[Nurse’s activities for patients with chronic diseases in primary care : a systematic review]
Introduction : in collaboration with family physician, primary care nurses can play a key role for persons with chronic diseases (CD). However, these activities vary from one practice to another.
Context : the absence of evidence hinders our understanding of the issues related to the improvement of nursing practices in primary care organizations.
Objective : to describe the primary care nurse’s activities for persons with CD and elements influencing those activities.
Design : systematic literature review.
Method : MEDLINE, CINHAL and SCOPUS electronic databases were reviewed. Key words : « primary health care », « primary nursing » and « chronic disease ».
Results : eighteen studies were included in the review. Nurses activities can be clustered in four domain of activities : 1) Global assessment of the person with CD, 2) Care management, 3) Health Promotion and 4) Nurse-Physician Collaboration. Elements influencing nurses’ activities can be related to the setting of care, to nurse or to the person with CD.
Discussion : nurses’ activities in primary care are understudied. Activities such as case management and interprofessional collaboration are lacking.
Conclusion : descriptive studies are needed to describe in-depth nurses’ activities in primary settings for persons with CD.
Marie-Ève
MÈ
Poitras
Maud-Christine
MC
Chouinard
Martin
M
Fortin
Ariane
A
Girard
Frances
F
Gallagher
D002908:Chronic Disease / Q000451:nursing*; D006801:Humans; D024802:Nurse's Role; D057184:Practice Patterns, Nurses' / Q000639:trends; D011320:Primary Health Care; D000078329:Workforce