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McGuinness D, Ni Mhurchu S, Frazer K, Bhardwaj N, Cornally P, Cantwell M, Cullen M, McNamara E, McDonald R, Carroll L, Cullen W, Kincaid R, Vickers N. A co-designed evaluation study to identify Breastfeeding Knowledge of General Practitioners' and Practice Nurses'. Health Promot Int 2024; 39:daae021. [PMID: 38452240 PMCID: PMC10919884 DOI: 10.1093/heapro/daae021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/09/2024] Open
Abstract
The World Health Organization and American Academy of Paediatrics recommend exclusive breastfeeding until 6 months of age, with continued breastfeeding along with complementary solid foods for up to 2 years and beyond. Despite the well-established importance of breastfeeding, Irish rates remain the lowest in Europe. Healthcare professionals' breastfeeding knowledge and skills have a positive impact on increasing breastfeeding rates. There is limited evidence of the knowledge, attitudes or practices of general practitioners (GPs) and general practice nurses (GPNs), which is essential to breastfeeding in Ireland. The aim of this study was to evaluate the breastfeeding knowledge, attitudes and practices of GPs and GPNs in one community healthcare organisation (CHO) in Ireland. A co-designed evaluation study was used following low-risk ethical exemption (LS-LR-22-161). A modified version of a validated breastfeeding questionnaire was developed. A Project Steering Committee was established that included patient, and public involvement stakeholders. The anonymised survey was distributed via online Qualtrics platform (November 2022-February 2023). STROBE Guidelines were utilised. The overall response rate was 25.9% (n = 121) and valid responses were reported in the article. The total population size was n = 468 (GPs n = 290 and GPNs n = 178). Our pilot study identified that 42.7% (n = 47/110) of respondents never attended a breastfeeding education programme, and 53.9% (n = 55/102) identified that their knowledge could be improved. The majority of respondents, 92.9% (n = 92/99) wish to complete further education in breastfeeding. The results of this pilot study in one CHO in Ireland indicate a gap in knowledge and a need for specific breastfeeding and lactation theoretical and skills training for GPs and GPNs working in primary care to support, promote and protect breastfeeding.
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Affiliation(s)
- Denise McGuinness
- School of Nursing, Midwifery & Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland
| | - Siobhan Ni Mhurchu
- Child Health Programme Development Officer, HSE Community Healthcare Organisation, Dublin North City & County, Tonlegee Health Centre, Dublin 5, D05 K2E6, Ireland
| | - Kate Frazer
- School of Nursing, Midwifery & Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland
| | - Nancy Bhardwaj
- School of Public Health, Physiotherapy and Sport Science, University College Dublin, Belfield, Dublin 4, Ireland
| | - Paula Cornally
- School of Nursing, Midwifery & Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland
| | - Marie Cantwell
- HSE Community Healthcare Organisation, Dublin North City and County, HSE Unit 1,2,3, Nexus Building, Block 6A, Blanchardstown Corporate Park, Ballycoolin, Eircode D15 CF9K, Ireland
| | - Marina Cullen
- Rotunda Hospital Parnell Square East, Rotunda, Dublin 1, D01 P5W9, Ireland
| | - Edel McNamara
- Department of Health Promotion and Improvement, Health and Wellbeing Division, HSE Dublin North City and County Community Healthcare, 1st Floor, Unit 4 Nexus Building, Block 6A Blanchardstown Corporate Park, Dublin 15, D15 CF 9K, Ireland
| | - Rita McDonald
- Regional Centre for Nurse & Midwifery Education, Academic Centre, Connolly Hospital, Blanchardstown, Dublin 15, D15 X40D, Ireland
| | - Lisa Carroll
- Rotunda Hospital Parnell Square East, Rotunda, Dublin 1, D01 P5W9, Ireland
| | - Walter Cullen
- School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland
| | | | - Niamh Vickers
- School of Nursing, Midwifery & Health Systems, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland
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Bradbury A, Shortland S, Jones S, Hewett F, And Karen Storey. Clinical academic careers for general practice nurses: a rapid evidence assessment. J Res Nurs 2022; 26:376-391. [PMID: 35251266 DOI: 10.1177/1744987120954261] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Clinical academics are health professionals who provide direct patient care alongside engaging in health research. Despite the generally agreed consensus that such roles enhance evidence-based care, availability and uptake has been sporadic in non-medical professions. With no data readily available regarding general practice nurses undertaking clinical academic roles, there is a need to understand the barriers and enabling factors that impact general practice nurses considering or pursuing a clinical academic career. AIMS This review aims to address the question 'What are the barriers and enablers relevant to general practice nurses in the UK pursuing clinical academic careers?' by providing an overview of the relevant existing literature and drawing out the implications for policy and practice. METHODS Literature published in the past 10 years was systematically searched. Using agreed inclusion criteria, papers were first screened on titles and abstracts, with papers included at this stage reviewed as full texts. RESULTS Thirteen papers met the criteria for inclusion. The extraction and synthesis of findings allowed for the development of three themes: roles and responsibilities; embarking on a clinical academic career; and organisational research culture. CONCLUSIONS Findings suggest that infrastructure developments are required across higher education institutions and general practice organisations to bring about a cultural change to equip and empower general practice nurses to consider and pursue clinical academic careers.
