Practice nursing: A systematic literature review of facilitators and barriers in three countries

  • Claire Verrall
    Corresponding author at: Adelaide Nursing School Academic Office, Level 4, Adelaide Health & Medical Sciences Building, Cnr North Terrace & George Street, SA 5005, Australia. Tel.: 08 83130558.
    Faculty of Health and Medical Sciences, Adelaide Nursing School, The University of Adelaide, Adelaide, Australia
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  • Eileen Willis
    College of Nursing and Health Sciences, Flinders University of South Australia, Adelaide, Australia

    School of Nursing, Midwifery and Social Sciences, Central Queensland University, Rockhampton, Australia
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  • Julie Henderson
    Flinders University of South Australia, College of Nursing and Health Sciences, Flinders University of South Australia, Adelaide, Australia
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Published:September 26, 2022DOI:



      Practice Nurses (PN) play an increasing role in chronic disease management, however, this role is poorly defined.


      How do Practice Nurses in New Zealand, Canada and the United Kingdom manage chronic disease?


      This systematic review aims to identify the barriers and facilitators for practice nurses in New Zealand (NZ), Canada and the United Kingdom (UK) when caring for patients with a chronic disease. To determine how Practice Nurses in three high income countries manage chronic disease.


      We searched Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, (CINAHL), and MEDLINE in February 2021. The initial search yielded 495 articles. Four hundred and sixty-four articles were excluded because they did not address the research question or included the community nurse or nurse practitioner. Nine articles with a total sample size of 1050 PN participants met the inclusion criteria.


      Six main themes were identified that outline the barriers and facilitators to the role of the practice nurse when managing chronic disease: financial incentives, funding, power differences between the nurse and patient and the nurse and doctor, time, education, and role ambiguity.


      Policy initiatives across the three countries were replicated with similar barriers and facilitators to the PN role.


      Working within a context driven by incentive funding and competing demands can be prohibitive to the effective management of chronic disease by the PN.


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