at home, with (intervention group- self cardiovascular risk individuals in general pedometers, weighing monitoring at home). management practice. An added role for scales and/or BP devices. Costs per percent decrease in strategies. self-monitoring can be estimated 10-year considered only for females cardiovascular mortality of €98 11. NR. and higher educated compared with €187, for the individuals. control and intervention group 12. NR. respectively. 9. Standard cardiovascular risk management by practice nurses is more cost effective than additional intensive counselling based on monitoring. van Dillen and Hiddink. 1. NR. 4.Practice Nurses (n=1 to 8. Interventions where the 10. 6 studies identified 13. An MDT approach is (2014) n=606). nurse’s main role is primary funding as barrier for more desirable to weight 2. Lifestyle counselling. care provider larger effects on “lifestyle counselling”. management care. It The Netherlands 5. Weight Management. clinical outcomes are noted. remains unclear as to 3. NR. Outcomes of these studies were 11.Collaboration with whether a PN can provide Systematic Review (n=45) 6.General practice/primary divided into three categories: several disciplines. care as a case manager in care. positive, neutral, and negative. relation to lifestyle To “describe PNs’ actual role 10 out of 12 intervention RCTs 12. Time was counselling in weight in lifestyle counselling in 7.Practice Nurses. with PN achieved positive recognized as a barrier management. This may primary care and their outcomes. to nurses giving depend on context and cooperation with other lifestyle counselling in situational issues. health professionals” (p.2) 9. 26 studies identified that the six studies. role of the practice nurse in 14. Practice nurses need lifestyle counselling is needed; further training in case three interventions identified management of chronic that PN spend more time with diseases in primary care patients in consultation and settings prior to it therefore, patients were becoming an essential significantly more satisfied with component in the role of PNs’ care; 6 intervention the PN. studies indicated that PNs can attain similar health outcomes Transferring the as GPs for a range of diseases. responsibility of such care to PN may encourage
at home, with pedometers, weighing scales and/or BP devices. (intervention group- self monitoring at home). Costs per percent decrease in estimated 10-year cardiovascular mortality of €98 compared with €187, for the control and intervention group respectively. 9. Standard cardiovascular risk management by practice nurses is more cost effective than additional intensive counselling based on monitoring. cardiovascular risk management strategies. 11. NR. 12. NR. individuals in general practice. An added role for self-monitoring can be considered only for females and higher educated individuals. van Dillen and Hiddink. (2014) The Netherlands Systematic Review (n=45) To “describe PNs’ actual role in lifestyle counselling in primary care and their cooperation with other health professionals” (p.2) 1. NR. 2. Lifestyle counselling. 3. NR. 4.Practice Nurses (n=1 to n=606). 5. Weight Management. 6.General practice/primary care. 7.Practice Nurses. 8. Interventions where the nurse’s main role is primary care provider larger effects on clinical outcomes are noted. Outcomes of these studies were divided into three categories: positive, neutral, and negative. 10 out of 12 intervention RCTs with PN achieved positive outcomes. 9. 26 studies identified that the role of the practice nurse in lifestyle counselling is needed; three interventions identified that PN spend more time with patients in consultation and therefore, patients were significantly more satisfied with PNs’ care; 6 intervention studies indicated that PNs can attain similar health outcomes as GPs for a range of diseases. 10. 6 studies identified funding as barrier for “lifestyle counselling”. 11.Collaboration with several disciplines. 12. Time was recognized as a barrier to nurses giving lifestyle counselling in six studies. 13. An MDT approach is more desirable to weight management care. It remains unclear as to whether a PN can provide care as a case manager in relation to lifestyle counselling in weight management. This may depend on context and situational issues. 14. Practice nurses need further training in case management of chronic diseases in primary care settings prior to it becoming an essential component in the role of the PN. Transferring the responsibility of such care to PN may encourage