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Affiliation(s)
- Andrew Bradbury
- Research Assistant, Centre for Social Care, Health and Related Research, Birmingham City University, UK
| | - Sue Shortland
- Associate Professor, School of Nursing and Midwifery, Birmingham City University, UK
| | - Sarahjane Jones
- Associate Professor, School of Health and Social Care, Staffordshire University, UK
| | - Fraser Hewett
- NHS GP Partner, Manor Practice, Sutton Coldfield, UK
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Stephen C, Halcomb E, Fernandez R, McInnes S, Batterham M, Zwar N. Nurse-led interventions to manage hypertension in general practice: A systematic review and meta-analysis. J Adv Nurs 2022; 78:1281-1293. [PMID: 35244944 DOI: 10.1111/jan.15159] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 12/14/2021] [Accepted: 12/16/2021] [Indexed: 01/08/2023]
Abstract
To evaluate the impact of general practice nurse-led interventions for blood pressure control and cardiovascular disease risk factor reduction in patients with hypertension. Systematic review and meta-analysis of randomized control trials. CINAHL, Medline and Scopus databases were searched to identify peer-reviewed studies published between 2000 and 2021. A systematic review of randomized control trials was conducted using a structured search strategy. The Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used to appraise study quality. Meta-analysis and narrative synthesis were performed to determine the effectiveness of the included interventions. Eleven trials comprising of 4454 participants were included in the review. Meta-analysis showed significant reductions in both systolic and diastolic blood pressure in trials with 6 months or less follow-up. Improvements were also demonstrated in reducing blood lipids, physical activity, general lifestyle measures and medication adherence. Evidence for dietary improvements and reduction in alcohol and smoking rates was inconclusive. Nurse-led interventions for patients with hypertension are heterogeneous in terms of the nature of the intervention and outcomes measured. However, nurse-led interventions in general practice demonstrate significant potential to improve blood pressure and support cardiovascular disease risk factor reduction. Future research should be directed towards elucidating the successful elements of these interventions, evaluating cost-effectiveness and exploring translation into usual care. This review provides evidence that nurses in general practice could enhance current hypertension management through nurse-led interventions.
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Affiliation(s)
- Catherine Stephen
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Illawarra Health & Medical Research Institute, Wollongong, New South Wales, Australia
| | - Elizabeth Halcomb
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Illawarra Health & Medical Research Institute, Wollongong, New South Wales, Australia
| | - Ritin Fernandez
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Illawarra Health & Medical Research Institute, Wollongong, New South Wales, Australia.,Centre for Research in Nursing and Health, Level 1 Research and Education Building, St George Hospital, Sydney, New South Wales, Australia
| | - Susan McInnes
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Illawarra Health & Medical Research Institute, Wollongong, New South Wales, Australia
| | - Marijka Batterham
- Statistical Consulting Centre, Faculty of Engineering and Information Sciences, University of Wollongong, Wollongong, New South Wales, Australia
| | - Nick Zwar
- Faculty of Health Sciences & Medicine, Bond University, Gold Coast, Queensland, Australia
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Barnhoorn PC, Zuurveen HR, Prins IC, van Ek GF, den Oudsten BL, den Ouden MEM, Putter H, Numans ME, Elzevier HW. Unravelling sexual care in chronically ill patients: the perspective of GP practice nurses; Health Service Research. Fam Pract 2020; 37:766-771. [PMID: 32719863 PMCID: PMC7759747 DOI: 10.1093/fampra/cmaa071] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Assessment of sexual health is important in chronically ill patients, as many experience sexual dysfunction (SD). The general practice nurse (GPN) can play a crucial part in addressing SD. OBJECTIVE The aim of this cross-sectional study was to examine to which extent GPNs discuss SD with chronically ill patients and what barriers may refrained them from discussing SD. Furthermore, we examined which factors had an association with a higher frequency of discussing SD. METHODS A cross-sectional survey using a 48-item questionnaire was send to 637 GPNs across the Netherlands. RESULTS In total, 407 GPNs returned the questionnaire (response rate 63.9%) of which 337 completed the survey. Two hundred and twenty-one responding GPNs (65.6%) found it important to discuss SD. More than half of the GPNS (n = 179, 53.3%) never discussed SD during a first consultation, 60 GPNs (18%) never discussed SD during follow-up consultations. The three most important barriers for discussing SD were insufficient training (54.7%), 'reasons related to language and ethnicity' (47.5%) and 'reasons related to culture and religion' (45.8%). More than half of the GPNs thought that they had not enough knowledge to discuss SD (n = 176, 54.8%). A protocol on addressing SD would significantly increase discussing during SD. CONCLUSIONS This study indicates that GPNs do not discuss SD with chronically ill patients routinely. Insufficient knowledge, training and reasons related to cultural diversity were identified as most important reasons for this practice pattern. Implementation of training in combination with guidelines on SD in the general practice could improve on the discussing of sexual health with chronic patients.
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Affiliation(s)
- Pieter C Barnhoorn
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden RC, The Netherlands
| | - Hannah R Zuurveen
- Department of Urology, Leiden University Medical Centre, Leiden RC, The Netherlands
| | - Inge C Prins
- Department of Urology, Leiden University Medical Centre, Leiden RC, The Netherlands
| | - Gaby F van Ek
- Department of Urology, Leiden University Medical Centre, Leiden RC, The Netherlands
| | - Brenda L den Oudsten
- Department of Urology, Leiden University Medical Centre, Leiden RC, The Netherlands
| | | | - Hein Putter
- Department of Medical Statistics and Bioinformatics, Leiden University Medical Centre, Leiden RC, The Netherlands
| | - Mattijs E Numans
- Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden RC, The Netherlands
| | - Henk W Elzevier
- Department of Urology, Leiden University Medical Centre, Leiden RC, The Netherlands
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