Cardiovascular disease management: time to advance the practice nurse role?

Objective: More than two-thirds of health expenditure is attributable to chronic conditions, of whihc a significant proportion are related to cardiovascular disease. This paper identifies and explores the factors cited by practice nurses as impacting on the development of their role in cardiovascula...

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Main Authors: Halcomb, E., Davidson, Patricia, Griffiths, R., Daly, J.
Format: Journal Article
Published: Australasian Medical Publishing Company Pty Ltd 2008
Online Access:http://www.aushealthreview.com.au/publications/articles/issues/ahr_32_1_0208/contents_0208.html
http://hdl.handle.net/20.500.11937/24821
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author Halcomb, E.
Davidson, Patricia
Griffiths, R.
Daly, J.
author_facet Halcomb, E.
Davidson, Patricia
Griffiths, R.
Daly, J.
author_sort Halcomb, E.
building Curtin Institutional Repository
collection Online Access
description Objective: More than two-thirds of health expenditure is attributable to chronic conditions, of whihc a significant proportion are related to cardiovascular disease. This paper identifies and explores the factors cited by practice nurses as impacting on the development of their role in cardiovascular disease management. Methods: Sequential mixed methods design combining postal survey (n = 284) and telephone interviews (n = 10) with general practice nurses. Results: The most commonly cited barriers to role extension were legal implications (51.6%), lack of space (30.8%), a belief that the current role is appropriate (29.7%), and general practitioner attitudes (28.7%). The most commonly cited facilitators of role extension were collaboration with the general practitioner (87.6%), access to education and training (65.6%), the opportunity to deliver primary health care (61.0%) a high level of job satisfaction (56.0%) and positive consumer feedback (54.6%). Conclusions: Australian government policy demonstrates a growing commitment to an extended role for general practice in primary health care and cardiovascular disease management. In spite of these promising initiatives, practice nusrses face a range of professional and system barriers to extedning their role. By addressing the barriers and enabling features identitified in this investigation, there is potential to further develop the Australian practice nurse role in cardiovascular disease management.
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spelling curtin-20.500.11937-248212017-01-30T12:45:07Z Cardiovascular disease management: time to advance the practice nurse role? Halcomb, E. Davidson, Patricia Griffiths, R. Daly, J. Objective: More than two-thirds of health expenditure is attributable to chronic conditions, of whihc a significant proportion are related to cardiovascular disease. This paper identifies and explores the factors cited by practice nurses as impacting on the development of their role in cardiovascular disease management. Methods: Sequential mixed methods design combining postal survey (n = 284) and telephone interviews (n = 10) with general practice nurses. Results: The most commonly cited barriers to role extension were legal implications (51.6%), lack of space (30.8%), a belief that the current role is appropriate (29.7%), and general practitioner attitudes (28.7%). The most commonly cited facilitators of role extension were collaboration with the general practitioner (87.6%), access to education and training (65.6%), the opportunity to deliver primary health care (61.0%) a high level of job satisfaction (56.0%) and positive consumer feedback (54.6%). Conclusions: Australian government policy demonstrates a growing commitment to an extended role for general practice in primary health care and cardiovascular disease management. In spite of these promising initiatives, practice nusrses face a range of professional and system barriers to extedning their role. By addressing the barriers and enabling features identitified in this investigation, there is potential to further develop the Australian practice nurse role in cardiovascular disease management. 2008 Journal Article http://hdl.handle.net/20.500.11937/24821 http://www.aushealthreview.com.au/publications/articles/issues/ahr_32_1_0208/contents_0208.html Australasian Medical Publishing Company Pty Ltd restricted
spellingShingle Halcomb, E.
Davidson, Patricia
Griffiths, R.
Daly, J.
Cardiovascular disease management: time to advance the practice nurse role?
title Cardiovascular disease management: time to advance the practice nurse role?
title_full Cardiovascular disease management: time to advance the practice nurse role?
title_fullStr Cardiovascular disease management: time to advance the practice nurse role?
title_full_unstemmed Cardiovascular disease management: time to advance the practice nurse role?
title_short Cardiovascular disease management: time to advance the practice nurse role?
title_sort cardiovascular disease management: time to advance the practice nurse role?
url http://www.aushealthreview.com.au/publications/articles/issues/ahr_32_1_0208/contents_0208.html
http://hdl.handle.net/20.500.11937/24821