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Cited by 167Nursing Roles and PracticesNursing education and managementHealthcare Quality and Satisfaction

The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index.

Impact of community based nurse-led clinics on patient outcomes, patient satisfaction, patient access and cost effectiveness: A systematic review

Randall, Sue, Crawford, Tonia, Currie, Jane, River, Jo, Betihavas, Vasiliki·2017·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2017.05.008
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Abstract

Background The role and scope of nursing practice has evolved in response to the dynamic needs of individuals, communities, and healthcare services. Health services are now focused on maintaining people in their communities, and keeping them out of hospital where possible. Community based nurse-led clinics are ideally placed to work towards this goal. The initial impetus for these services was to increase patient access to care, to provide a cost-effective and high quality streamlined service.Objectives This systematic review aimed to identify the impact of nurse-led clinics in relation to patient outcomes, patient satisfaction, impact on patient access to services, and cost effectiveness.Methods A review of community based nurse-led clinic research in Medline, CINAHL and Embase was undertaken using MeSH terms: Nurse-managed centres, Practice, Patterns, Nurse, Ambulatory Care, keywords: nurse-led clinic, nurse led clinic, community and phrases primary health care and primary care. Papers were appraised using the Joanna Briggs Appraisal criteria.Results The final review comprised 15 studies with 3965 participants. Most studies explored patient satisfaction which was largely positive towards nurse-led clinics. Patient outcomes reported were typically from self-report, although some papers addressed objective clinical measures; again positive. Access was reported as being increased. Cost-effectiveness was the least reported impact measure with mixed results.Conclusions Nurse-led clinics have largely shown positive impact on patient outcomes, patient satisfaction, access to care and mixed results on cost-effectiveness. Future research evaluating NLCs needs to adopt a standardised structure to provide rigorous evaluations that can rationalise further efforts to set up community based nurse-led clinical services.

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Crossref · 10.1016/j.ijnurstu.2017.05.008

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  1. O’Neill, 2009, Sexual health and health promotion for people living with HIV, HIV Nurs., 9, 19

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Metadata

Authors
Randall, S., Crawford, T., Currie, J., River, J., & Betihavas, V.
Corresponding author
Randall, Sue
ORCID
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2017-08
Volume
73
Pages
24-33
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2017.05.008
OpenAlex
W2613256203
Cited by
167
References
57
Citations by year
2026: 17 · 2025: 13 · 2024: 29 · 2023: 17 · 2022: 31 · 2021: 22 · 2020: 12 · 2019: 14 · 2018: 8 · 2017: 3
FWCI
1.78
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
  • Health Sciences › Nursing › Research and Theory › Nursing education and management
  • Health Sciences › Health Professions › General Health Professions › Healthcare Quality and Satisfaction
Keywords
nurse-led clinics, community-based care, patient satisfaction, patient outcomes, health care access, cost-effectiveness, primary care, outpatient care
MeSH terms
Cost-Benefit Analysis, Health Services Accessibility, Humans, Patient Satisfaction, Practice Patterns, Nurses'

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