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The provision of dementia care in general practice: practice nurse perceptions of their role

Gibson, C, Goeman, D, Hutchinson, Alison, Yates, Mark and Pond, D 2021, The provision of dementia care in general practice: practice nurse perceptions of their role, BMC Family Practice, vol. 22, no. 1, pp. 1-13, doi: 10.1186/s12875-021-01467-z.

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Title The provision of dementia care in general practice: practice nurse perceptions of their role
Author(s) Gibson, C
Goeman, D
Hutchinson, AlisonORCID iD for Hutchinson, Alison orcid.org/0000-0001-5065-2726
Yates, MarkORCID iD for Yates, Mark orcid.org/0000-0001-5845-138X
Pond, D
Journal name BMC Family Practice
Volume number 22
Issue number 1
Article ID 110
Start page 1
End page 13
Total pages 13
Publisher BMC
Place of publication London, Eng.
Publication date 2021
ISSN 1471-2296
1471-2296
Keyword(s) BARRIERS
Dementia care
DISEASE
General & Internal Medicine
General practice
Life Sciences & Biomedicine
Medicine, General & Internal
People living with dementia
Primary care nurses
Primary Health Care
Science & Technology
SELF-MANAGEMENT
TEAMS
Summary Abstract Background Primary care nurses can assist General Practitioner’s to identify cognition concerns and support patient health self-management for those experiencing cognitive impairment or dementia. This support may lead to more appropriate care and better health outcomes for this group. Consequently, there is a need to identify the role of the primary care nurse in dementia care provision, nurse perceptions of this role and to also understand the barriers and enablers that may influence any current or potential primary care nurse role in dementia care provision. Methods Eight focus groups were conducted with a total of 36 primary care nurses. Data was transcribed verbatim and thematically analysed. Results There was a high level of agreement between primary care nurses that they had a role in provision of dementia care. This role was largely attributed to the strong therapeutic relationship between nurses and patients. However, dementia care provision was not without its challenges, including a perceived lack of knowledge, limited resources and the hierarchical nature of general practice. Three main themes were identified: personal attributes of the primary care nurse; professional attributes of the primary care nurse role and the context of practice. Six sub-themes were identified: knowing the person; overcoming stigma; providing holistic care; knowing what to do; team culture and working in the system. Conclusions The findings of this study suggest primary care nurses have a role in dementia care provision and, there is a need to provide support for the nurse to deliver person-centred health care in the context of cognitive impairment. As the demand for good quality primary care for people living with dementia increases, the role of the primary care nurse should be considered in primary care policy discussions. The knowledge gained from this study could be useful in informing dementia training content, to provide better prompts in the health assessment and care planning templates used by primary care nurses to better identify the care needs of people with a cognitive impairment and to develop dementia care guidelines for primary care nurses.
Language eng
DOI 10.1186/s12875-021-01467-z
Indigenous content off
Field of Research 1110 Nursing
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30152564

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.