Practice nursing: A systematic literature review of facilitators and barriers in three countries

Claire Verrall, Eileen Willis, Julie Henderson

Research output: Contribution to journalReview articlepeer-review

Abstract

Background: Practice Nurses (PN) play an increasing role in chronic disease management, however, this role is poorly defined.

Question: How do Practice Nurses in New Zealand, Canada and the United Kingdom manage chronic disease? 

Aim: This systematic review aims to identify the barriers and facilitators for practice nurses in New Zealand (NZ), Canada and the United Kingdom (UK) when caring for patients with a chronic disease. To determine how Practice Nurses in three high income countries manage chronic disease. 

Methods: We searched Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, (CINAHL), and MEDLINE in February 2021. The initial search yielded 495 articles. Four hundred and sixty-four articles were excluded because they did not address the research question or included the community nurse or nurse practitioner. Nine articles with a total sample size of 1050 PN participants met the inclusion criteria. 

Findings: Six main themes were identified that outline the barriers and facilitators to the role of the practice nurse when managing chronic disease: financial incentives, funding, power differences between the nurse and patient and the nurse and doctor, time, education, and role ambiguity. 

Discussion: Policy initiatives across the three countries were replicated with similar barriers and facilitators to the PN role.

Conclusion: Working within a context driven by incentive funding and competing demands can be prohibitive to the effective management of chronic disease by the PN.

Original languageEnglish
JournalCollegian
Early online date27 Sep 2022
DOIs
Publication statusE-pub ahead of print - 27 Sep 2022

Keywords

  • Chronic disease
  • General practice
  • Management
  • Nurse
  • Policy
  • Primary health care

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