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| A '''nurse-led clinic''' is any outpatient clinic that is run or managed by [[registered nurse]]s, usually [[nurse practitioner]]s or [[Clinical Nurse Specialist]]s in the UK. Nurse-led clinics have assumed distinct roles over the years, and examples exist within hospital outpatient departments,<ref>Rudra, N. (2009, May). Heat on nurse-led clinic to succeed, in ''Canberra Times'' [http://www.canberratimes.com.au/news/local/news/general/heat-on-nurseled-clinic-to-succeed/1521621.aspx]</ref> public health clinics<ref>[http://www.sussex.nj.us/Cit-e-Access/webpage.cfm?TID=7&TPID=935 Sussex County, New Jersey (2002). Public Health Nursing Page]</ref> and independent practice environments.<ref>Ontario Ministry of Health and Long-Term Care (2009, June). Introduction to nurse practitioner-led clinics. [http://www.health.gov.on.ca/transformation/np_clinics/guides/np_clinic_intro.pdf]</ref> | | {{Short description|A healthcare model where nurses lead patient care}} |
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| ==Definition==
| | A '''nurse-led clinic''' is a healthcare model where [[nurse practitioners]] or [[registered nurses]] take the lead in providing patient care. These clinics are designed to improve access to healthcare services, enhance patient outcomes, and provide cost-effective care. Nurse-led clinics are often found in [[primary care]], [[chronic disease management]], and [[preventive care]] settings. |
| A broad definition of a nurse-led clinic defines these clinics based on what nursing activities are performed at the site.<ref name='NLCPI'>Hatchett, R. (2003). ''Nurse-Led Clinics: Practice Issues.'' New York, NY: Routledge.</ref> Nurses within a nurse-led clinic assume their own patient case-loads, provide an educative role to patients to promote health, provide psychological support, monitor the patient's condition and perform nursing interventions.<ref name='NLCPI'/> [[Advanced practice registered nurse]]s, usually [[nurse practitioner]]s, may have expanded roles within these clinics, depending on the scope of practice defined by their [[federated state|state]], [[province|provincial]] or [[territory (administrative division)|territorial]] government. | |
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| ==Overview== | | ==Overview== |
| The recent growth of nurse-led clinics is considered an emerging area of [[nursing]] practice; they were originally discussed in nursing journals in the 1980s, and developed over the 1990s into practice areas that have generated financial, legal and professional challenges over the years.<ref name='NLCPI'/> There has been recent growth of nurse-led clinics both within hospitals and in the community.<ref name='NLCPI'/> However, that growth has been unequal across different legislative regions. As an example, Canada's only known nurse-led clinics exist in [[Ontario]].<ref name='OMA'>Hodges, D. (2009, July). Ontario docs concerned by nurse-led clinics. Retrieved from
| | Nurse-led clinics are an innovative approach to healthcare delivery, emphasizing the role of nurses in managing patient care. These clinics are typically staffed by highly trained nurses who have the authority to assess, diagnose, and manage patient conditions. The scope of practice for nurses in these clinics can vary depending on the [[healthcare system]] and [[regulatory framework]] of the country. |
| --~~~~www.everbetter.ca, originally published in ''The Medical Post''. [http://www.everbetter.ca/money/focus-on-nurse-led-clinics-concerns-ontario-doctors-5938]</ref> Unlike many clinics which exist in the [[United States]], Ontario's clinics have been met with some criticism from the [[Ontario Medical Association]] and some family physicians who view nurse-led clinics to be unproven innovations in primary care.<ref name='OMA'/>
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| In the UK, advanced nursing practice developed in the 1980s in response to increased health needs and cost, and in keeping with health policy. A later impetus came from the “New deal for junior doctors” which was a government response to the European Community directive to reduce junior doctors' hours of work.<ref>{{Cite journal|last=Pickersgill|first=Trevor|date=2001-12-01|title=The European working time directive for doctors in training|journal=BMJ: British Medical Journal|volume=323|issue=7324|pages=1266|issn=0959-8138|pmc=1121739|pmid=11731377|doi=10.1136/bmj.323.7324.1266}}</ref>
| | ==Functions and Services== |
| | Nurse-led clinics offer a wide range of services, including: |
