Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review.

Randall, S; Crawford, T; Currie, J; River, J; Betihavas, V

Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review.

Randall, S Crawford, T Currie, J River, J

Betihavas, V

Permalink

Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: International Journal of Nursing Studies, 2017, 73, pp. 24-33
Issue Date:: 2017-08

Closed Access

	Filename	Description	Size
	1-s2.0-S002074891730113X-main.pdf		295.8 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Randall, S
dc.contributor.author	Crawford, T
dc.contributor.author	Currie, J
dc.contributor.author	River, J https://orcid.org/0000-0002-5270-4013
dc.contributor.author	Betihavas, V
dc.date.accessioned	2022-09-06T02:53:23Z
dc.date.available	2017-05-10
dc.date.available	2022-09-06T02:53:23Z
dc.date.issued	2017-08
dc.identifier.citation	International Journal of Nursing Studies, 2017, 73, pp. 24-33
dc.identifier.issn	0020-7489
dc.identifier.issn	1873-491X
dc.identifier.uri	http://hdl.handle.net/10453/161410
dc.description.abstract	BACKGROUND: The role and scope of nursing practice has evolved in response to the dynamic needs of individuals, communities, and healthcare services. Health services are now focused on maintaining people in their communities, and keeping them out of hospital where possible. Community based nurse-led clinics are ideally placed to work towards this goal. The initial impetus for these services was to increase patient access to care, to provide a cost-effective and high quality streamlined service. OBJECTIVES: This systematic review aimed to identify the impact of nurse-led clinics in relation to patient outcomes, patient satisfaction, impact on patient access to services, and cost effectiveness. METHODS: A review of community based nurse-led clinic research in Medline, CINAHL and Embase was undertaken using MeSH terms: Nurse-managed centres, Practice, Patterns, Nurse, Ambulatory Care, keywords: nurse-led clinic, nurse led clinic, community and phrases primary health care and primary care. Papers were appraised using the Joanna Briggs Appraisal criteria. RESULTS: The final review comprised 15 studies with 3965 participants. Most studies explored patient satisfaction which was largely positive towards nurse-led clinics. Patient outcomes reported were typically from self-report, although some papers addressed objective clinical measures; again positive. Access was reported as being increased. Cost-effectiveness was the least reported impact measure with mixed results. CONCLUSIONS: Nurse-led clinics have largely shown positive impact on patient outcomes, patient satisfaction, access to care and mixed results on cost-effectiveness. Future research evaluating NLCs needs to adopt a standardised structure to provide rigorous evaluations that can rationalise further efforts to set up community based nurse-led clinical services.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	International Journal of Nursing Studies
dc.relation.isbasedon	10.1016/j.ijnurstu.2017.05.008
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Humans
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Practice Patterns, Nurses'
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Humans
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Practice Patterns, Nurses'
dc.subject.mesh	Humans
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Patient Satisfaction
dc.subject.mesh	Health Services Accessibility
dc.subject.mesh	Practice Patterns, Nurses'
dc.title	Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review.
dc.type	Journal Article
utslib.citation.volume	73
utslib.location.activity	England
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2022-09-06T02:53:22Z
pubs.publication-status	Published
pubs.volume	73

Abstract:

BACKGROUND: The role and scope of nursing practice has evolved in response to the dynamic needs of individuals, communities, and healthcare services. Health services are now focused on maintaining people in their communities, and keeping them out of hospital where possible. Community based nurse-led clinics are ideally placed to work towards this goal. The initial impetus for these services was to increase patient access to care, to provide a cost-effective and high quality streamlined service. OBJECTIVES: This systematic review aimed to identify the impact of nurse-led clinics in relation to patient outcomes, patient satisfaction, impact on patient access to services, and cost effectiveness. METHODS: A review of community based nurse-led clinic research in Medline, CINAHL and Embase was undertaken using MeSH terms: Nurse-managed centres, Practice, Patterns, Nurse, Ambulatory Care, keywords: nurse-led clinic, nurse led clinic, community and phrases primary health care and primary care. Papers were appraised using the Joanna Briggs Appraisal criteria. RESULTS: The final review comprised 15 studies with 3965 participants. Most studies explored patient satisfaction which was largely positive towards nurse-led clinics. Patient outcomes reported were typically from self-report, although some papers addressed objective clinical measures; again positive. Access was reported as being increased. Cost-effectiveness was the least reported impact measure with mixed results. CONCLUSIONS: Nurse-led clinics have largely shown positive impact on patient outcomes, patient satisfaction, access to care and mixed results on cost-effectiveness. Future research evaluating NLCs needs to adopt a standardised structure to provide rigorous evaluations that can rationalise further efforts to set up community based nurse-led clinical services.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/161410