Nursing Contributions to Chronic Disease Management in Primary Care

Abstract

There is the potential to optimize and standardize the nursing role within primary care and improve the implementation of chronic disease management strategies.

Association between registered nurse staffing and management outcomes of patients with type 2 diabetes within primary care: a cross-sectional linkage study

“…25,26 Nurses across all regulatory designations are extensively involved in activities related to chronic disease management. 10,11,[27][28][29][30][31][32][33][34][35] Our finding of a positive relation between the presence of 1 or more registered nurses in FHTs and clinical outcomes of patients with diabetes is consistent with results of studies conducted in other countries. 13,36 Similar findings have also been reported outside of primary care and within other disciplines.…”

Utilization of registered nurses in primary care teams: A systematic review

“…Across all of the studies the most common RN clinical responsibilities were: vaccinations,(Anderson et al, 2012, Condon et al, 2000, Halcomb et al, 2008, Lukewich et al, 2014, Pascoe et al, 2005, Phillips et al, 2009, Planas-Campmany et al, 2016, Todd et al, 2007, Walsh et al, 2015) ear syringe irrigation,(Anderson et al, 2012, Joyce and Piterman, 2011, Pascoe et al, 2005, Patterson et al, 1998, Todd et al, 2007, Walsh et al, 2015) dressing changes (Condon et al, 2000, Halcomb et al, 2008, Joyce and Piterman, 2011, Pascoe et al, 2005, Patterson et al, 1998), medication administration (Anderson et al, 2012, Halcomb et al, 2008, Joyce and Piterman, 2011, Patterson et al, 1998), removal of sutures (Pascoe et al, 2005, Patterson et al, 1998, Todd et al, 2007), venipuncture (Condon et al, 2000, Halcomb et al, 2008, Patterson et al, 1998), and first aid (Pascoe et al, 2005, Walker et al, 2015). Seven studies reported RN expertise in wound care as the task that was delegated to them by the primary care provider (Anderson et al, 2012, Condon et al, 2000, Halcomb et al, 2008, Joyce and Piterman, 2011, Lukewich et al, 2014, Phillips et al, 2009, Todd et al, 2007).…”

Trust and decision-making: How nurses in Australian general practice negotiate role limitations

“…This understanding becomes more urgent as meeting the needs of an older and chronically ill population requires collaborative multi-disciplinary perspectives on providing patient care (Lukewich, Edge, VanDenKerhof, & Tranmer, 2014); which in turn will require nurses in general practice to participate more in clinical decision-making.…”