Aims and objectives To identify and synthesise the available qualitative evidence on nurses’ perceptions and beliefs related to the care of adults living with multimorbidity. Background The rising prevalence of adults living with multimorbidity has increased demand for health care and challenges nursing care. No review has been conducted to date of the studies of nurses’ perceptions and beliefs related to the provision of care to guide policy makers, practitioners and further research to identify and deliver quality care for persons living with multimorbidity. Design Systematic review of qualitative studies conducted in line with the PRISMA checklist. Methodology Eight electronic publication databases and sources of grey literature were searched to identify original qualitative studies of the experience of nurses caring for adults with multiple chronic conditions with no restrictions on the date of publication or study context. Study quality was assessed using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Data were extracted using the Joanna Briggs Institute standardised data extraction tool for qualitative research. Data synthesis was undertaken through meta‐aggregation. Results Eleven qualitative studies were included in the review. All studies met eight or more of the 10 assessment criteria of the JBI Critical Appraisal Checklist for Qualitative Research. Four synthesised findings were generated from the aggregated findings: (i) the challenge of providing nursing care; (ii) the need to deliver holistic and person‐centred nursing care; (iii) the importance of developing a therapeutic nurse–patient relationship, and (iv) delivering nursing care as part of an interprofessional care team. Conclusions The complexity of multimorbidity and the predominant single‐disease model of chronic care present challenges for the delivery of nursing care to adults living with multimorbidity. Relevance to clinical practice The nursing care of persons with multimorbidity needs to incorporate holistic assessment and person‐centred care principles as part of a collaborative and interprofessional team approach. PROSPERO Registration CRD42020186773.

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Background The number of adults living with two or more chronic conditions is increasing worldwide. Adults living with multimorbidity have complex physical, psychosocial and self‐management care needs. Aim This study aimed to describe Australian nurses' experience of care provision for adults living with multimorbidity, their perceived education needs and future opportunities for nurses in the management of multimorbidity. Design Qualitative exploratory. Methods Nurses providing care to adults living with multimorbidity in any setting were invited to take part in a semi‐structured interview in August 2020. Twenty‐four registered nurses took part in a semi‐structured telephone interview. Results Three main themes were developed: (1) The care of adults living with multimorbidity requires skilled collaborative and holistic care; (2) nurses' practice in multimorbidity care is evolving; and (3) nurses value education and training in multimorbidity care. Conclusion Nurses recognize the challenge and the need for change in the system to support them to respond to the increasing demands they face. Impact The complexity and prevalence of multimorbidity creates challenges for a healthcare system configured to treat individual disease. Nurses are key in providing care for this population, but little is known about nurses' experiences and perceptions of their role. Nurses believe a person‐centred approach is important to address the complex needs of adults living with multimorbidity. Nurses described their role as evolving in response to the growing demand for quality care and believed inter‐professional approaches achieve the best outcomes for adults living with multimorbidity. The research has relevance for all healthcare providers seeking to provide effective care for adults living with multimorbidity. Understanding how best to equip and support the workforce to meet the issues and demands of managing the care of adults living with multimorbidity has the potential to improve patient outcomes. Patient or Public Contribution There was no patient or public contribution. The study only concerned the providers of the service.

Background Obesity among children and adolescents continues to rise worldwide. Despite the efforts of the healthcare workforce, limited high‐quality evidence has been put forward demonstrating effective childhood obesity interventions. The role of nurses as primary actors in childhood obesity prevention has also been underresearched given the size of the workforce and their growing involvement in chronic disease prevention. Aim To examine the effectiveness of nurse‐led interventions to prevent childhood and adolescent overweight and obesity. Design A systematic review of randomised trials. Data sources Medline, CINAHL, EMBASE, Cochrane (CENTRAL), ProQuest Central and SCOPUS were searched from inception to March 2020. Review methods This review was informed by the Cochrane handbook for systematic reviews of interventions. Results Twenty‐six publications representing 18 discrete studies were included (nine primary prevention and nine secondary prevention). Nurse‐led interventions were conducted in diverse settings, were multifaceted, often involved parents and used education, counselling and motivational interviewing to target behaviour change in children and adolescents’ diet and physical activity. Most studies did not determine that nurse‐led interventions were more effective than their comparator(s) in preventing childhood and adolescent overweight and obesity. Conclusions Nurse‐led interventions to prevent juvenile obesity are feasible but have not yet determined effectiveness. With adequate training, nurses could make better use of existing clinical and situational opportunities to assist in the effort to prevent childhood obesity.