Benefits and limitations of nurses taking on aspects of the clinical role of doctors in primary care: integrative literature review

Journal of Advanced Nursing
Claire Rashid

Abstract

This paper presents an integrative literature review of studies exploring the benefits and limitations of the recent expansion of the clinical role of nurses working in general practice in the United Kingdom. Similar clinical outcomes and high levels of satisfaction with consultations undertaken by nurse practitioners compared to general practitioners in primary care have been reported in a Cochrane review [Cochrane Database of Systematic Reviews (2004) vol. 5, p. CD001271]. Since then, nurse consultations have increased considerably as general practitioners have delegated part of their clinical workload to other general practice nurses. However, whether all general practice nurses can fulfil this extended role remains open to question. An integrative review was performed. Nine electronic databases were searched. UK studies were included if they were published after the previous Cochrane review, i.e. between 2004 and 2009. Eight studies were identified, most using qualitative methodology. The evidence suggested that the changes in nurses' role have been predominantly driven by the perceived increase in workload arising from the new general practitioner contract. Delegating work to nurses provided a means of organizing workload ...Continue Reading

References

Jun 1, 1997·Journal of Epidemiology and Community Health·N Mays
Apr 14, 2000·BMJ : British Medical Journal·J Salvage, R Smith
Jul 14, 2000·BMJ : British Medical Journal·J MunroE Knowles
Jun 14, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Thomas C Ricketts
Jun 25, 2002·Journal of Epidemiology and Community Health·A Bowling
Sep 23, 2003·Sociology of Health & Illness·Huw Charles-JonesCarl May
Aug 7, 2004·Nursing Management·Elizabeth Curtis, Honor Nicholl
Sep 11, 2004·Medical Care Research and Review : MCRR·Elizabeth R LenzSusan X Lin
Feb 3, 2005·British Journal of Nursing : BJN·Heather BarnesDavid Pilling
Jul 13, 2005·Chemical Communications : Chem Comm·Zhanjun GuJiannian Yao
Nov 5, 2005·Journal of Advanced Nursing·Robin Whittemore, Kathleen Knafl
Jan 18, 2006·International Journal of Nursing Studies·Alice J T Yuen Loke, Filomena L W Chow
Jan 21, 2006·Journal of Advanced Nursing·Anne Williams, Melanie Jones
May 11, 2006·Health Affairs·Benjamin G Druss
Jan 12, 2007·Journal of Advanced Nursing·Sarah RedsellRichard Baker
Feb 9, 2007·Collegian : Journal of the Royal College of Nursing, Australia·Kay PriceDesley Hegney
Feb 28, 2007·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Jan CaldowAmanda Lee
Nov 21, 2007·International Journal of Nursing Practice·Gunnel E ViklundK F Wikblad
Nov 14, 2008·Current Opinion in Critical Care·Antonio O Gallesio
Nov 20, 2008·Journal of Nursing Management·Elizabeth J HalcombElizabeth Patterson
Feb 5, 2009·Journal of Advanced Nursing·Angelique T M Dierick-van DaeleHubertus J M Vrijhoef

❮ Previous
Next ❯

Citations

Aug 9, 2013·Occupational Medicine·L RollinJ-F Gehanno
Aug 7, 2012·BMC Health Services Research·Cindy L MasaroJean Shoveller
Jun 30, 2015·Primary Health Care Research & Development·Sue CrossmanAmanda Howe
Jul 26, 2015·Atencion primaria·Alba Brugués BruguésGemma Flores Mateo
Sep 19, 2012·Journal of Clinical Nursing·Johanna IlmonenKirsi Laitinen
Apr 22, 2011·Journal of Nursing Management·Marie E GabeSue Jordan
Oct 14, 2011·The Laryngoscope·Byron NorrisScott Stringer
Jun 18, 2016·Atencion primaria·Verónica Casado Vicente
Mar 28, 2017·Primary Health Care Research & Development·Susan ProcterHeather P Loveday
Feb 13, 2016·Revista brasileira de enfermagem·Beatriz Rosana Gonçalves de Oliveira TosoLigia Giovanella
Jun 12, 2014·Policy, Politics & Nursing Practice·Chaya GreenbergerShoshana Riba
Feb 15, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Helen AndersonYvonne Birks
Apr 16, 2019·The Cochrane Database of Systematic Reviews·Akram Karimi-ShahanjariniChristopher J Colvin
May 3, 2012·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Dianne Lapointe Rudow
Jan 7, 2017·Implementation Science : IS·Bhupendrasinh F ChauhanRyan Zarychanski
Aug 3, 2021·The European Journal of General Practice·Siew Lian LeongShaun Wen Huey Lee

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.