Abstract

Chronic and complex conditions are a significant concern within contemporary health care systems. The ageing population and improvements in survival from acute cardiac illness have seen an increasing incidence of heart failure (HF). Heart failure represents a significant burden on both the individual and the wider community. Despite effective pharmacotherapy and established evidence-based management guidelines, the overall prognosis from HR is poor. The complexity of the disease process and the highly developed evidence-base makes HR an excellent exemplar for the management of a range of chronic conditions. Studies undertaken as part of the 'Carving a niche for Australian practice nurses' project have led to the development of a model of care that integrates the role of the practice nurse with those of other health care providers to improve outcomes for people with chronic and complex conditions. Whilst the model of care developed from these studies requires empirical testing to validate its utility, it is currently being incorporated in clinical planning and ongoing pragmatic research. The systematic, sequential derivation of data from the 'Carving a niche for Australian practice nurses' project will inform the development of primary care and provide a conceptual framework for future intervention studies in Australian general practice.

Author Details

Elizabeth Jane Halcomb, PhD, BN(Hons), GradCertICU, GradCertHE, RN, FACN

Sigma Membership

Xi Omicron at-Large

Lead Author Affiliation

University of Wollongong, Wollongong, New South Wales, Australia

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Mixed/Multi Method Research

Keywords:

Nurse Practitioners, Primary Care, Heart Failure

Advisor

Patricia Davidson

Degree

PhD

Degree Grantor

University of Western Sydney

Degree Year

2005

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-03-01

Full Text of Presentation

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