District nurses’ perceptions of osteoporosis management: a qualitative study

Claesson, Andreas; Toth-Pal, Eva; Piispanen, P.; Salminen, Helena

doi:10.1007/s00198-015-3086-1

Cited by 13 publications

(12 citation statements)

References 31 publications

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“…Claesson and colleagues explored Swedish nurses' perceptions on osteoporosis and osteoporosis management [65]. Their findings suggest alignment with the views of osteoporosis patients (as reviewed above) in a number of areas.…”

Section: Resultsmentioning

confidence: 99%

“…For example, Swedish nurses tended to prioritize fall prevention and rated their competence highly in this area. Also similar to patients was a discounting of the seriousness of osteoporosis; a lack of knowledge and confidence concerning osteoporosis treatment; and a distrust of osteoporosis medications [65]. Nurses also identified the inadequacy of existing procedures and resources but expressed a willingness to identify patients perceived to be at high risk, learn more, and work with other professionals [65].…”

Section: Resultsmentioning

confidence: 99%

“…Also similar to patients was a discounting of the seriousness of osteoporosis; a lack of knowledge and confidence concerning osteoporosis treatment; and a distrust of osteoporosis medications [65]. Nurses also identified the inadequacy of existing procedures and resources but expressed a willingness to identify patients perceived to be at high risk, learn more, and work with other professionals [65]. Findings from Canadian [66] and Australian primary care physicians [67] may validate some patients' concerns (reviewed above) that primary care physicians are not knowledgeable or concerned with bone health.…”

Section: Resultsmentioning

confidence: 99%

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Qualitative Insights from the Osteoporosis Research: A Narrative Review of the Literature

Bombak

Hanson

2016

Journal of Osteoporosis

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Purpose. Much of the research on osteoporosis has been generated quantitatively. However, the qualitative osteoporosis literature provides valuable information on patient and clinician experiences and perspectives, informing the design and implementation of health research and healthcare services. To identify knowledge gaps and inform the design of future qualitative research, a narrative review was conducted to consolidate and synthesize the existing insights available within the qualitative osteoporosis research. Methods. Search terms reflecting the domains of osteoporosis and qualitative research were entered into the Scopus database to generate a comprehensive survey of qualitative research in the area of osteoporosis. Articles were thematically analysed and the results are presented in the form of a narrative review. Results. Forty-four articles were included in the narrative review. Qualitative research in the field of osteoporosis research can be summarized by 3 thematic areas: the meaning of osteoporosis for patients and the public, the lived experience of an osteoporosis diagnosis, and the programmatic approach to osteoporosis prevention and treatment. Conclusions. Qualitative studies provide clinically valuable insights in how osteoporosis is conceptualized and managed and programmatic aspects of osteoporosis treatment. The findings of this narrative review suggest the need for balance between presenting osteoporosis as a serious health condition and producing unwarranted anxiety and inactivity so as to ensure the best possible outcomes for individuals with osteoporosis.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Qualitative Insights from the Osteoporosis Research: A Narrative Review of the Literature

Bombak

Hanson

2016

Journal of Osteoporosis

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“…Healthcare professionals’ attitudes towards osteoporosis management might help explain poor management of the condition [17–20]. However, there are many more qualitative studies about patients and their attitudes towards osteoporosis than about health professionals’ attitudes [2, 21–25].…”

Section: Introductionmentioning

confidence: 99%

“…The physicians thought patients lacked knowledge about osteoporosis, whereas the patients thought both they and their PHC physicians lacked sufficient knowledge [26]. Few qualitative studies have investigated how healthcare professionals’ attitudes influence osteoporosis management in primary care [17–19], but a group of Australian researchers found that primary care physicians ranked osteoporosis as less important than other conditions, such as diabetes, osteoarthritis, cardiovascular disease, and hypertension [19]. They sometimes thought the guidelines were not clear (e.g.…”

Section: Introductionmentioning

confidence: 99%

Primary care physicians’ views on osteoporosis management: a qualitative study

2019

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Summary Osteoporosis is an under-diagnosed condition; only around 14% of patients in Sweden receive bone-specific treatment after a fragility fracture. This qualitative interview study found that primary care physicians perceive osteoporosis as a silent disease that is overshadowed by other conditions and is complicated to manage. Purpose To explore primary care physicians’ views on managing osteoporosis. Methods A total of 17 primary care physicians in Stockholm participated in four focus group interviews. Interview transcripts were analysed with thematic analysis. Results One main theme was found: Osteoporosis—a silent disease overshadowed by other conditions . The main theme contained five sub-themes. Physicians perceived osteoporosis as a low-priority issue. They described uncertainty about managing it and insufficient awareness of the condition in primary healthcare (PHC). Physicians had differing opinions about who is responsible for managing osteoporosis. They reported that the health care system regulated their work such that they gave low priority to the condition. They were uncertain about the value of the Fracture Risk Assessment Tool (FRAX). The physicians thought that financial incentives, education, and increased collaboration with other relevant health care professionals and with patients were needed to increase the priority of osteoporosis in PHC. Conclusion Physicians perceived osteoporosis as a silent disease that is complicated to manage. They gave low priority to osteoporosis and thought their patients shared this view. The physicians saw other issues and medical conditions as more important than osteoporosis. They wanted better collaboration at their PHC centres and with hospitals. They also wanted district nurses to be more involved in managing osteoporosis and especially in assessing fracture risk.

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Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis

Karimi‐Shahanjarini

Shakibazadeh

Rashidian

et al. 2019

Cochrane Database of Systematic Reviews

104

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This review aims to explore factors affecting the implementation of initiatives to substitute doctors with nurses in primary care. The review has following specific objectives: • To identify, quality appraise and synthesise qualitative evidence on barriers and facilitators to the implementation of interventions to substitute doctors with nurses in primary care. • To integrate the findings of this review of qualitative evidence with those of the relevant Cochrane review of effects, so as to enhance and extend understanding of how these complex interventions work and how context impacts on implementation. • To identify hypotheses for subgroup analyses of future updates of the Cochrane systematic review of the effectiveness of substituting doctors with nurses. 1 Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: qualitative evidence synthesis (Protocol)

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District nurses’ perceptions of osteoporosis management: a qualitative study

Cited by 13 publications

References 31 publications

Qualitative Insights from the Osteoporosis Research: A Narrative Review of the Literature

Qualitative Insights from the Osteoporosis Research: A Narrative Review of the Literature

Primary care physicians’ views on osteoporosis management: a qualitative study

Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis

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