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 Liter-ature,

  (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 facilita-tors to the PN role. Conclusion: Working

  within a context driven by incentive funding and competing demands can

  be pro-hibitive to the effective management of chronic disease by the

  PN. (c) 2022 Australian College of Nursing Ltd. Published by Elsevier

  Ltd.'
affiliation: 'Verrall, C (Corresponding Author), Adelaide Nursing Sch, Acad Off, Level
  4,Adelaide Hlth \& Med Sci Bldg,Cnr North Ter, Adelaide, SA 5005, Australia.

  Verrall, Claire, Univ Adelaide, Fac Hlth \& Med Sci, Adelaide Nursing Sch, Adelaide,
  Australia.

  Willis, Eileen, Flinders Univ South Australia, Coll Nursing \& Hlth Sci, Adelaide,
  Australia.

  Willis, Eileen, Cent Queensland Univ, Sch Nursing Midwifery \& Social Sci, Rockhampton,
  Australia.

  Henderson, Julie, Flinders Univ South Australia, Coll Nursing \& Hlth Sci, Adelaide,
  Australia.

  Verrall, Claire, Adelaide Nursing Sch, Acad Off, Level 4,Adelaide Hlth \& Med Sci
  Bldg,Cnr North Ter, Adelaide, SA 5005, Australia.'
author: Verrall, Claire and Willis, Eileen and Henderson, Julie
author-email: claire.verrall@adelaide.edu.au
author_list:
- family: Verrall
  given: Claire
- family: Willis
  given: Eileen
- family: Henderson
  given: Julie
da: '2023-09-28'
doi: 10.1016/j.colegn.2022.09.005
earlyaccessdate: APR 2023
eissn: 1876-7575
files: []
issn: 1322-7696
journal: COLLEGIAN
keywords: 'Chronic disease; Management; General practice; Nurse; Primary health

  care; Policy'
keywords-plus: 'PRIMARY-HEALTH-CARE; CHRONIC DISEASE MANAGEMENT; GENERAL-PRACTICE;

  SELF-MANAGEMENT; NEW-ZEALAND; NURSES; POLICY; PRACTITIONERS'
language: English
month: APR
number: '2'
number-of-cited-references: '40'
orcid-numbers: 'Willis, Eileen/0000-0001-7576-971X

  Verrall, Claire/0000-0001-5557-7067'
pages: 254-263
papis_id: dcfb70ad9f734ce1eb15020b4bafe773
ref: Verrall2023practicenursing
tags:
- review
times-cited: '1'
title: 'Practice nursing: A systematic literature review of facilitators and barriers
  in three countries'
type: article
unique-id: WOS:000990745300001
usage-count-last-180-days: '2'
usage-count-since-2013: '2'
volume: '30'
web-of-science-categories: Nursing
year: '2023'