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Research article
Caroline Gibson
University of Newscastle
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3774-2601
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background The potential value of expanding the Practice Nurse role to include the recognition and management of dementia has been acknowledged. Practice Nurses are well-positioned to provide comprehensive dementia information and support so that people living with dementia are better equipped to self-manage their health and live well with dementia. The purpose of this review was to systematically examine published literature to identify existing and potential roles of Practice Nurse’s in the delivery of care to people affected by dementia and to describe the characteristics and effectiveness of nurse interventions in dementia models of care.
Methods The PRISMA statement was used as a guide to systematically review the evidence for roles and characteristics of the Practice Nurse in the delivery of dementia care. A comprehensive literature search of seven electronic databases and Google scholar identified relevant original research published in English between January 2000 and January 2019. Thirteen articles met the inclusion criteria and were extracted into the Covidence software for analysis.
Results The heterogeneity of the included studies purpose, design and outcomes measures and the diversity in health systems and primary care nurses scope of practice made it difficult to synthesise the findings and draw conclusions. The heterogeneity did, however, provide important insights into the characteristics of roles undertaken by nurses working in the general practice setting, which were potentially beneficial to people living with dementia and their support person. These included patient accessibility to the Practice Nurse, early recognition and management of cognitive changes, care management and collaboration with the General Practitioner. Limitations of the provision of dementia care by Practice Nurses included a lack of definition of the role, inadequate dementia specific training, time constraints and poor communication with General Practitioners.
Conclusions Embedding an evidence-based model that describes the role of the Practice Nurse in dementia care provision has the potential to increase early recognition of cognitive impairment and more appropriate primary care management of dementia.
Systematic Review registration number
PROSPERO 2018 CRD42018088191
Keywords
Practice Nurse, Primary Health Care Nurse, Dementia, Cognitive impairment
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CURRENT STATUS: Published
View the published article at BMC Primary Care.
No community comments so far
Editor assigned
On 28 May, 2020
Editorial decision: Accept
On 28 May, 2020
Submission checks complete
On 27 May, 2020
Editor invited
On 27 May, 2020
Version 3
Posted 14 May, 2020
No comments provided
Editorial decision: Minor revision
On 15 May, 2020
Review #2 received
Received 13 May, 2020
Review #1 received
Received 03 May, 2020
Reviewer #2 agreed
On 02 May, 2020
Editor assigned
On 01 May, 2020
Reviewers invited
Invitations sent on 01 May, 2020
Reviewer #1 agreed
On 01 May, 2020
Editor invited
On 30 Apr, 2020
Submission checks complete
On 05 Jan, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 29 Apr, 2020
Editor assigned
On 24 Apr, 2020
Editor invited
On 23 Apr, 2020
Submission checks complete
On 20 Apr, 2020
No comments provided
Editorial decision: Major revision
On 05 Mar, 2020
Review #2 received
Received 21 Feb, 2020
Reviewer #2 agreed
On 20 Feb, 2020
Reviewer #3 agreed
On 20 Feb, 2020
Review #1 received
Received 01 Feb, 2020
Reviewer #1 agreed
On 29 Jan, 2020
Reviewers invited
Invitations sent on 20 Jan, 2020
Editor assigned
On 26 Dec, 2019
First submitted
On 25 Dec, 2019
Submission checks complete
On 25 Dec, 2019
Editor invited
On 25 Dec, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Primary Care.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Caroline Gibson
University of Newscastle
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3774-2601
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Primary Care.
No community comments so far
Editor assigned
On 28 May, 2020
Editorial decision: Accept
On 28 May, 2020
Submission checks complete
On 27 May, 2020
Editor invited
On 27 May, 2020
Version 3
Posted 14 May, 2020
No comments provided
Editorial decision: Minor revision
On 15 May, 2020
Review #2 received
Received 13 May, 2020
Review #1 received
Received 03 May, 2020
Reviewer #2 agreed
On 02 May, 2020
Editor assigned
On 01 May, 2020
Reviewers invited
Invitations sent on 01 May, 2020
Reviewer #1 agreed
On 01 May, 2020
Editor invited
On 30 Apr, 2020
Submission checks complete
On 05 Jan, 2020
No comments provided
Editorial decision: Revise before sending to peer reviewers
On 29 Apr, 2020
Editor assigned
On 24 Apr, 2020
Editor invited
On 23 Apr, 2020
Submission checks complete
On 20 Apr, 2020
No comments provided
Editorial decision: Major revision
On 05 Mar, 2020
Review #2 received
Received 21 Feb, 2020
Reviewer #2 agreed
On 20 Feb, 2020
Reviewer #3 agreed
On 20 Feb, 2020
Review #1 received
Received 01 Feb, 2020
Reviewer #1 agreed
On 29 Jan, 2020
Reviewers invited
Invitations sent on 20 Jan, 2020
Editor assigned
On 26 Dec, 2019
First submitted
On 25 Dec, 2019
Submission checks complete
On 25 Dec, 2019
Editor invited
On 25 Dec, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Primary Care.
Background The potential value of expanding the Practice Nurse role to include the recognition and management of dementia has been acknowledged. Practice Nurses are well-positioned to provide comprehensive dementia information and support so that people living with dementia are better equipped to self-manage their health and live well with dementia. The purpose of this review was to systematically examine published literature to identify existing and potential roles of Practice Nurse’s in the delivery of care to people affected by dementia and to describe the characteristics and effectiveness of nurse interventions in dementia models of care.
Methods The PRISMA statement was used as a guide to systematically review the evidence for roles and characteristics of the Practice Nurse in the delivery of dementia care. A comprehensive literature search of seven electronic databases and Google scholar identified relevant original research published in English between January 2000 and January 2019. Thirteen articles met the inclusion criteria and were extracted into the Covidence software for analysis.
Results The heterogeneity of the included studies purpose, design and outcomes measures and the diversity in health systems and primary care nurses scope of practice made it difficult to synthesise the findings and draw conclusions. The heterogeneity did, however, provide important insights into the characteristics of roles undertaken by nurses working in the general practice setting, which were potentially beneficial to people living with dementia and their support person. These included patient accessibility to the Practice Nurse, early recognition and management of cognitive changes, care management and collaboration with the General Practitioner. Limitations of the provision of dementia care by Practice Nurses included a lack of definition of the role, inadequate dementia specific training, time constraints and poor communication with General Practitioners.
Conclusions Embedding an evidence-based model that describes the role of the Practice Nurse in dementia care provision has the potential to increase early recognition of cognitive impairment and more appropriate primary care management of dementia.
Systematic Review registration number
PROSPERO 2018 CRD42018088191
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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