title: The feasibility, acceptability and sustainability of nurse-led chronic disease management in Australian general practice: the perspectives of key stakeholders.
abstract: This was the first Australian study investigating the acceptability, feasibility and sustainability of a nurse-led model of chronic disease management in general practice. A concurrent mixed-methods design was used within a 12-month intervention of nurse-led care in three general practices. Adult patients with type 2 diabetes, hypertension and/or stable ischaemic heart disease were randomized into nurse-led or standard care. Semi-structured interviews explored perceptions of key stakeholders towards this model including patients in the nurse-led arm, and all practice staff pre- and posttrial. The data were thematically analysed and the emergent themes were: importance of time; collaborative relationships; nurse job satisfaction, confidence and competence; patient self-management and choice. Our findings showed that nurses provided chronic disease management that was acceptable, feasible and sustainable. The collaborative involvement of doctors was intrinsic to patient acceptability of nurse-led care that facilitated job satisfaction, and therefore retention and growth within this nursing speciality.
authors: School of Nursing and Midwifery, Curtin University, Perth and Sir Charles Gairdner Hospital, Perth, Western Australia, Australia. desley.hegney@curtin.edu.au
authors: Desley G
authors: DG
authors: Hegney
authors: Elizabeth
authors: E
authors: Patterson
authors: Diann S
authors: DS
authors: Eley
authors: Rosemary
authors: R
authors: Mahomed
authors: Jacqui
authors: J
authors: Young
mesh_terms: D001315:Australia; D002908:Chronic Disease / Q000451:nursing*; D002983:Clinical Competence; D003299:Cooperative Behavior; D005240:Feasibility Studies; D058006:General Practice; D006801:Humans; D007588:Job Satisfaction; D009736:Nursing Process; D012648:Self Care