General practice nurses’ communication strategies for lifestyle risk reduction: A content analysis

Abstract

An ageing population and increases in morbidity and mortality secondary to chronic disease present challenges for healthcare systems (World Health Organization, 2018a, 2018b). To prevent chronic conditions including type 2 diabetes, hypertension, obesity, and some cancers, general practice nurses (GPNs) have a key role in communicating lifestyle risk reduction (James, Halcomb, Desborough, & McInnes, 2019). Internationally, while there is variability in how roles are enacted, GPNs in countries such as Australia, New Zealand,

Understanding how general practice nurses support adult lifestyle risk reduction: An integrative review

“…However, financial incentives and organizational priorities frequently influenced nursing activities (Hornsten et al, 2014;McIlfatrick et al, 2014;Walters et al, 2012). Resistance to role expansion plus poor interprofessional and intersectoral col- Geense et al, 2013;Goodman et al, 2011;James et al, 2020a;James et al, 2021;Jansink et al, 2010;Keleher & Parker, 2013;McIlfatrick et al, 2014;Walters et al, 2012).…”

“…Referrals to general practitioners, allied health providers and local community services were usually arranged (Goodman et al, 2011;Hornsten et al, 2014;James et al, 2020a;Phillips et al, 2014).…”

“…James et al, 2020a). While objectives were sometimes directed by general practitioner referral and nurses' priorities(James et al, 2020a;Jansink et al, 2010), empowering patients to negotiate their own agenda and goals were understood to increase the success of interactions(Geense et al, 2013;James et al, 2021;Phillips et al, 2014).…”

“…observed affirming and encouraging statements that reinforced positive lifestyle choices and increase motivation. Participants described using active listening, open questioning and reflective feedback to clarify patients' priorities, determine readiness for change, discuss change options, negotiate goals and encourage shared decisionmaking; however, these skills were often inconsistently applied(Hornsten et al, 2014;James et al, 2020a;Jansink et al, 2010;McIlfatrick et al, 2014;Phillips et al, 2014;Westland et al, 2018).General practice nurses generally acknowledged their professional obligation to address lifestyle risks(Bräutigam Ewe et al, 2021;Goodman et al, 2011;McIlfatrick et al, 2014;Phillips et al, 2014;Walters et al, 2012). Some described playing a central role in lifestyle risk reduction, proactively promoting healthy lifestyles and improving patients' attitudes toward making lifestyle changes to reduce risk and prevent illness(Geense et al, 2013;McIlfatrick et al, 2014;Walters et al, 2012).…”

Elements of chronic disease management service system: an empirical study from large hospitals in China

“…The improvement of the quality of continuous nursing is helpful in improving the health level of patients with chronic diseases 18 . Patients seeking the support of professional nursing staff can reduce the probability of chronic disease deterioration that can be caused by an unhealthy lifestyle 19 .…”