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

Kennedy, Catriona; Harbison, Jean; Mahoney, Catherine; Jarvis, Alison; Veitch, Linda

doi:10.1111/j.1365-2648.2010.05589.x

Cited by 14 publications

(13 citation statements)

References 20 publications

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“…12 District nurses use the knowledge gained during their education and training combined with their knowledge of the patient, their family and the community when visiting individuals in their own home. 12 This study, among others, demonstrates that the district nurse is well placed to contribute to the planning and delivery of care to meet the local population needs and in particular the needs of the housebound.…”

Section: Community Nursing Servicesmentioning

confidence: 99%

“…12 The need for anticipatory care is highlighted by Transforming Primary Care, 13 which sets out a plan of action for providing successful personalised proactive care that includes building on and supporting the current work of GPs and the wider primary care team. The district nurse and the district nursing team are in an ideal position to identify patients who should be on a case management register, develop a care plan in partnership with the patient and, where appropriate, their family and/or informal carers, and review and refine the care plan as appropriate.…”

Section: Care Of Vulnerable Patientsmentioning

confidence: 99%

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Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services

Bliss¹,

While

2014

London Journal of Primary Care

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. The role of the district nurse is developing to reflect the needs of health care outside the hospital including advanced practice -for example, independent prescribing. . District nurses working in localities with clusters of general practices can contribute to personalised proactive care and the support of individuals in their own home, which is essential to strategies to reduce avoidable hospital admissions and improve care for vulnerable patients. . High-quality care for patients being case managed can be facilitated by teamworking between general practice and community-based nursing services, supported by regular team meetings, named clinicians and shared projects. Why this matters to usDistrict nursing services play a key role in supporting vulnerable individuals with complex healthcare needs to remain in their own home and die at home if that is the choice of the individual and their family. The district nurse has the skills and expertise that can play a key role in co-ordinating care for people with long-term conditions and the avoidance of unnecessary hospital admissions. As such, district nurses are key members of the primary healthcare team -however, in some areas, service reconfigurations have reduced teamworking between general practitioners and district nurses, and reduced understanding of each other's role and expertise. We believe that working closely with general practice provides an opportunity to further develop and enhance the district nursing service and deliver effective health care to the local population. New ways of working, including communityorientated integrated care, can further develop teamworking to support the delivery of high-quality care to increasingly vulnerable patients. ABSTRACTGeneral practitioners and district nurses have a long history of providing care outside the hospital setting. With health care increasingly moving out of the hospital setting, there are more opportunities for general practitioners and district nurses to work together to meet the health needs of the local population. However, the reduction in qualified specialist practitioner district nurses over the last decade is concerning. The need for an effective district nursing service has been recognised by the Department of Health in their own model -the nature of district nursing work, often over a long period, enables relationships to develop with the patient, family and informal carers as a basis for anticipatory care to manage long-term conditions. Communication and understanding of the role are central to enhance effective working between general practitioners and district nurses, which can be fostered by engagement in community-oriented integrated care and case management.

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Section: Community Nursing Servicesmentioning

confidence: 99%

Section: Care Of Vulnerable Patientsmentioning

confidence: 99%

Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services

Bliss¹,

While

2014

London Journal of Primary Care

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“…Kennedy et al. (2011) report in this issue of the Journal of Advanced Nursing the interesting findings of a study that explored how community nurses understand the concept of anticipatory care.…”

Section: Is Anticipatory Care Fundamental To Nursing?mentioning

confidence: 99%

“…I contend that nurses have driven this ‘anticipatory’ care agenda for more than one hundred years, yet Kennedy et al. (2011) propose that a major barrier to the evaluation of effectiveness of anticipatory care appears to be the invisibility of much of what actually occurs in community nursing practice.…”

Section: Is Anticipatory Care Fundamental To Nursing?mentioning

confidence: 99%

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Editor’s Choice

Kralik¹

2011

Journal of Advanced Nursing

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

Cited by 14 publications

References 20 publications

Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services

Meeting the needs of vulnerable patients: The need for team working across general practice and community nursing services

Editor’s Choice

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

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