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Presentation modality: poster
Section:
Nursing care research and long term conditions

 

 

 

REF.: 012
Country: United Kingdom

Evaluating the nursing and health visiting contribution to chronic disease management: a mapping of the literature
Bunn F, McNeilly E, Wilson P, Kendall S, Proctor S
Centre for Research in Primary and Community Care, University of Hertfordshire, College Lane, Hatfield (UK)

Mail delivery: Centre for Research in Primary and Community Care, University of Hertfordshire, College Lane, Hatfield AL10 9AB (UK)

Rev Paraninfo digital, 2007: 2

How to cite this document

Bunn F, McNeilly E, Wilson P, Kendall S, Proctor S. Evaluating the nursing and health visiting contribution to chronic disease management: a mapping of the literature. Rev Paraninfo Digital, 2007; 2. In: <http://www.index-f.com/para/n2/012.php> Consulted 17 de Agosto del 2022

 

ABSTRACT

Objectives: The review was the first part of a project to explore the nursing contribution to chronic disease management (CDM). The aims were to:
- Identify and document examples of nurses working in CDM and to describe the nature of their role?
- Evaluate the effectiveness of nurses working in CDM.
- Identify the barriers and facilitators to nurses working in CDM.
Methods:
- Design: We undertook a systematic mapping of studies that either: evaluated the provision of chronic disease care by nurses or health visitors; or provided information on the views of service users and providers and identified barriers and facilitators to nurse and health visitor involvement and provision of chronic disease management. We included all study types and all types of chronic disease.
- Search strategy: To identify studies for inclusion we searched a wide variety of electronic databases including PubMed, Embase, CINAHL and the Cochrane Library. In addition we checked reference lists and ran citation searches.
Results: We identified 207 papers, reporting 190 studies, which met our inclusion criteria. Papers have been categorised by study type, by disease category (e.g. cardiovascular disease, diabetes, asthma), and by type of intervention. Intervention categories include: nurse-led clinics, case management, disease management, home based services, education, and technology based care. The review is ongoing but key area for analysis will be around self-management, substitution, simplification and the role of the nurse in delivering protocol based care.
Conclusions: Analysis is ongoing but preliminary findings point to a lack of clarity in the literature around the nursing contribution. Interventions are often poorly described and give insufficient details about the training and responsibility of the nurse. We have also found that in some cases the nursing intervention leads to duplication of service provision rather than substitution.
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