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| Nurse-led clinics typically focus on [[disease management (health)|chronic disease management]]: conditions where regular follow-up and expertise is required, but also where a patient may not necessarily need to see a physician at every visit.<ref name='NLCPI'/> Most nurse-led clinics use nursing theory and knowledge to educate patients and form care plans to manage their conditions.<ref name='NLCPI'/>
| | * [[Chronic disease management]]: Nurses manage conditions such as [[diabetes]], [[hypertension]], and [[asthma]], providing regular monitoring and education to help patients manage their health. |
| | * [[Preventive care]]: These clinics focus on health promotion and disease prevention, offering services such as [[immunizations]], [[screening tests]], and [[health education]]. |
| | * [[Acute care]]: Nurses in these clinics can provide care for minor illnesses and injuries, often serving as a first point of contact for patients. |
| | * [[Patient education]]: A key component of nurse-led clinics is educating patients about their health conditions and how to manage them effectively. |
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| ==Nursing consultations== | | ==Benefits== |
| In their consultations, nurses undertake a range of activities.<ref name="pmid22039168">{{Cite journal|last=van Eijk-Hustings|first=Yvonne|last2=van Tubergen|first2=Astrid|last3=Boström|first3=Carina|last4=Braychenko|first4=Elena|last5=Buss|first5=Beate|last6=Felix|first6=José|last7=Firth|first7=Jill|last8=Hammond|first8=Alison|last9=Harston|first9=Benny|date=January 2012|title=EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis|journal=Annals of the Rheumatic Diseases|volume=71|issue=1|pages=13–19|doi=10.1136/annrheumdis-2011-200185|issn=1468-2060|pmid=22039168}}</ref> This may include a specific task such as giving patient education,<ref>{{Cite journal|last=Ndosi|first=M.|last2=Johnson|first2=D.|last3=Young|first3=T.|last4=Hardware|first4=B.|last5=Hill|first5=J.|last6=Hale|first6=C.|last7=Maxwell|first7=J.|last8=Roussou|first8=E.|last9=Adebajo|first9=A.|date=June 2016|title=Effects of needs-based patient education on self-efficacy and health outcomes in people with rheumatoid arthritis: a multicentre, single blind, randomised controlled trial|journal=Annals of the Rheumatic Diseases|volume=75|issue=6|pages=1126–1132|doi=10.1136/annrheumdis-2014-207171|issn=1468-2060|pmc=4893097|pmid=26162769}}</ref> assessment and management of cardiovascular risks,<ref>{{Cite journal|last=Primdahl|first=Jette|last2=Ferreira|first2=Ricardo J. O.|last3=Garcia-Diaz|first3=Silvia|last4=Ndosi|first4=Mwidimi|last5=Palmer|first5=Deborah|last6=van Eijk-Hustings|first6=Yvonne|date=September 2016|title=Nurses' Role in Cardiovascular Risk Assessment and Management in People with Inflammatory Arthritis: A European Perspective|journal=Musculoskeletal Care|volume=14|issue=3|pages=133–151|doi=10.1002/msc.1121|issn=1557-0681|pmid=26549188|url=http://eprints.whiterose.ac.uk/88914/3/Prmdahl%20et%20al%20%282015%29%20European%20nurses%27%20role%20in%20CVR%20assessment%20-%20Accepted%20manuscripts%20-%20for%20repository.pdf}}</ref> managing blood pressure,<ref>{{Cite journal|last=Clark|first=Christopher E.|last2=Smith|first2=Lindsay F. P.|last3=Taylor|first3=Rod S.|last4=Campbell|first4=John L.|date=2010-08-23|title=Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis|url=http://www.bmj.com/content/341/bmj.c3995|journal=BMJ|language=en|volume=341|pages=c3995|doi=10.1136/bmj.c3995|issn=0959-8138|pmid=20732968|pmc=2926309}}</ref> exacerbations of COPD and overall disease management.<ref>{{Cite journal|last=Mora|first=Kathlyen|last2=Dorrejo|first2=Xiomara M.|last3=Carreon|first3=Kimberly Mae|last4=Butt|first4=Sadia|date=2017-08-28|title=Nurse practitioner-led transitional care interventions: An integrative review|journal=Journal of the American Association of Nurse Practitioners|doi=10.1002/2327-6924.12509|issn=2327-6924|pmid=28845555|volume=29|issue=12|pages=773–790}}</ref>
| | Nurse-led clinics offer several benefits, including: |
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| ==Review of evidence==
| | * '''Improved access to care''': By providing an alternative to traditional physician-led clinics, nurse-led clinics can reduce wait times and improve access to healthcare services. |
| Nurse-led clinics have a brief history of evaluation in scientific literature.<ref name="NLCPI" /> Not only is there a large amount of heterogeneity between nurse-led clinics, but there are also different educational backgrounds for nurses who wish to enter these roles.
