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https://hdl.handle.net/2440/107429
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Type: | Journal article |
Title: | The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: the perspectives of key stakeholders |
Author: | Hegney, D.G. Patterson, E. Eley, D.S. Mahomed, R. Young, J. |
Citation: | International Journal of Nursing Practice, 2013; 19(1):54-59 |
Publisher: | Wiley-Blackwell |
Issue Date: | 2013 |
ISSN: | 1322-7114 1440-172X |
Statement of Responsibility: | Desley G Hegney, Elizabeth Patterson, Diann S Eley, Rosemary Mahomed, Jacqui Young |
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. |
Keywords: | Chronic disease management; general practice; job satisfaction; nurse-led care; practice nursing; qualitative research |
Rights: | © 2013 Wiley Publishing Asia Pty Ltd |
DOI: | 10.1111/ijn.12027 |
Grant ID: | http://purl.org/au-research/grants/arc/DP0770716 |
Published version: | http://dx.doi.org/10.1111/ijn.12027 |
Appears in Collections: | Aurora harvest 3 Nursing publications |
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