Australian nurses in general practice based heart failure management: implications for innovative collaborative practice.

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dc.contributor.author Halcomb, E
dc.contributor.author Davidson, P
dc.contributor.author Daly, J
dc.contributor.author Yallop, J
dc.contributor.author Tofler, G
dc.date.accessioned 2010-05-28T09:50:55Z
dc.date.issued 2004-07
dc.identifier.citation European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2004, 3 (2), pp. 135 - 147
dc.identifier.issn 1474-5151
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/9638
dc.description.abstract BACKGROUND: The growing global burden of heart failure (HF) necessitates the investigation of alternative methods of providing co-ordinated, integrated and client-focused primary care. Currently, the models of nurse-coordinated care demonstrated to be effective in randomized controlled trials are only available to a relative minority of clients and their families with HF. This current gap in service provision could prove fertile ground for the expansion of practice nursing [The Nurse in Family Practice: Practice Nurses and Nurse Practitioners in primary health care. 1988, Scutari Press, London: Impact of rural living on the experience of chronic illness. Australian Journal of Rural Health, 2001. 9: 235-240]. AIM: This paper aims to review the published literature describing the current and potential role of the practice nurse in HF management in Australia. METHODS: Searches of electronic databases, the reference lists of published materials and the internet were conducted using key words including 'Australia', 'practice nurse', 'office nurse', 'nurs*', 'heart failure', 'cardiac' and 'chronic illness'. Inclusion criteria for this review were English language literature; nursing interventions for heart failure (HF) and the role of practice nurses in primary care. RESULTS: There is currently a paucity of data evaluating the potential role for practice nurses in a reconfigured, collaborative health care system. Those studies that were identified were, largely, of a descriptive nature. In addition to identifying the practice nurse as a largely unexplored resource, key themes that emerged from the review include: (1) current general practice services face significant barriers to the implementation of evidence-based HF practice; (2) there is considerable variation in the practice nurse role between general practices; (3) there are significant barriers to the expansion of the practice nurse role; (4) multidisciplinary interventions can effectively deliver secondary prevention strategies; (5) practice nurses can potentially facilitate these multidisciplinary interventions; and (6) practice nurses are favorably perceived by consumers although there is some confusion about the nature of their role. CONCLUSION: On the basis of this literature review, practice nurses represent a potentially useful adjunct to current models of service provision in HF management. Further research needs to comprehensively investigate the role of the practice nurse in the Australian context with a view to developing effective and sustainable frameworks for clinical practice. In particular, high-level evidence is required to evaluate the efficacy of the practice nurse role compared to current disease management strategies.
dc.format Print
dc.language eng
dc.relation.isbasedon 10.1016/j.ejcnurse.2004.02.002
dc.title Australian nurses in general practice based heart failure management: implications for innovative collaborative practice.
dc.type Journal Article
dc.parent European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
dc.journal.volume 2
dc.journal.volume 3
dc.journal.number 2 en_US
dc.publocation Netherlands en_US
dc.identifier.startpage 135 en_US
dc.identifier.endpage 147 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 103394
dc.personcode 104224
dc.personcode 110950
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Humans
dc.description.keywords Cooperative Behavior
dc.description.keywords Physician-Nurse Relations
dc.description.keywords Attitude of Health Personnel
dc.description.keywords Evidence-Based Medicine
dc.description.keywords Family Practice
dc.description.keywords Nursing Evaluation Research
dc.description.keywords Nurse Practitioners
dc.description.keywords Heart Failure
dc.description.keywords Randomized Controlled Trials as Topic
dc.description.keywords Models, Nursing
dc.description.keywords Public Health
dc.description.keywords Primary Health Care
dc.description.keywords Patient Care Team
dc.description.keywords Nurse's Role
dc.description.keywords Australia
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Closed (ID: 3)


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