| | * '''Cost-effectiveness''': These clinics can provide high-quality care at a lower cost, as nurses generally have lower salaries than physicians. |
| | * '''Patient satisfaction''': Patients often report high levels of satisfaction with the care they receive in nurse-led clinics, appreciating the personalized attention and comprehensive care. |
| | * '''Enhanced patient outcomes''': Studies have shown that nurse-led clinics can lead to improved health outcomes, particularly in the management of chronic diseases. |
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| In a partially blind [[randomized controlled trial]], adult patients with [[Type II Diabetes]] were found to have better control of [[hypertension]] and [[hyperlipidemia]] in a nurse-led clinic when compared to conventional follow-up care.<ref>{{Cite journal | doi = 10.2337/diacare.26.8.2250 | last1 = New | first1 = J.P. | last2 = Mason | first2 = J.M. | last3 = Freemantle | first3 = N. | year = 2003 | last4 = Teasdale | first4 = S | last5 = Wong | first5 = LM | last6 = Bruce | first6 = NJ | last7 = Burns | first7 = JA | last8 = Gibson | first8 = JM | title = Specialist nurse-led intervention to treat and control hypertension and hyperlipidemia in diabetes (SPLINT): a randomized controlled trial | url = | journal = Diabetes Care | volume = 26 | issue = 8| pages = 2250–2255 | pmid = 12882844 }}</ref> A related study also found that nurse-led clinics were more effective than conventional care in controlling [[hypertension]] for adult patients with [[Type II Diabetes]] and uncontrolled hypertension.<ref>{{Cite journal | doi = 10.2337/diacare.26.8.2256 | last1 = Denver | first1 = E.A. | last2 = Barnard | first2 = M. | last3 = Woolfson | first3 = R.G. | last4 = Earle | first4 = K.A. | year = 2003 | title = Management of uncontrolled hypertension in a nurse-led clinic compared with conventional care for patients with type 2 diabetes | url = | journal = Diabetes Care | volume = 26 | issue = 8| pages = 2256–2260 | pmid = 12882845 }}</ref> Generally, it was found that most patients experienced improved outcomes following nurse-led clinic consultation, with the best improvement rates found for wound care and continence clinics.<ref name='JAN'>{{Cite journal | last1 = Wong | first1 = F.K. | last2 = Chung | first2 = L.C. | year = 2006 | title = Establishing a definition for a nurse-led clinic: structure, process, and outcome | url = | journal = Journal of Advanced Nursing | volume = 53 | issue = 3| pages = 358–369 | pmid = 16441541 | doi = 10.1111/j.1365-2648.2006.03730.x| hdl = 10397/28301 }}</ref>
| | ==Challenges== |
| | Despite their benefits, nurse-led clinics face several challenges: |
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| Randomised controlled trials in rheumatology have demonstrated that nurse-led clinics are effective in controlling disease activity in people with rheumatoid arthritis.<ref>{{Cite journal|last=Primdahl|first=Jette|last2=Sørensen|first2=Jan|last3=Horn|first3=Hans Christian|last4=Petersen|first4=Randi|last5=Hørslev-Petersen|first5=Kim|date=February 2014|title=Shared care or nursing consultations as an alternative to rheumatologist follow-up for rheumatoid arthritis outpatients with low disease activity--patient outcomes from a 2-year, randomised controlled trial|journal=Annals of the Rheumatic Diseases|volume=73|issue=2|pages=357–364|doi=10.1136/annrheumdis-2012-202695|issn=1468-2060|pmid=23385306}}</ref><ref>{{Cite journal|last=Koksvik|first=Hege Svean|last2=Hagen|first2=Kåre Birger|last3=Rødevand|first3=Erik|last4=Mowinckel|first4=Petter|last5=Kvien|first5=Tore K.