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Cited by 51Health Policy Implementation ScienceBehavioral Health and InterventionsNursing Roles and Practices

Enhancing delivery of health behaviour change interventions in primary care: A meta-synthesis of views and experiences of primary care nurses

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Taylor, Claire A., Shaw, Rachel L., Dale, Jeremy, French, David P.·2011·Patient Education and Counseling
DOI 10.1016/j.pec.2010.10.001
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Abstract

Objective To systematically find and synthesise qualitative studies that elicited views and experiences of nurses involved in the delivery of health behaviour change (HBC) interventions in primary care, with a focus on how this can inform enhanced delivery and adherence to a structured approach for HBC interventions. Methods Systematic search of five electronic databases and additional strategies to maximise identification of studies, appraisal of studies and use of meta-synthesis to develop an inductive and interpretative form of knowledge synthesis. Results Nine studies met the inclusion criteria. Synthesis resulted in the development of four inter-linking themes; (a) actively engaging nurses in the process of delivering HBC interventions, (b) clarifying roles and responsibilities of those involved, (c) engaging practice colleagues, (d) communication of aims and potential outcomes of the intervention. Conclusion The synthesis of qualitative evidence resulted in the development of a conceptual framework that remained true to the findings of primary studies. This framework describes factors that should be actively promoted to enhance delivery of and adherence to HBC interventions by nurses working in primary care. Practice implications The findings can be used to inform strategies for researchers, policymakers and healthcare providers to enhance fidelity and support delivery of HBC interventions.

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  • The presence of clear incentivisation structures drove adoption, including non-financial incentives such as public recognition and access to training.

    “The presence of clear incentivisation structures was found to drive adoption: this included non-financial incentives such as public recognition [59] and access to training [60, 61].”

    From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [60]

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Authors
Taylor, C. A., Shaw, R. L., Dale, J., & French, D. P.
Affiliations
  • Coventry University (GB)
  • Aston University (GB)
  • University of Warwick (GB)
Corresponding author
Taylor, Claire A.
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2011-11
Volume
85
Issue
2
Pages
315-322
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2010.10.001
OpenAlex
W1977481430
Cited by
51
References
35
Citations by year
2025: 3 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 6 · 2016: 5 · 2015: 8 · 2014: 4 · 2013: 1 · 2012: 6
FWCI
5.69
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
  • Aston Publications Explorer (Aston University) (submittedVersion)
  • Research Explorer (The University of Manchester) (submittedVersion)
  • University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
Keywords
health behavior change interventions, primary care nurses, intervention delivery, intervention fidelity, nurse engagement, role clarity, conceptual framework, primary care
MeSH terms
Health Promotion, Humans, Nurse-Patient Relations, Patient Education as Topic, Primary Health Care, Health Behavior, Nurse's Role

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