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Australian nurses in general practice based heart failure management: implications for innovative collaborative

Elizabeth Halcomb1, Patricia Davidson, John Daly

  • 1School of Nursing, Family and Community Health (SNFCH), College of Social and Health Sciences (CSHS), University of Western Sydney, Locked Bag 1797, Penrith DC 1797, NSW, Sydney, Australia. e.halcomb@uws.edu.au

European Journal of Cardiovascular Nursing
|July 6, 2004
PubMed
Summary

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Practice nurses in Australia are an underutilized resource for heart failure (HF) management. Further research is needed to explore their role in improving patient care and developing sustainable healthcare frameworks.

Area of Science:

  • Cardiovascular Health
  • Primary Care Nursing
  • Health Services Research

Background:

  • The global burden of heart failure (HF) necessitates innovative primary care models.
  • Current nurse-coordinated HF care is not widely accessible.
  • Practice nursing offers a potential solution to bridge this service gap.

Purpose of the Study:

  • To review the literature on the current and potential roles of practice nurses in Australian HF management.
  • To identify barriers and facilitators to expanding the practice nurse role in HF care.

Main Methods:

  • Systematic literature search using keywords: Australia, practice nurse, heart failure, cardiac, chronic illness.
  • Inclusion criteria: English language, nursing interventions for HF, practice nurse role in primary care.

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Main Results:

  • Limited data exists on practice nurses in HF management; existing studies are descriptive.
  • Barriers to evidence-based HF practice in general practice were identified.
  • Practice nurses are perceived positively by consumers, but their role requires clarification.
  • Significant variations exist in the practice nurse role and barriers to its expansion.

Conclusions:

  • Practice nurses are a valuable, yet underexplored, resource for HF management in Australia.
  • Further research is essential to define effective and sustainable roles for practice nurses in HF care.
  • High-level evidence is required to compare practice nurse interventions with existing HF management strategies.