|last6=Zangi|first6=Heidi A.|date=June 2013|title=Patient satisfaction with nursing consultations in a rheumatology outpatient clinic: a 21-month randomised controlled trial in patients with inflammatory arthritides|journal=Annals of the Rheumatic Diseases|volume=72|issue=6|pages=836–843|doi=10.1136/annrheumdis-2012-202296|issn=1468-2060|pmid=23393144}}</ref><ref>{{Cite journal|last=Larsson|first=Ingrid|last2=Fridlund|first2=Bengt|last3=Arvidsson|first3=Barbro|last4=Teleman|first4=Annika|last5=Bergman|first5=Stefan|date=January 2014|title=Randomized controlled trial of a nurse-led rheumatology clinic for monitoring biological therapy|journal=Journal of Advanced Nursing|volume=70|issue=1|pages=164–175|doi=10.1111/jan.12183|issn=1365-2648|pmc=4285750|pmid=23772698}}</ref><ref name=":0">{{Cite journal|last=Ndosi|first=Mwidimi|last2=Lewis|first2=Martyn|last3=Hale|first3=Claire|last4=Quinn|first4=Helen|last5=Ryan|first5=Sarah|last6=Emery|first6=Paul|last7=Bird|first7=Howard|last8=Hill|first8=Jackie|date=2014-11-01|title=The outcome and cost-effectiveness of nurse-led care in people with rheumatoid arthritis: a multicentre randomised controlled trial|url=http://ard.bmj.com/content/73/11/1975|journal=Annals of the Rheumatic Diseases|language=en|volume=73|issue=11|pages=1975–1982|doi=10.1136/annrheumdis-2013-203403|issn=0003-4967|pmid=23982436|pmc=4215359}}</ref><ref>{{Cite journal|last=Tijhuis|first=Gerhardus J.|last2=Zwinderman|first2=Aeilko H.|last3=Hazes|first3=Johanna M. W.|last4=Breedveld|first4=Ferdinand C.|last5=Vlieland|first5=P. M. Theodora Vliet|date=January 2003|title=Two-year follow-up of a randomized controlled trial of a clinical nurse specialist intervention, inpatient, and day patient team care in rheumatoid arthritis|journal=Journal of Advanced Nursing|volume=41|issue=1|pages=34–43|issn=0309-2402|pmid=12519286|doi=10.1046/j.1365-2648.2003.02503.x|url=http://repub.eur.nl/pub/60935}}</ref> In addition, three studies have demonstrated cost effectiveness on this model of care in Denmark,<ref>{{Cite journal|last=Sørensen|first=J.|last2=Primdahl|first2=J.|last3=Horn|first3=H. C.|last4=Hørslev-Petersen|first4=K.|date=2015|title=Shared care or nurse consultations as an alternative to rheumatologist follow-up for rheumatoid arthritis (RA) outpatients with stable low disease-activity RA: cost-effectiveness based on a 2-year randomized trial|journal=Scandinavian Journal of Rheumatology|volume=44|issue=1|pages=13–21|doi=10.3109/03009742.2014.928945|issn=1502-7732|pmid=25380077}}</ref> the Netherlands<ref>{{Cite journal|last=van den Hout|first=W. B.|last2=Tijhuis|first2=G. J.|last3=Hazes|first3=J. M. W.|last4=Breedveld|first4=F. C.|last5=Vliet Vlieland|first5=T. P. M.|date=April 2003|title=Cost effectiveness and cost utility analysis of multidisciplinary care in patients with rheumatoid arthritis: a randomised comparison of clinical nurse specialist care, inpatient team care, and day patient team care|journal=Annals of the Rheumatic Diseases|volume=62|issue=4|pages=308–315|doi=10.1136/ard.62.4.308|issn=0003-4967|pmc=1754484|pmid=12634227}}</ref> and the UK.<ref>{{Cite journal|last=Ndosi|first=Mwidimi|last2=Lewis|first2=Martyn|last3=Hale|first3=Claire|last4=Quinn|first4=Helen|last5=Ryan|first5=Sarah|last6=Emery|first6=Paul|last7=Bird|first7=Howard|last8=Hill|first8=Jackie|date=November 2014|title=The outcome and cost-effectiveness of nurse-led care in people with rheumatoid arthritis: a multicentre randomised controlled trial|journal=Annals of the Rheumatic Diseases|volume=73|issue=11|pages=1975–1982|doi=10.1136/annrheumdis-2013-203403|issn=1468-2060|pmc=4215359|pmid=23982436}}</ref>
