5 years ago

The feasibility and acceptability of nurse-led chronic disease management interventions in primary care: an integrative review

Elizabeth Halcomb, Catherine Stephen, Susan Mcinnes
Aims To explore the feasibility and acceptability of nurse-led chronic disease management and lifestyle risk factor reduction interventions in primary care (general practice / family practice). Background Growing international evidence suggests that interventions delivered by primary care nurses can assist in modifying lifestyle risk factors and managing chronic disease. To date, there has been limited exploration of the feasibility and acceptability of such interventions. Design Integrative review guided by the work of Whittemore and Knafl (2005). Data Sources Database search of CINAHL, Medline and Web of Science was conducted to identify relevant literature published between 2000 - 2015. Review Methods Papers were assessed for methodological quality and data abstracted before thematic analysis was undertaken. Results Eleven papers met the inclusion criteria. Analysis uncovered four themes: 1) facilitators of interventions; 2) barriers to interventions; 3) consumer satisfaction; and 4) primary care nurse role. Conclusion Literature supports the feasibility and acceptability of nurse-led interventions in primary care for lifestyle risk factor modification. The ongoing sustainability of these interventions rests largely on organisational factors such as funding, educational pathways and professional support of the primary care nursing role. Further robust research around primary care nurse interventions is required to strengthen the evidence base. This article is protected by copyright. All rights reserved.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/jan.13450

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