Hepatitis C elimination: amplifying the role of primary care nurses in Australia

IF 1.2 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Jacqueline A. Richmond, Melinda Hassall, Jack Wallace
{"title":"Hepatitis C elimination: amplifying the role of primary care nurses in Australia","authors":"Jacqueline A. Richmond, Melinda Hassall, Jack Wallace","doi":"10.1071/py23198","DOIUrl":null,"url":null,"abstract":"<strong> Background</strong><p>Australia’s commitment to eliminate hepatitis C by 2030 is underpinned by the mobilisation of the primary care sector. Primary care nurses are well placed to contribute to achieving elimination given their unique access to people with/at risk of hepatitis C and their person-centred approach to care delivery. This study examines the enablers to primary care nurse involvement in elimination efforts.</p><strong> Methods</strong><p>Primary care nurses involved in the care of people with/at risk of hepatitis C were recruited through two national nursing organisations. Participants provided verbal consent to participate in an electronically recorded, semi-structured interview. Interview data were transcribed verbatim, coded and analysed using a thematic analysis.</p><strong> Results</strong><p>Sixteen interviews were conducted with nurses working in general practice, community health, alcohol and other drug services, and custodial settings, with the findings framed using a social-ecological model. The study identified individual attributes, such as empathy and advocacy for clients deemed ‘too hard for everyone else’. Interpersonal enablers included participants’ ability to effectively communicate with clients and colleagues, and using trusted professional relationships to improve client access to care. Public policy that addressed community factors, including stigma and confidentiality, were seen as supportive.</p><strong> Conclusions</strong><p>This study identified the critical and varied role primary care nurses play in hepatitis C elimination. Effective scale up of hepatitis C care involves recognising the pivotal role of primary care nurses, which will help to create an enabling environment that supports nurses to work to their full scope of practice and enhance their contribution to the elimination response.</p>","PeriodicalId":8651,"journal":{"name":"Australian journal of primary health","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australian journal of primary health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1071/py23198","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Australia’s commitment to eliminate hepatitis C by 2030 is underpinned by the mobilisation of the primary care sector. Primary care nurses are well placed to contribute to achieving elimination given their unique access to people with/at risk of hepatitis C and their person-centred approach to care delivery. This study examines the enablers to primary care nurse involvement in elimination efforts.

Methods

Primary care nurses involved in the care of people with/at risk of hepatitis C were recruited through two national nursing organisations. Participants provided verbal consent to participate in an electronically recorded, semi-structured interview. Interview data were transcribed verbatim, coded and analysed using a thematic analysis.

Results

Sixteen interviews were conducted with nurses working in general practice, community health, alcohol and other drug services, and custodial settings, with the findings framed using a social-ecological model. The study identified individual attributes, such as empathy and advocacy for clients deemed ‘too hard for everyone else’. Interpersonal enablers included participants’ ability to effectively communicate with clients and colleagues, and using trusted professional relationships to improve client access to care. Public policy that addressed community factors, including stigma and confidentiality, were seen as supportive.

Conclusions

This study identified the critical and varied role primary care nurses play in hepatitis C elimination. Effective scale up of hepatitis C care involves recognising the pivotal role of primary care nurses, which will help to create an enabling environment that supports nurses to work to their full scope of practice and enhance their contribution to the elimination response.

消除丙型肝炎:扩大澳大利亚初级保健护士的作用
背景澳大利亚承诺到 2030 年消除丙型肝炎,其基础是动员初级保健部门。初级护理护士能够接触到丙型肝炎患者/丙型肝炎高危人群,并以人为本地提供护理服务,因此她们完全有能力为实现消除丙型肝炎的目标做出贡献。本研究探讨了促进初级保健护士参与消除丙型肝炎工作的因素。方法通过两个全国性护理组织招募参与护理丙型肝炎患者/丙型肝炎高危人群的初级护理护士。参与者口头同意参加电子记录的半结构化访谈。访谈数据经逐字誊写、编码后采用主题分析法进行分析。结果对在全科、社区卫生、酒精和其他药物服务以及拘留所工作的护士进行了 16 次访谈,访谈结果采用社会生态模型进行分析。研究确定了个人特质,如同情心和为被认为 "对其他人来说太难 "的客户辩护。人际促进因素包括参与者与客户和同事有效沟通的能力,以及利用可信赖的专业关系改善客户获得护理的机会。针对社区因素(包括污名化和保密性)的公共政策被视为具有支持作用。结论这项研究确定了初级保健护士在消除丙型肝炎方面所发挥的关键和不同作用。要有效扩大丙型肝炎护理的规模,就必须认识到初级护理护士的关键作用,这将有助于创造一个有利的环境,支持护士充分发挥其专业特长,为消除丙型肝炎做出更大的贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Australian journal of primary health
Australian journal of primary health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.20
自引率
15.40%
发文量
136
审稿时长
6-12 weeks
期刊介绍: Australian Journal of Primary Health integrates the theory and practise of community health services and primary health care. The journal publishes high-quality, peer-reviewed research, reviews, policy reports and analyses from around the world. Articles cover a range of issues influencing community health services and primary health care, particularly comprehensive primary health care research, evidence-based practice (excluding discipline-specific clinical interventions) and primary health care policy issues. Australian Journal of Primary Health is an important international resource for all individuals and organisations involved in the planning, provision or practise of primary health care. Australian Journal of Primary Health is published by CSIRO Publishing on behalf of La Trobe University.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信