| | * '''Regulatory barriers''': In some regions, restrictive regulations limit the scope of practice for nurses, hindering the development of nurse-led clinics. |
| | * '''Funding and resources''': Securing adequate funding and resources can be a challenge, particularly in healthcare systems with limited budgets. |
| | * '''Interprofessional collaboration''': Successful nurse-led clinics require effective collaboration between nurses, physicians, and other healthcare professionals. |
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| Many nurse-led clinics have also been associated with enhanced patient satisfaction with care.<ref name="JAN" /> A nurse-led clinic for intractable constipation in paediatric populations was compared to a paediatric gastroenterology clinic, illustrating that parent satisfaction was significantly higher for those who attended the nurse-led clinic.<ref>{{Cite journal | last1 = Sullivan | first1 = P.B. | last2 = Burnett | first2 = C.A. | last3 = Juszczak | first3 = E. | year = 2006 | title = Parent satisfaction in a nurse led clinic compared with a paediatric gastroenterology clinic for the management of intractable, functional constipation | url = | journal = Archives of Disease in Childhood | volume = 91 | issue = 6| pages = 499–501 | pmid = 16531455 | pmc = 2082804 | doi = 10.1136/adc.2005.087486}}</ref> This has also been shown in rheumatology nurse-led clinics.<ref>{{cite journal | last1 = Koksvik | first1 = H. S. | last2 = Hagen | first2 = K. B. | last3 = Rødevand | first3 = E. | last4 = Mowinckel | first4 = P. | last5 = Kvien | first5 = T. K. | last6 = Zangi | first6 = H. A. | year = 2013 | title = Patient satisfaction with nursing consultations in a rheumatology outpatient clinic: a 21-month randomised controlled trial in patients with inflammatory arthritides | url = | journal = Annals of the Rheumatic Diseases | volume = 55 | issue = 6| page = 555 | doi = 10.1136/annrheumdis-2012-202296 | pmid=23393144}}</ref><ref name=":0" />
| | ==Examples== |
| | Nurse-led clinics can be found in various healthcare settings, including: |
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| In areas where nursing practice may require additional support to maintain patient safety, some nurse-led clinics have implemented decision support tools, computerized systems and [[evidence-based]] [[algorithm]]s to support their practice. Nurse-led clinics which utilize [[decision support system|computerized decision support tools]] to manage oral anticoagulation dosages were found be to as effective as hospital-based clinics for [[International Normalized Ratio|INR]] control and stability.<ref>{{Cite journal | last1 = Fitzmaurice | first1 = D.A. | last2 = Hobbs | first2 = F.D. | last3 = Murray | first3 = E.T. | last4 = Holder | year = 2000 | first4 = RL | last5 = Allan | first5 = TF | last6 = Rose | first6 = PE | title = Oral anticoagulation management in primary care with the use of computerized decision support and near-patient testing: a randomized, controlled trial | url = | journal = Archives of Internal Medicine | volume = 160| issue = 15| pages = 2343–2348 | pmid = 10927732 | doi=10.1001/archinte.160.15.2343}}</ref>
| | * [[Community health centers]] |
| | * [[Hospital outpatient departments]] |
| | * [[Specialty clinics]] for conditions such as [[heart failure]] or [[chronic obstructive pulmonary disease]] (COPD) |
