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

    Access Status
    Fulltext not available
    Authors
    Halcomb, E.
    Davidson, Patricia
    Griffiths, R.
    Daly, J.
    Date
    2008
    Type
    Journal Article
    
    Metadata
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    Citation
    Halcomb, Elizabeth and Davidson, Patricia and Griffiths, Rhonda and Daly, John. 2008. Cardiovascular disease management: time to advance the practice nurse role?. Australian Health Review. 32 (1): pp. 44-55.
    Source Title
    Australian Health Review
    Additional URLs
    http://www.aushealthreview.com.au/publications/articles/issues/ahr_32_1_0208/contents_0208.html
    ISSN
    0156-5788
    Faculty
    Faculty of Health Sciences
    School of Nursing and Midwifery Sydney
    Centre for Cardiovascular and Chronic Care
    Remarks

    Copyright ©Aust Health Rev 2008

    URI
    http://hdl.handle.net/20.500.11937/24821
    Collection
    • Curtin Research Publications
    Abstract

    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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