2023-09-28 14:46:10 +00:00
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abstract: 'Background: Practice Nurses (PN) play an increasing role in chronic
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disease management, however, this role is poorly defined. Question: How
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do Practice Nurses in New Zealand, Canada and the United Kingdom manage
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chronic disease? Aim: This systematic review aims to identify the
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barriers and facilitators for practice nurses in New Zealand (NZ),
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Canada and the United Kingdom (UK) when caring for patients with a
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chronic disease. To determine how Practice Nurses in three high income
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countries manage chronic disease. Methods: We searched Scopus, Web of
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Science, Cumulative Index to Nursing and Allied Health Liter-ature,
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(CINAHL), and MEDLINE in February 2021. The initial search yielded 495
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articles. Four hundred and sixty-four articles were excluded because
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they did not address the research question or included the community
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nurse or nurse practitioner. Nine articles with a total sample size of
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1050 PN participants met the inclusion criteria. Findings: Six main
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themes were identified that outline the barriers and facilitators to the
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role of the practice nurse when managing chronic disease: financial
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incentives, funding, power differences between the nurse and patient and
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the nurse and doctor, time, education, and role ambiguity. Discussion:
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Policy initiatives across the three countries were replicated with
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similar barriers and facilita-tors to the PN role. Conclusion: Working
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within a context driven by incentive funding and competing demands can
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be pro-hibitive to the effective management of chronic disease by the
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PN. (c) 2022 Australian College of Nursing Ltd. Published by Elsevier
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Ltd.'
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affiliation: 'Verrall, C (Corresponding Author), Adelaide Nursing Sch, Acad Off, Level
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4,Adelaide Hlth \& Med Sci Bldg,Cnr North Ter, Adelaide, SA 5005, Australia.
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Verrall, Claire, Univ Adelaide, Fac Hlth \& Med Sci, Adelaide Nursing Sch, Adelaide,
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Australia.
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Willis, Eileen, Flinders Univ South Australia, Coll Nursing \& Hlth Sci, Adelaide,
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Australia.
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Willis, Eileen, Cent Queensland Univ, Sch Nursing Midwifery \& Social Sci, Rockhampton,
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Australia.
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Henderson, Julie, Flinders Univ South Australia, Coll Nursing \& Hlth Sci, Adelaide,
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Australia.
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Verrall, Claire, Adelaide Nursing Sch, Acad Off, Level 4,Adelaide Hlth \& Med Sci
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Bldg,Cnr North Ter, Adelaide, SA 5005, Australia.'
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author: Verrall, Claire and Willis, Eileen and Henderson, Julie
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author-email: claire.verrall@adelaide.edu.au
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author_list:
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- family: Verrall
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given: Claire
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- family: Willis
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given: Eileen
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- family: Henderson
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given: Julie
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da: '2023-09-28'
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doi: 10.1016/j.colegn.2022.09.005
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earlyaccessdate: APR 2023
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eissn: 1876-7575
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files: []
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issn: 1322-7696
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journal: COLLEGIAN
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keywords: 'Chronic disease; Management; General practice; Nurse; Primary health
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care; Policy'
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keywords-plus: 'PRIMARY-HEALTH-CARE; CHRONIC DISEASE MANAGEMENT; GENERAL-PRACTICE;
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SELF-MANAGEMENT; NEW-ZEALAND; NURSES; POLICY; PRACTITIONERS'
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language: English
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month: APR
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number: '2'
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number-of-cited-references: '40'
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orcid-numbers: 'Willis, Eileen/0000-0001-7576-971X
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Verrall, Claire/0000-0001-5557-7067'
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pages: 254-263
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papis_id: dcfb70ad9f734ce1eb15020b4bafe773
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ref: Verrall2023practicenursing
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tags:
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- review
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times-cited: '1'
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title: 'Practice nursing: A systematic literature review of facilitators and barriers
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in three countries'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000990745300001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '2'
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volume: '30'
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web-of-science-categories: Nursing
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year: '2023'
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