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| In the UK, nurse-led care has been established in many chronic conditions such as diabetes, COPD and musculoskeletal disorders. Treatment guidelines in rheumatoid arthritis for example, specify the role of the nurse in managing the disease<ref name="pmid22039168" /> and coordinating care.<ref>NICE. Rheumatoid arthritis: The management of rheumatoid arthritis in adults. Secondary Rheumatoid arthritis: The management of rheumatoid arthritis in adults [Online] August 2013 2009. http://www.nice.org.uk/nicemedia/pdf/CG79NICEGuideline.pdf</ref>
| | ==Related pages== |
| | | * [[Nurse practitioner]] |
| The evidence for the effectiveness of nurse-led intervention is growing and increasingly supported by randomised controlled trials and systematic reviews.<ref>{{Cite journal|last=Primdahl|first=Jette|last2=Ferreira|first2=Ricardo J. O.|last3=Garcia-Diaz|first3=Silvia|last4=Ndosi|first4=Mwidimi|last5=Palmer|first5=Deborah|last6=van Eijk-Hustings|first6=Yvonne|date=2016|title=Nurses' Role in Cardiovascular Risk Assessment and Management in People with Inflammatory Arthritis: A European Perspective|journal=Musculoskeletal Care|language=en|volume=14|issue=3|pages=133–151|doi=10.1002/msc.1121|issn=1557-0681|pmid=26549188|url=http://eprints.whiterose.ac.uk/88914/3/Prmdahl%20et%20al%20%282015%29%20European%20nurses%27%20role%20in%20CVR%20assessment%20-%20Accepted%20manuscripts%20-%20for%20repository.pdf}}</ref><ref>{{Cite journal|last=Thurah|first=Annette de|last2=Esbensen|first2=Bente Appel|last3=Roelsgaard|first3=Ida Kristiane|last4=Frandsen|first4=Tove Faber|last5=Primdahl|first5=Jette|date=2017-08-01|title=Efficacy of embedded nurse-led versus conventional physician-led follow-up in rheumatoid arthritis: a systematic review and meta-analysis|url=http://rmdopen.bmj.com/content/3/2/e000481|journal=RMD Open|language=en|volume=3|issue=2|pages=e000481|doi=10.1136/rmdopen-2017-000481|pmid=28879053|pmc=5574437|issn=2056-5933}}</ref><ref>{{Cite journal|last=Garner|first=Stephanie|last2=Lopatina|first2=Elena|last3=Rankin|first3=James A.|last4=Marshall|first4=Deborah A.|date=June 2017|title=Nurse-led Care for Patients with Rheumatoid Arthritis: A Systematic Review of the Effect on Quality of Care|journal=The Journal of Rheumatology|volume=44|issue=6|pages=757–765|doi=10.3899/jrheum.160535|issn=0315-162X|pmid=28202747}}</ref><ref>{{Cite journal|last=Horrocks|first=Sue|last2=Anderson|first2=Elizabeth|last3=Salisbury|first3=Chris|date=2002-04-06|title=Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors|pmc=100791|journal=BMJ: British Medical Journal|volume=324|issue=7341|pages=819–823|issn=0959-8138|pmid=11934775|doi=10.1136/bmj.324.7341.819}}</ref><ref>{{Cite journal|last=Clark|first=Christopher E.|last2=Smith|first2=Lindsay F. P.|last3=Taylor|first3=Rod S.|last4=Campbell|first4=John L.|date=2010-08-23|title=Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis|journal=BMJ (Clinical Research Ed.)|volume=341|pages=c3995|doi=10.1136/bmj.c3995|issn=1756-1833|pmc=2926309|pmid=20732968}}</ref><ref>{{Cite journal|last=Ndosi|first=Mwidimi|last2=Vinall|first2=Karen|last3=Hale|first3=Claire|last4=Bird|first4=Howard|last5=Hill|first5=Jackie|date=May 2011|title=The effectiveness of nurse-led care in people with rheumatoid arthritis: a systematic review|journal=International Journal of Nursing Studies|volume=48|issue=5|pages=642–654|doi=10.1016/j.ijnurstu.2011.02.007|issn=1873-491X|pmid=21392764|url=http://eprints.whiterose.ac.uk/93608/2/Ndosi%2520et%2520al%2520%282011%29%2520Systematic%2520review%2520of%2520NLC%2520in%2520RA%2520for%2520Repostiory.docx%5B1%5D.pdf}}</ref>
