboration with team members, nurses’ care management competency). Identified implementation strategies were mainly aimed towards improving the nurse's care management competency, but their efficacy in developing the set of competencies needed to fulfil a CM role was not well demonstrated. There is a need to better understand the relationship between the nurses’ competencies, the care management activities, the strategies used to implement the CCM and the context‐specific factors. Strategies to optimize the adoption of the CM role should not be solely oriented towards the individual's competency in care management, but also consider other context‐specific factors. The CM also needs a favourable context in order to perform his or her activities with competency.

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Section: Introductionmentioning

confidence: 99%

Challenges of adopting the role of care manager when implementing the collaborative care model for people with common mental illnesses: A scoping review

Girard

Ellefsen

Roberge

et al. 2019

Int J Mental Health Nurs

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“…Primary healthcare is provided in the community itself, and may take place over a prolonged period [19]. By contrast, in the hospital environment the medical treatment is of a shorter-term nature, and there is greater variability among the patients.…”

Section: Introductionmentioning

confidence: 99%

Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis

Luis-Costas²,

et al. 2018

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Backgroundburnout syndrome is a significant problem in nursing professionals. Although, the unit where nurses work may influence burnout development. Nurses that work in primary care units may be at higher risk of burnout. The aim of the study was to estimate the prevalence of emotional exhaustion, depersonalization and low personal accomplishment in primary care nurses.MethodsWe performed a meta-analysis. We searched Pubmed, CINAHL, Scopus, Scielo, Proquest, CUIDEN and LILACS databases up to September 2017 to identify cross-sectional studies assessing primary care nurses’ burnout with the Maslach Burnout Inventory were included. The search was done in September 2017.ResultsAfter the search process, n = 8 studies were included in the meta-analysis, representing a total sample of n = 1110 primary care nurses. High emotional exhaustion prevalence was 28% (95% Confidence Interval = 22–34%), high depersonalization was 15% (95% Confidence Interval = 9–23%) and 31% (95% Confidence Interval = 6–66%) for low personal accomplishment.ConclusionsProblems such as emotional exhaustion and low personal accomplishment are very common among primary care nurses, while depersonalization is less prevalent. Primary care nurses are a burnout risk group.Electronic supplementary materialThe online version of this article (10.1186/s12875-018-0748-z) contains supplementary material, which is available to authorized users.

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“…Components of this process include rapport building, agenda setting, assessing importance, confidence and readiness, information exchange, and reducing resistance (Mason & Butler, ). Specific behaviours in nurse–patient interactions support therapeutic relationships such as active listening, a relaxed ambience, approachability, a personalized approach, time, and trust (Desborough et al, ; Girard, Hudon, Poitras, Roberge, & Chouinard, ; Young et al, ). Therapeutic relationships formed through collaboration between patients and GPNs enable patients to better manage their health (Desborough, Banfield, Phillips, & Mills, ; Young et al, ).…”

Section: Introductionmentioning

confidence: 99%

Lifestyle risk factor communication by nurses in general practice: Understanding the interactional elements

James

McInnes

Halcomb

et al. 2019

Journal of Advanced Nursing

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Aim: This paper seeks to explore general practice nurses' perceptions of interactional factors supporting communication with patients about lifestyle risk. Design: Qualitative descriptive study embedded in a concurrent mixed methods design. Methods: Fifteen Australian general practice nurses were interviewed following video-recorded chronic disease management consultations Results: The theme of 'Interactional Factors' comprised of the subthemes 'Relational factors' and 'Patient factors'. Relational factors referred to communication techniques and methods supporting temporal continuity with patients about lifestyle risk. Patient factors included consumers' motivation, willingness, and readiness to prioritize lifestyle changes. Lack of awareness of the nurses' role was perceived to have an impact on initiation of lifestyle risk conversations. Conclusion: Strategies optimizing continuity of nursing care enhance the capacity for lifestyle risk reduction conversations with patients. Ongoing training in patient-centred communication and increasing patients' awareness of general practice nurses' roles would also better support these discussions. Impact: This research identifies ways the general practice nurses' role in supporting lifestyle risk reduction can be improved. Optimizing the general practice nurses' role in lifestyle risk communication can enhance the behaviour change and chronic disease management. K E Y W O R D S counselling, general practice, interactions, lifestyle, nursing, patient relations, primary care, qualitative descriptive, thematic analysis

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Primary care nursing activities with patients affected by physical chronic disease and common mental disorders: a qualitative descriptive study

Abstract: Primary care nurses would benefit from gaining more knowledge about common mental disorders and from identifying the resources they need to contribute to managing them in an interdisciplinary team.

Cited by 16 publications

References 23 publications

Challenges of adopting the role of care manager when implementing the collaborative care model for people with common mental illnesses: A scoping review

Challenges of adopting the role of care manager when implementing the collaborative care model for people with common mental illnesses: A scoping review

Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis

Lifestyle risk factor communication by nurses in general practice: Understanding the interactional elements

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