Authors :
Shweta Harry; Dr. Usha Ukande
Volume/Issue :
Volume 9 - 2024, Issue 4 - April
Google Scholar :
https://tinyurl.com/5ze39js7
Scribd :
https://tinyurl.com/y2ahvbvs
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24APR2606
Abstract :
The majority of NLCs are managed
autonomously by nurses, with the assistance of a
multidisciplinary team with advanced training and
expertise. In these clinics, nurses perform thorough
physiological assessments, arrange the patient's care
accordingly, administer therapies, monitor the patient's
condition, administer medication, educate patients about
their health, and refer patients to other colleagues as
needed. The purpose of this systematic study was to
determine the extent, viability, and cost-effectiveness of
nurse-led clinics. The review's goal is to give the best
available data on nurse-led clinics so that it may assess if
adopting NLCs with a standardized structure is
necessary to deliver rigorous treatment and support
future attempts to establish nurse-led clinical services. A
literature search was conducted using electronic
databases such as Medline, Pubmed, Pubmed Central,
CINAHL, and Google Scholar to gather information on
the impact of Nurse-Led Clinics with respect to scope,
feasibility, and cost effectiveness. The search was
conducted in accordance with the preferred reporting
items for systematic reviews and meta-analyses
(PRISMA) guidelines. Two standards were used to
evaluate the 117 articles that were found in the search
results. First, papers that have been published and are
readily available for peer review should be considered
substantial information. Second, studies that focused just
on the effects of NLC in respect to scope, practicability,
and affordability. Studies on the breadth, viability, and
cost-effectiveness of NLC were included in the search,
whereas research publications published in languages
other than English were disregarded. Following
screening and the removal of duplicates, 13 papers were
found to be eligible, and 10 studies were included in this
review. The analysis indicates that access to healthcare
has improved dramatically in nurse-led clinics across
many specialized areas. Because NLCs are easily
accessible, primary care settings are not as burdened
and fewer needless emergency visits occur. Strong
patient-provider relationships are fostered by nurses'
all-encompassing, patient-centered approaches, which
raise patient satisfaction and engagement in the
healthcare process. The focus of effective nurse-led
clinics is on interprofessional treatment and teamwork.
Cooperation amongst nurses, doctors, pharmacists, and
other medical professionals promotes collaborative
decision-making, coordinated treatment, and better
patient outcomes. The collaborative model, in which
nurses play a crucial role as care coordinators,
guarantees that patients receive thorough and seamless
care.
Keywords :
Nurse Led Clinic, Scope, Feasibility, Cost Effectiveness, Impact.
References :
- Rani, Ruchika & Kaur, Sukhpal. (2019). Nurse-Led Clinics In India, An Innovative Approach In Patient Management. International Journal of Advanced Research. 7. 1190-1192. 10.21474/IJAR01/9772.
- Indian Journal of Public Health Research & Development Volume 13 Issue 3 July-September 2022 DOI: http://dx.doi.org/xxxxx/ijphrd.xxxx.13221.1 Awareness and Attitude about Nurse Led Clinic (NLC) among Health Care Professionals Kavita Bhoknal1 ,T Sivabalan2 1 Assistant Professor, Pravara Institute of Medical Sciences (DU), Smt.Sindhutai Eknathrao Vikhe Patil College of Nursing 2 Principal Loni (Bk), Tal.Rahata, Dist. Ahmednagar, Maharashtra How to cite this article: Kavita Bhoknal, T Sivabalan et al. Awareness and Attitude about Nurse Led Clinic (NLC) among Health Care Professionals. Volume 13 Issue 3 July-September 2022
- Daniel Kelly, Pauline Campbell, Claire Torrens, Andreas Charalambous, Ulrika Östlund, Manuela Eicher, et.al; The effectiveness of nurse-led interventions for cancer symptom management 2000–2018: A systematic review and meta-analysis ; Health Sciences Review; Health Sciences Review 4 (2022) 100052
- HEALTH MANAGEMENT.ORG Volume 3 - Issue 1, 2009 – Features; The Effectiveness of Nurse-Led Clinics: Increasing Patient Satisfaction; Tamara Page, Lecturer; Tiffany Conroy, Lecturer
- DeCola P, Benton D, Peterson C, Matebeni D. Nurses' potential to lead in non-communicable disease global crisis. Int Nurs Rev. 2012 Sep;59(3):321-30. doi: 10.1111/j.1466-7657.2012.01006.x. Epub 2012 May 16. PMID: 22897182.
- Wong, F.K.; Chung, L.C. (2006). "Establishing a definition for a nurse-led clinic: structure, process, and outcome". Journal of Advanced Nursing. 53 (3): 358–369. doi:10.1111/j.1365-2648.2006.03730.x. hdl:10397/28301. PMID 16441541.
- Sullivan, P.B.; Burnett, C.A.; Juszczak, E. (2006). "Parent satisfaction in a nurse led clinic compared with a paediatric gastroenterology clinic for the management of intractable, functional constipation". Archives of Disease in Childhood. 91 (6): 499–501. doi:10.1136/adc.2005.087486. PMC 2082804. PMID 16531455
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- Ndosi, Mwidimi; Lewis, Martyn; Hale, Claire; Quinn, Helen; Ryan, Sarah; Emery, Paul; Bird, Howard; Hill, Jackie (2014-11-01).
- DeCola P, Benton D, Peterson C, Matebeni D. Nurses' potential to lead in non-communicable disease global crisis. Int Nurs Rev. 2012 Sep;59(3):321-30. doi: 10.1111/j.1466-7657.2012.01006.x. Epub 2012 May 16. PMID: 22897182.
