Feasibility, acceptability and safety of a nurse led hepatitis B clinic based in the community

Nurse‐led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact

“…A total of 36 studies were agreed upon for inclusion in the literature review (Figure 1). Overall, the final group of publications included nine Randomised Control Trials (Bleijenberg et al., 2016; Harrison et al., 2008; Houweling et al., 2011; Imhof et al., 2012; Jacobs et al., 2007; Murchie et al., 2003; Salisbury et al., 2002; Sande et al., 2020; Williams et al., 2005), nine qualitative studies (Clendon & White, 2001; Lindsay, 2001; Marshall et al., 2011; McNeal, 2019; Mills et al., 2012; Minstrell et al., 2015; Nymberg & Drevenhorn, 2016; Pritchard‐Jones et al., 2015; Sullivan et al., 2022), three evaluation studies (Coddington et al., 2011; Dalton et al., 2023; Fernandez, 2007), four cross sectional studies (Fuller et al., 2020; Kor et al., 2022; Krothe & Clendon, 2006; Miles et al., 2003). In addition, four mixed methods studies were included (Frasso et al., 2017; Hammersley et al., 2022; Hegney et al., 2013; Wong & Chung, 2006), along with two cohort studies (Barello et al., 2022; Harvey et al., 2018), two multi‐methods studies (Hegarty et al., 2013), a needs analysis (Clendon & White, 2001), a case study (Callaghan et al., 2012), a secondary analysis (Bleijenberg et al., 2017) and an action research study (Mills & Fitzgerald, 2008).…”

“…In the included literature, there was limited detail to facilitate a comprehensive understanding of the overall enablers impacting on the successful implementation of nurse‐led clinics in PHC settings. However, the implementation of nurse‐led clinics centres on multidisciplinary consultation and input provided by external stakeholders, including clients themselves (Clendon & White, 2001; Dalton et al., 2023; Harvey et al., 2018; Hegarty et al., 2013; Krothe & Clendon, 2006; McNeal, 2019; Pritchard‐Jones et al., 2015). The type and complexity of consultation and input is determined by the context, the focus, and objectives of the clinic (Clendon & White, 2001; Dalton et al., 2023; Harvey et al., 2018; Hegarty et al., 2013; Krothe & Clendon, 2006; McNeal, 2019; Pritchard‐Jones et al., 2015).…”

“…However, the implementation of nurse‐led clinics centres on multidisciplinary consultation and input provided by external stakeholders, including clients themselves (Clendon & White, 2001; Dalton et al., 2023; Harvey et al., 2018; Hegarty et al., 2013; Krothe & Clendon, 2006; McNeal, 2019; Pritchard‐Jones et al., 2015). The type and complexity of consultation and input is determined by the context, the focus, and objectives of the clinic (Clendon & White, 2001; Dalton et al., 2023; Harvey et al., 2018; Hegarty et al., 2013; Krothe & Clendon, 2006; McNeal, 2019; Pritchard‐Jones et al., 2015). Despite the dearth of description regarding processes or procedures, clear principles enabled successful nurse‐clinic implementation.…”

“…An underlying principle to enable the success of a nurse‐led clinic was having key champions, particularly among the medical profession (Dalton et al., 2023; Mills & Fitzgerald, 2008; Pritchard‐Jones et al., 2015). As such, GPs are key to the success of a clinic, but also in advocating for the training of nurses and the shifting of tasks from the medical to the nursing profession (Dalton et al., 2023).…”

“…As such, GPs are key to the success of a clinic, but also in advocating for the training of nurses and the shifting of tasks from the medical to the nursing profession (Dalton et al., 2023). Those GPs with previous positive exposure saw the benefits related to nurse‐led clinics and this increased the endorsement and enabled future advocacy (Mills & Fitzgerald, 2008; Pritchard‐Jones et al., 2015).…”