The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders
This was the first Australian study investigating the acceptability, feasibility and sustainability of a nurse-led model of chronic disease management in general practice. A concurrent mixed-methods design was used within a 12-month intervention of nurse-led care in three general practices. Adult pa...
| Main Authors: | , , , , |
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| Format: | Journal Article |
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Wiley-Blackwell Publishing Asia
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/16623 |
| _version_ | 1848749229791510528 |
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| author | Hegney, Desley Patterson, E. Eley, D. Mahomed, R. Young, J. |
| author_facet | Hegney, Desley Patterson, E. Eley, D. Mahomed, R. Young, J. |
| author_sort | Hegney, Desley |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | This was the first Australian study investigating the acceptability, feasibility and sustainability of a nurse-led model of chronic disease management in general practice. A concurrent mixed-methods design was used within a 12-month intervention of nurse-led care in three general practices. Adult patients with type 2 diabetes, hypertension and/or stable ischaemic heart disease were randomized into nurse-led or standard care. Semi-structured interviews explored perceptions of key stakeholders towards this model including patients in the nurse-led arm, and all practice staff pre- and posttrial. The data were thematically analysed and the emergent themes were: importance of time; collaborative relationships; nurse job satisfaction, confidence and competence; patient self-management and choice. Our findings showed that nurses provided chronic disease management that was acceptable, feasible and sustainable. The collaborative involvement of doctors was intrinsic to patient acceptability of nurse-led care that facilitated job satisfaction, and therefore retention and growth within this nursing speciality. |
| first_indexed | 2025-11-14T07:17:37Z |
| format | Journal Article |
| id | curtin-20.500.11937-16623 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:17:37Z |
| publishDate | 2013 |
| publisher | Wiley-Blackwell Publishing Asia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-166232017-09-13T16:04:39Z The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders Hegney, Desley Patterson, E. Eley, D. Mahomed, R. Young, J. job satisfaction practice nursing qualitative research general practice chronic disease management nurse-led care This was the first Australian study investigating the acceptability, feasibility and sustainability of a nurse-led model of chronic disease management in general practice. A concurrent mixed-methods design was used within a 12-month intervention of nurse-led care in three general practices. Adult patients with type 2 diabetes, hypertension and/or stable ischaemic heart disease were randomized into nurse-led or standard care. Semi-structured interviews explored perceptions of key stakeholders towards this model including patients in the nurse-led arm, and all practice staff pre- and posttrial. The data were thematically analysed and the emergent themes were: importance of time; collaborative relationships; nurse job satisfaction, confidence and competence; patient self-management and choice. Our findings showed that nurses provided chronic disease management that was acceptable, feasible and sustainable. The collaborative involvement of doctors was intrinsic to patient acceptability of nurse-led care that facilitated job satisfaction, and therefore retention and growth within this nursing speciality. 2013 Journal Article http://hdl.handle.net/20.500.11937/16623 10.1111/ijn.12027 Wiley-Blackwell Publishing Asia restricted |
| spellingShingle | job satisfaction practice nursing qualitative research general practice chronic disease management nurse-led care Hegney, Desley Patterson, E. Eley, D. Mahomed, R. Young, J. The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders |
| title | The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders |
| title_full | The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders |
| title_fullStr | The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders |
| title_full_unstemmed | The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders |
| title_short | The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: The perspectives of key stakeholders |
| title_sort | feasibility, acceptability and sustainability of nurse-led chronic disease management in australian general practice: the perspectives of key stakeholders |
| topic | job satisfaction practice nursing qualitative research general practice chronic disease management nurse-led care |
| url | http://hdl.handle.net/20.500.11937/16623 |