The role of Government policy in supporting nurse‐led care in general practice in the United Kingdom, New Zealand and Australia: an adapted realist review

Hoare, Karen; Mills, Jane; Francis, Karen

doi:10.1111/j.1365-2648.2011.05870.x

Cited by 56 publications

(84 citation statements)

References 78 publications

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“…The Australian practice nurse workforce remains an underutilised resource (Hoare et al 2012). Funding mechanisms have the power to direct and expand the nurse's role; for example, under a GPMP, MBS service payments enable five visits to a practice nurse for chronic disease management (Halcomb et al 2008;Pearce et al 2011;McInnes et al 2017).…”

Section: Discussionmentioning

confidence: 99%

Is the Counterweight Program a feasible and acceptable option for structured weight management delivered by practice nurses in Australia? A mixed-methods study

Gray

Hoon

Afzali

et al. 2017

Aust. J. Prim. Health

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Abstract. Nurse-led weight management programs, like the Counterweight Program in the United Kingdom, may offer a way for Australian general practices to provide weight management support to adults who are overweight or obese. During Counterweight, nurses provide patients with six fortnightly education sessions and three follow-up sessions to support weight maintenance. This study examined the feasibility, acceptability and perceived value of the Counterweight Program in the Australian primary care setting using a mixed-methods approach. Six practice nurses, from three general practices, were trained and subsidised to deliver the program. Of the 65 patients enrolled, 75% (n = 49) completed the six education sessions. General practitioners and practice nurses reported that the training and resource materials were useful, the program fitted into general practices with minimal disruption and the additional workload was manageable. Patients reported that the program created a sense of accountability and provided a safe space to learn about weight management. Overall, Counterweight was perceived as feasible, acceptable and valuable by Australian practice staff and patients. The key challenge for future implementation will be identifying adequate and sustainable funding. An application to publically fund Counterweight under the Medicare Benefits Schedule would require stronger evidence of effectiveness and costeffectiveness in Australia.

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Section: Discussionmentioning

confidence: 99%

Is the Counterweight Program a feasible and acceptable option for structured weight management delivered by practice nurses in Australia? A mixed-methods study

Gray

Hoon

Afzali

et al. 2017

Aust. J. Prim. Health

View full text Add to dashboard Cite

show abstract

“…A terceira refere-se à redução de custos, impressa no menor salário do enfermeiro em relação ao do médico, na redução dos gastos em saúde com condições crônicas seguidas pelo EPA, evitando complicações e hospitalizações desnecessárias (4) . (8) .…”

Section: Os Países Da Organisation For Economic Co-operationunclassified

Práticas Avançadas De Enfermagem Em Atenção Primária: Estratégias Para Implantação No Brasil

