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The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders.
- Source :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.); Feb2013, Vol. 19 Issue 1, p54-59, 6p
- Publication Year :
- 2013
-
Abstract
- This was the first Australian study investigating the acceptability, feasibility and sustainability of a nurse-led model of chronic disease management in general practice. A concurrent mixed-methods design was used within a 12-month intervention of nurse-led care in three general practices. Adult patients with type 2 diabetes, hypertension and/or stable ischaemic heart disease were randomized into nurse-led or standard care. Semi-structured interviews explored perceptions of key stakeholders towards this model including patients in the nurse-led arm, and all practice staff pre- and posttrial. The data were thematically analysed and the emergent themes were: importance of time; collaborative relationships; nurse job satisfaction, confidence and competence; patient self-management and choice. Our findings showed that nurses provided chronic disease management that was acceptable, feasible and sustainable. The collaborative involvement of doctors was intrinsic to patient acceptability of nurse-led care that facilitated job satisfaction, and therefore retention and growth within this nursing speciality. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC diseases
CONFIDENCE
CONTINUUM of care
CORONARY disease
FAMILY medicine
HYPERTENSION
INTERVIEWING
JOB satisfaction
RESEARCH methodology
MEDICAL office nursing
TYPE 2 diabetes
NURSE-patient relationships
NURSE-physician relationships
NURSES
NURSES' attitudes
RESEARCH funding
HEALTH self-care
SOUND recordings
DISEASE management
OCCUPATIONAL roles
THEMATIC analysis
PATIENTS' attitudes
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 19
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 85713681
- Full Text :
- https://doi.org/10.1111/ijn.12027