| | * [[Primary care]] |
| | | * [[Chronic disease management]] |
| ==See also==
| | * [[Preventive care]] |
| | | {{nursing}} |
| *[[Walk-in clinic]] | | [[Category:Healthcare]] |
| | |
| ==References==
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| {{Reflist}}
| |
| # Department of Health Nursing Division. A Strategy for Nursing: a report of the steering committee. London: HMSO; 1989.
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| # NHS Management Executive. Junior Doctors: The New Deal. London: HMSO; 1991.
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| # Department of Health. A Compendium of Solutions to Implementing the Working Time Directive for Doctors in Training from August 2004. London: Department of Health; 2004.
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| {{Nursing}} | |
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| [[Category:Types of healthcare facilities]] | |
| [[Category:Nursing]] | | [[Category:Nursing]] |
| [[Category:Clinics]] | | [[Category:Medical clinics]] |
| {{dictionary-stub1}}
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A healthcare model where nurses lead patient care
A nurse-led clinic is a healthcare model where nurse practitioners or registered nurses take the lead in providing patient care. These clinics are designed to improve access to healthcare services, enhance patient outcomes, and provide cost-effective care. Nurse-led clinics are often found in primary care, chronic disease management, and preventive care settings.
Overview[edit]
Nurse-led clinics are an innovative approach to healthcare delivery, emphasizing the role of nurses in managing patient care. These clinics are typically staffed by highly trained nurses who have the authority to assess, diagnose, and manage patient conditions. The scope of practice for nurses in these clinics can vary depending on the healthcare system and regulatory framework of the country.
Functions and Services[edit]
Nurse-led clinics offer a wide range of services, including:
Benefits[edit]
Nurse-led clinics offer several benefits, including:
- Improved access to care: By providing an alternative to traditional physician-led clinics, nurse-led clinics can reduce wait times and improve access to healthcare services.
- Cost-effectiveness: These clinics can provide high-quality care at a lower cost, as nurses generally have lower salaries than physicians.
- Patient satisfaction: Patients often report high levels of satisfaction with the care they receive in nurse-led clinics, appreciating the personalized attention and comprehensive care.
- Enhanced patient outcomes: Studies have shown that nurse-led clinics can lead to improved health outcomes, particularly in the management of chronic diseases.
Challenges[edit]
Despite their benefits, nurse-led clinics face several challenges:
- Regulatory barriers: In some regions, restrictive regulations limit the scope of practice for nurses, hindering the development of nurse-led clinics.
- Funding and resources: Securing adequate funding and resources can be a challenge, particularly in healthcare systems with limited budgets.
- Interprofessional collaboration: Successful nurse-led clinics require effective collaboration between nurses, physicians, and other healthcare professionals.
Examples[edit]
Nurse-led clinics can be found in various healthcare settings, including:
Related pages[edit]
