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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.
Patterson, E.
Eley, D.
Mahomed, R.
Young, J.
Citation: International Journal of Nursing Practice, 2013; 19(1):54-59
Publisher: Wiley-Blackwell
Issue Date: 2013
ISSN: 1322-7114
Statement of
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
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Nursing publications

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