Establishing the contribution of nursing in the community to the health of the people of Scotland: integrative literature review

Kennedy, Catriona; Christie, Jane; Harbison, Jean; Maxton, Fiona; Rutherford, Ishbel; Moss, Dawn

doi:10.1111/j.1365-2648.2008.04621.x

Cited by 19 publications

(12 citation statements)

References 74 publications

(157 reference statements)

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“…A screening and appraisal tool for qualitative papers adapted from Noyes and Popay [35] and Kennedy et al [36] and a quality assessment tool adapted from the Effective Public Health Practice Project [37] for quantitative studies were used. The quality of evidence for quantitative and qualitative papers was appraised using the Scottish Intercollegiate Guidelines Network (SIGN) criteria [34].…”

Section: Methodsmentioning

confidence: 99%

Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

et al. 2017

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BackgroundInterdisciplinary team working is of paramount importance in the reform of primary care in order to provide cost-effective and comprehensive care. However, international research shows that it is not routine practice in many healthcare jurisdictions. It is imperative to understand levers and barriers to the implementation process. This review examines interdisciplinary team working in practice, in primary care, from the perspective of service providers and analyses 1 barriers and facilitators to implementation of interdisciplinary teams in primary care and 2 the main research gaps.Methods and findingsAn integrative review following the PRISMA guidelines was conducted. Following a search of 10 international databases, 8,827 titles were screened for relevance and 49 met the criteria. Quality of evidence was appraised using predetermined criteria. Data were analysed following the principles of framework analysis using Normalisation Process Theory (NPT), which has four constructs: sense making, enrolment, enactment, and appraisal. The literature is dominated by a focus on interdisciplinary working between physicians and nurses. There is a dearth of evidence about all NPT constructs apart from enactment. Physicians play a key role in encouraging the enrolment of others in primary care team working and in enabling effective divisions of labour in the team. The experience of interdisciplinary working emerged as a lever for its implementation, particularly where communication and respect were strong between professionals.ConclusionA key lever for interdisciplinary team working in primary care is to get professionals working together and to learn from each other in practice. However, the evidence base is limited as it does not reflect the experiences of all primary care professionals and it is primarily about the enactment of team working. We need to know much more about the experiences of the full network of primary care professionals regarding all aspects of implementation work.Systematic review registrationInternational Prospective Register of Systematic Reviews PROSPERO 2015: CRD42015019362.

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Section: Methodsmentioning

confidence: 99%

Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

et al. 2017

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“…The study reported here emerged as a development from an earlier integrated literature review commissioned by the Scottish Government on the contribution of community nursing to health outcomes. That review of international literature demonstrated, among other things, that little is known about how anticipatory care is understood and delivered by community nurses (CNs) (Kennedy et al. 2008).…”

Section: Introductionmentioning

confidence: 99%

“…A previous literature review (Kennedy et al. 2008) had identified a lack of studies in community nursing in relation to anticipatory care.…”

Section: Introductionmentioning

confidence: 99%

Investigating the contribution of community nurses to anticipatory care: a qualitative exploratory study

Kennedy

Harbison

Mahoney

et al. 2011

Journal of Advanced Nursing

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“…Roles and professional identities have been redefined in the community practice setting with a movement towards person centred care [16,33]. Expertise has been redistributed with the ‘up skilling’ of nurses leading to more complex patient cases being seen by the GP as s/he determines.…”

Section: Resultsmentioning

confidence: 99%

Social meanings and understandings in patient-nurse interaction in the community practice setting: a grounded theory study

Stoddart

2012

BMC Nurs

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BackgroundThe patient-nurse relationship is a traditional concern of healthcare research. However, patient-nurse interaction is under examined from a social perspective. Current research focuses mostly on specific contexts of care delivery and experience related to medical condition or illness, or to nurses’ speciality. Consequentially, this paper is about the social meanings and understandings at play within situated patient-nurse interaction in the community practice setting in a transforming healthcare service.MethodsGrounded theory methodology was used and the research process was characterised by principles of theoretical sensitivity and constant comparative analysis. The field of study was four health centres in the community. The participants were patients and nurses representative of those attending or working in the health centres and meeting there by scheduled appointment. Data collection methods were observations, informal interviews and semi-structured interviews.ResultsKey properties of ‘Being a good patient, being a good nurse’, ‘Institutional experiences’ and ‘Expectations about healthcare’ were associated with the construction of a category entitled ‘Experience’. Those key properties captured that in an evolving healthcare environment individuals continually re-constructed their reality of being a patient or nurse as they endeavoured to perform appropriately; articulation of past and present healthcare experiences was important in that process. Modus operandi in role as patient was influenced by past experiences in healthcare and by those in non-healthcare institutions in terms of engagement and involvement (or not) in interaction. Patients’ expectations about interaction in healthcare included some uncertainly as they strived to make sense of the changing roles and expertise of nurses and, differentiating between the roles and expertise of nurses and doctors.ConclusionsThe importance of social meanings and understandings in patient-nurse interaction is not fully apparent to nurses, but important in the patient experience. Seeking understanding from a social perspective makes a contribution to enhancing knowledge about patient-nurse interaction with subsequent impact on practice, in particular the development of the patient-nurse relationship. The implications are that the meanings and understandings patients and nurses generate from experiences beyond and within their situated interaction are pivotal to the development of their relationship in the transforming community healthcare environment.

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Establishing the contribution of nursing in the community to the health of the people of Scotland: integrative literature review

Abstract: There is little research evaluating the impact of community nursing actions. Adequately resourced research is needed to strengthen the evidence base to support nurses in the community in delivering effective and efficient care that meet the health needs of people and communities.

Cited by 19 publications

References 74 publications

Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

Assessing the facilitators and barriers of interdisciplinary team working in primary care using normalisation process theory: An integrative review

Investigating the contribution of community nurses to anticipatory care: a qualitative exploratory study

Social meanings and understandings in patient-nurse interaction in the community practice setting: a grounded theory study

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