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- W4297108575 abstract "Background Practice Nurses (PN) play an increasing role in chronic disease management, however, this role is poorly defined. Question How do Practice Nurses in New Zealand, Canada and the United Kingdom manage chronic disease? Aim This systematic review aims to identify the barriers and facilitators for practice nurses in New Zealand (NZ), Canada and the United Kingdom (UK) when caring for patients with a chronic disease. To determine how Practice Nurses in three high income countries manage chronic disease. Methods We searched Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, (CINAHL), and MEDLINE in February 2021. The initial search yielded 495 articles. Four hundred and sixty-four articles were excluded because they did not address the research question or included the community nurse or nurse practitioner. Nine articles with a total sample size of 1050 PN participants met the inclusion criteria. Findings Six main themes were identified that outline the barriers and facilitators to the role of the practice nurse when managing chronic disease: financial incentives, funding, power differences between the nurse and patient and the nurse and doctor, time, education, and role ambiguity. Discussion Policy initiatives across the three countries were replicated with similar barriers and facilitators to the PN role. Conclusion Working within a context driven by incentive funding and competing demands can be prohibitive to the effective management of chronic disease by the PN." @default.
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- W4297108575 date "2023-04-01" @default.
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- W4297108575 title "Practice nursing: A systematic literature review of facilitators and barriers in three countries" @default.
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- W4297108575 doi "https://doi.org/10.1016/j.colegn.2022.09.005" @default.
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