Toso¹

2017

revenf

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PRÁTICAS AVANÇADAS DE ENFERMAGEM EM ATENÇÃO PRIMÁRIA: ESTRATÉGIAS PARA IMPLANTAÇÃO NO BRASILObjetivo: refletir acerca da enfermagem de prática avançada, abrangendo essa função em países desenvolvidos. Metodologia: reflexão teórica, descrevendo o conceito de enfermagem de prática avançada, abordando seus impactos na atenção primária à saúde e enfocando estratégias prioritárias para sua implantação no Brasil. Resultados: dentre as estratégias, destacamse investimentos na formação profissional, adoção de estratégias nacionais de educação permanente, adição da prática baseada em evidências como eixo norteador das ações do profissional enfermeiro na atenção primária, revisão e ampliação da legislação que norteia a prática e revisão da legislação do sistema de saúde para a prática ampliada. Conclusão: entende-se que os alicerces para a construção da adoção e regulamentação formal dessa prática já estão dados, desse modo, a enfermagem brasileira precisa conhecê-la e decidir se quer incorporá-la à profissão.Descritores: Prática Avançada de Enfermagem, Atenção Primária a Saúde, Conselho Internacional de Enfermagem, Papel do Profissional de EnfermagemADVANCED PRACTICE OF NURSING IN PRIMARY HEALTH CARE: IMPLANTATION STRATEGIES IN BRAZILObjective: addressing the advanced practice of nursing, covering this function in developed countries. Methodology: theoretical reflection, describing the concept of advanced practice nursing, reporting its impact on primary health care and focusing on priority strategies for its implementation in Brazil. Results: among the strategies, some may be highlighted, such as, investment in graduation nursing courses, national strategies adoption for follow up training at work, addition of practice based on evidences as a guideline for professional nursing actions in primary health care, legislation revision and expansion that guides the practice, and legislation review of the health care system for advanced practice. Conclusion: it is understood that the foundations for the construction of adoption and formal regulation of this advanced practice are ready, thus the Brazilian nursing needs to know about it and decide if it is aimed to be incorporated into the profession.Descriptors: Advanced Practice Nursing, Primary Health Care, International Nursing Council, Nurse’s Role.ENFERMERÍA DE PRÁCTICA AVANZADA EN ATENCIÓN PRIMARIA: ESTRATEGIAS PARA LA IMPLANTACIÓN EN BRASILObjetivo: analizar la práctica de enfermería avanzada, frente a esta función en los países desarrollados. Metodología: reflexión teórica, describiendo su concepto, analizando su impacto en la atención primaria de salud y enfocando las estrategias prioritarias para su implantación en Brasil. Resultados: entre las estrategias se destacan el investimento en la formación profesional, la adopción de estrategias nacionales de aprendizaje permanente, la adopción de la práctica basada en la evidencia como una guía para las acciones de enfermería profesional en la atención primaria, la revisión y ampliación de la legislación que guía la práctica y revisión de la legislación de salud para la práctica extendida. Conclusión: Se entiende que las bases para la construcción de la adopción y la regulación formal de esta práctica está disponible, por lo que la enfermería brasileña necesita saber y decidir si se debe incorporar en la profesión.Descriptores: Enfermería de Práctica Avanzada, Atención Primaria de Salud, Consejo Internacional de Enfermería, Rol de la Enfermera.

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“…Although there are numerous nurse and nurse practitioner-led clinics in a variety of countries across the globe, they tend to offer specialized care and not comprehensive primary healthcare (Shiu et al 2011;Murfet et al 2013;Bentley et al 2014). In addition, health system funding in some countries, specifically the US and in some respects the UK, is not congruent with the NPLC model implemented in Canada (Auerbach et al 2013;Hoare et al 2011). The unique nature of the NPLC model in Canada points to the importance of evaluation of the impact of the model on the delivery of patient care.…”

Section: Background the Nurse Practitioner-led Clinic Modelmentioning

confidence: 99%

Impact of Advanced Access Scheduling on Patient Care Choices and Health Behaviours in a Nurse Practitioner-Led Clinic

Heale

Fournier

2017

DRHJ

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The Nurse Practitioner-Led Clinic (NPLC) is a new model of primary healthcare. The wholistic approach of nurse practitioner (NP) led care in an NPLC that implements Advanced Access scheduling has the potential to enhance timely access to care and improve health outcomes. The purpose of this study was to determine the experience of patients in one NPLC as well as their healthcare behaviours related to Advanced Access scheduling. A previously developed survey with items related to appointment access, health behaviours and satisfaction was mailed once to patients at a NPLC in northern Ontario. 535 patients replied for a response rate of 29%. A majority (85.4%) were able to access same-day appointments. Access to same-day appointments was associated with less likelihood of attending a walk-in-clinic or emergency department in addition to selfreports of improvements in lifestyle and better control of medical condition(s). Advanced access scheduling contributes to optimal patient care in an NPLC setting. The NP role in lifestyle counselling and wholistic care in the NPLC model contributes to improved selfreported health. Access to an appointment at a point of 'readiness' may positively contribute to lifestyle changes and overall health of patients.

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The role of Government policy in supporting nurse‐led care in general practice in the United Kingdom, New Zealand and Australia: an adapted realist review

Abstract: New Zealand and Australia lag behind the United Kingdom in practice nurse development. Implementation of clinical governance was fundamental to the development of nurse-led care in the UK.

Cited by 56 publications

References 78 publications

Is the Counterweight Program a feasible and acceptable option for structured weight management delivered by practice nurses in Australia? A mixed-methods study

Is the Counterweight Program a feasible and acceptable option for structured weight management delivered by practice nurses in Australia? A mixed-methods study

Práticas Avançadas De Enfermagem Em Atenção Primária: Estratégias Para Implantação No Brasil

Impact of Advanced Access Scheduling on Patient Care Choices and Health Behaviours in a Nurse Practitioner-Led Clinic

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