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Nurse‐led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact.
- Source :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.); May2024, Vol. 33 Issue 5, p1724-1738, 15p
- Publication Year :
- 2024
-
Abstract
- Aims: To define nurse‐led clinics in primary health care, identify barriers and enablers that influence their successful implementation, and understand what impact they have on patient and population health outcomes. Background: Nurse‐led clinics definitions remain inconsistent. There is limited understanding regarding what enablers and barriers impact successful nurse‐led clinic implementation and their impact on patient health care. Design: Scoping review using narrative synthesis. Methods: PubMed, MEDLINE, Web of Science, Scopus, CINAHL and PsycINFO were searched to identify nurse‐led clinic definitions and models of care between 2000 and 2023. Screening and selection of studies were based on eligibility criteria and methodological quality assessment. Narrative synthesis enabled to communicate the phenomena of interest and follows the PRISMA for Scoping Reviews (PRISMA‐ScR) checklist. Results: Among the 36 identified studies, key principles of what constitutes nurse‐led clinics were articulated providing a robust definition. Nurse‐led clinics are, in most cases, commensurate with standard care, however, they provide more time with patients leading to greater satisfaction. Enablers highlight nurse‐led clinic success is achieved through champions, partners, systems, and clear processes, while barriers encompass key risk points and sustainability considerations. Conclusion: The review highlights several fundamental elements are central to nurse‐led clinic success and are highly recommended when developing interventional nurse‐led strategies. Nurse‐led clinics within primary health care seek to address health care through community driven, health professional and policy supported strategies. Overall, a robust and contemporary definition of nurse‐led care and the clinics in which they operate is provided. Relevance to Clinical Practice: The comprehensive definition, clear mediators of success and the health impact of nurse‐led clinics provide a clear framework to effectively build greater capacity among nursing services within primary health care. This, in addition, highlights the need for good health care policy to ensure sustainability. Patient or Public Contribution: No Patient or Public Contribution. [ABSTRACT FROM AUTHOR]
- Subjects :
- HEALTH services accessibility
NURSES
CLINICAL medicine
RISK assessment
TERMS & phrases
INTERPROFESSIONAL relations
COMPUTER software
RESEARCH funding
PRIMARY health care
POPULATION health
CINAHL database
KEY performance indicators (Management)
INVESTMENTS
QUESTIONNAIRES
DISEASE management
NARRATIVES
COMMUNITIES
PROFESSIONAL peer review
SYSTEMATIC reviews
MEDLINE
LITERATURE reviews
COMMUNICATION
PATIENT-professional relations
CLINICAL competence
SOCIAL values
QUALITY of life
HEALTH outcome assessment
CLINICS
ONLINE information services
PATIENT satisfaction
EVALUATION
PSYCHOLOGY information storage & retrieval systems
MEDICAL referrals
TIME
Subjects
Details
- Language :
- English
- ISSN :
- 09621067
- Volume :
- 33
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 176353581
- Full Text :
- https://doi.org/10.1111/jocn.17003