Nurse-led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact

Article

Terry, Daniel, Hills, Danny, Bradley, Cressida and Govan, Linda. 2024. "Nurse-led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact." Journal of Clinical Nursing. 33 (5), pp. 1724-1738. https://doi.org/10.1111/jocn.17003

Article Title	Nurse-led clinics in primary health care: A scoping review of contemporary definitions, implementation enablers and barriers and their health impact
ERA Journal ID	14104
Article Category	Article
Authors	Terry, Daniel, Hills, Danny, Bradley, Cressida and Govan, Linda
Journal Title	Journal of Clinical Nursing
Journal Citation	33 (5), pp. 1724-1738
Number of Pages	15
Year	2024
Publisher	John Wiley & Sons
Place of Publication	United Kingdom
ISSN	0962-1067
	1365-2702
Digital Object Identifier (DOI)	https://doi.org/10.1111/jocn.17003
Web Address (URL)	https://onlinelibrary.wiley.com/doi/10.1111/jocn.17003
Abstract	Aims To define nurse-led clinics in primary health care, identify barriers and enablers that influence their successful implementation, and understand what impact they have on patient and population health outcomes. Background Nurse-led clinics definitions remain inconsistent. There is limited understanding regarding what enablers and barriers impact successful nurse-led clinic implementation and their impact on patient health care. Design Scoping review using narrative synthesis. Methods PubMed, MEDLINE, Web of Science, Scopus, CINAHL and PsycINFO were searched to identify nurse-led clinic definitions and models of care between 2000 and 2023. Screening and selection of studies were based on eligibility criteria and methodological quality assessment. Narrative synthesis enabled to communicate the phenomena of interest and follows the PRISMA for Scoping Reviews (PRISMA-ScR) checklist. Results Among the 36 identified studies, key principles of what constitutes nurse-led clinics were articulated providing a robust definition. Nurse-led clinics are, in most cases, commensurate with standard care, however, they provide more time with patients leading to greater satisfaction. Enablers highlight nurse-led clinic success is achieved through champions, partners, systems, and clear processes, while barriers encompass key risk points and sustainability considerations. Conclusion The review highlights several fundamental elements are central to nurse-led clinic success and are highly recommended when developing interventional nurse-led strategies. Nurse-led clinics within primary health care seek to address health care through community driven, health professional and policy supported strategies. Overall, a robust and contemporary definition of nurse-led care and the clinics in which they operate is provided. Relevance to Clinical Practice The comprehensive definition, clear mediators of success and the health impact of nurse-led clinics provide a clear framework to effectively build greater capacity among nursing services within primary health care. This, in addition, highlights the need for good health care policy to ensure sustainability. Patient or Public Contribution No Patient or Public Contribution.
Keywords	barriers, care, clinic, definition, enablers, health impact, nurse-led
Contains Sensitive Content	Does not contain sensitive content
ANZSRC Field of Research 2020	420505. Nursing workforce
	420503. Community and primary care
Byline Affiliations	School of Nursing and Midwifery
	Federation University
	Australian Primary Health Care Nurses Association, Australia

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