Cardiovascular disease management: Time to advance the practice nurse role?

Elizabeth J. Halcomb, Patricia M. Davidson, Rhonda Griffiths, John Daly

Research output: Contribution to journalArticlepeer-review

42 Scopus citations


Objective: More than two-thirds of health expenditure is attributable to chronic conditions, of which a significant proportion are related to cardiovascular disease. This paper identifies and explores the factors cited by practice nurses as impacting on the development of their role in cardiovascular disease management. Methods: Sequential mixed methods design combining postal survey (n=284) and telephone interviews (n=10) with general practice nurses. Results: The most commonly cited barriers to role extension were legal implications (51.6%), lack of space (30.8%), a belief that the current role is appropriate (29.7%), and general practitioner attitudes (28.7%). The most commonly cited facilitators of role extension were collaboration with the general practitioner (87.6%), access to education and training (65.6%), the opportunity to deliver primary health care (61.0%), a high level of job satisfaction (56.0%) and positive consumer feedback (54.6%). Conclusions: Australian government policy demonstrates a growing commitment to an extended role for general practice in primary health care and cardiovascular disease management. In spite of these promising initiatives, practice nurses face a range of professional and system barriers to extending their role. By addressing the barriers and enabling features identified in this investigation, there is potential to further develop the Australian practice nurse role in cardiovascular disease management.

Original languageEnglish (US)
Pages (from-to)44-55
Number of pages12
JournalAustralian Health Review
Issue number1
StatePublished - 2008
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy


Dive into the research topics of 'Cardiovascular disease management: Time to advance the practice nurse role?'. Together they form a unique fingerprint.

Cite this