- Mechcatie, Elizabeth MA, BSN. The WHO Highlights Nurses’ Role in Reducing Noncommunicable Diseases. AJN, American Journal of Nursing: September 2018 - Volume 118 - Issue 9 - p 16 doi: 10.1097/01.NAJ.0000544966.05615.c0
- Schadewaldt V, Schultz T. A systematic review on the effectiveness of nurse-led cardiac clinics for adult patients with coronary heart disease. JBI Evidence Synthesis. 2010 Jan 1;8(2):53-89.
- Paul P, Agarwal M, Bhatia R, Vishnubhatla S, Singh MB. Nurse-led epilepsy follow-up clinic in India: is it feasible and acceptable to patients? A pilot study. Seizure. 2014 Jan 1;23(1):74-6.
- Randall S, Crawford T, Currie J, River J, Betihavas V. Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review. International journal of nursing studies. 2017 Aug 1;73:24-33.
- Manju Joshi, Dr. Usha Ukande; 2018;Indore;Indian Journal of Nursing studies
- KatinaCorones-WatkinsRN, PhDaMarieCookeRN, PhDa et al;Australian Critical Care;Volume 34, Issue 5, September 2021, Pages 510-517;DOI: https://doi.org/10.1016/j.aucc.2020.10.012
- Gyldenvang, H. H., Christiansen, M. G., Jarden, M., & Piil, K. (2022). Experiences and perspectives of patients and clinicians in nurse-led clinics in an oncological setting: A sequential multi-methods study. European journal of oncology nursing : the official journal of European Oncology Nursing Society, 61, 102203. https://doi.org/10.1016/j.ejon.2022.102203
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- Doherty, M., Jenkins, W., Richardson, H., Sarmanova, A., Abhishek, A., Ashton, D., Barclay, C., Doherty, S., Duley, L., Hatton, R., Rees, F., Stevenson, M., & Zhang, W. (2018). Efficacy and cost-effectiveness of nurse-led care involving education and engagement of patients and a treat-to-target urate-lowering strategy versus usual care for gout: a randomised controlled trial. Lancet (London, England), 392(10156), 1403–1412. https://doi.org/10.1016/S0140-6736(18)32158-5
- Saltbæk, L., Karlsen, R. V., Bidstrup, P. E., Høeg, B. L., Zoffmann, V., Horsbøl, T. A., Holländer, N. H., Svendsen, M. N., Christensen, H. G., Dalton, S. O., & Johansen, C. (2019). MyHealth: specialist nurse-led follow-up in breast cancer. A randomized controlled trial - development and feasibility. Acta oncologica (Stockholm, Sweden), 58(5), 619–626. https://doi.org/10.1080/0284186X.2018.1563717
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- Ramachandran J, Lawn S, Tang MSS, Pati A, Wigg L, Wundke R, McCormick R, Muller K, Kaambwa B, Woodman R, Wigg A. Nurse Led Clinics; a Novel Model of Care for Compensated Liver Cirrhosis: A Qualitative Analysis. Gastroenterol Nurs. 2022 Jan-Feb 01;45(1):29-42. doi: 10.1097/SGA.0000000000000620. PMID: 34369404.
The majority of NLCs are managed
autonomously by nurses, with the assistance of a
multidisciplinary team with advanced training and
expertise. In these clinics, nurses perform thorough
physiological assessments, arrange the patient's care
accordingly, administer therapies, monitor the patient's
condition, administer medication, educate patients about
their health, and refer patients to other colleagues as
needed. The purpose of this systematic study was to
determine the extent, viability, and cost-effectiveness of
nurse-led clinics. The review's goal is to give the best
available data on nurse-led clinics so that it may assess if
adopting NLCs with a standardized structure is
necessary to deliver rigorous treatment and support
future attempts to establish nurse-led clinical services. A
literature search was conducted using electronic
databases such as Medline, Pubmed, Pubmed Central,
CINAHL, and Google Scholar to gather information on
the impact of Nurse-Led Clinics with respect to scope,
feasibility, and cost effectiveness. The search was
conducted in accordance with the preferred reporting
items for systematic reviews and meta-analyses
(PRISMA) guidelines. Two standards were used to
evaluate the 117 articles that were found in the search
results. First, papers that have been published and are
readily available for peer review should be considered
substantial information. Second, studies that focused just
on the effects of NLC in respect to scope, practicability,
and affordability. Studies on the breadth, viability, and
cost-effectiveness of NLC were included in the search,
whereas research publications published in languages
other than English were disregarded. Following
screening and the removal of duplicates, 13 papers were
found to be eligible, and 10 studies were included in this
review. The analysis indicates that access to healthcare
has improved dramatically in nurse-led clinics across
many specialized areas. Because NLCs are easily
accessible, primary care settings are not as burdened
and fewer needless emergency visits occur. Strong
patient-provider relationships are fostered by nurses'
all-encompassing, patient-centered approaches, which
raise patient satisfaction and engagement in the
healthcare process. The focus of effective nurse-led
clinics is on interprofessional treatment and teamwork.
Cooperation amongst nurses, doctors, pharmacists, and
other medical professionals promotes collaborative
decision-making, coordinated treatment, and better
patient outcomes. The collaborative model, in which
nurses play a crucial role as care coordinators,
guarantees that patients receive thorough and seamless
care.
Keywords :
Nurse Led Clinic, Scope, Feasibility, Cost Effectiveness, Impact.