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Role of nurse practitioners in reducing cardiovascular risk factors: a retrospective cohort study

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  • Zalika Klemenc‐Ketis
  • Alenka Terbovc
  • Bostjan Gomiscek
  • Janko Kersnik

Abstract

Aims and objectives To determine the impact of nurse practitioners' counselling on reducing cardiovascular risk factors in patients participating in routine preventive check‐ups. Background A new model of ‘renewed’ family practice was introduced in Slovenia as a pilot project in 2011, in which nurse practitioners are included in a team carrying out preventive activities and managing patients with stable chronic diseases. Design A retrospective cohort study. Methods This study was conducted in 16 family medicine practices (eight renewed and eight regular family practices). In each family practice, a systematic sample was selected of registered patients participating in a cardiovascular preventive check‐up. Data on sex, age, blood pressure, cholesterol, blood sugar, smoking, level of physical activity and cardiovascular risk were collected. Patients attending renewed family practices received counselling on risk factors from nurse practitioners (test group), and patients attending regular family practices received counselling from family physicians (control group). Data were collected again at least one and no more than five years after the baseline consultation. Results There were 128 patients in the test group and 129 patients in the control group. At the control visit, the patients counselled by nurse practitioners had significantly lower levels of systolic blood pressure and cholesterol and practiced regular physical activity significantly more often than patients counselled by family physicians. Conclusion Nurse practitioners can be at least as successful as physicians when counselling patients on cardiovascular risk factors during their preventive check‐ups. Relevance to clinical practice This study showed that nurse practitioners have an important role in managing patients at the primary care level.

Suggested Citation

  • Zalika Klemenc‐Ketis & Alenka Terbovc & Bostjan Gomiscek & Janko Kersnik, 2015. "Role of nurse practitioners in reducing cardiovascular risk factors: a retrospective cohort study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3077-3083, November.
    • Handle: RePEc:wly:jocnur:v:24:y:2015:i:21-22:p:3077-3083
    DOI: 10.1111/jocn.12889
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    References listed on IDEAS

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    1. Mohammed A. Mohammed & Charlotte El Sayed & Tom Marshall, 2012. "Patient and Other Factors Influencing the Prescribing of Cardiovascular Prevention Therapy in the General Practice Setting With and Without Nurse Assessment," Medical Decision Making, , vol. 32(3), pages 498-506, May.
    2. Kenneth D Coburn & Sherry Marcantonio & Robert Lazansky & Maryellen Keller & Nancy Davis, 2012. "Effect of a Community-Based Nursing Intervention on Mortality in Chronically Ill Older Adults: A Randomized Controlled Trial," PLOS Medicine, Public Library of Science, vol. 9(7), pages 1-14, July.
    3. Zalika Klemenc‐Ketis & Andrej Kravos & Tonka Poplas‐Susič & Igor Švab & Janko Kersnik, 2014. "New tool for patient evaluation of nurse practitioner in primary care settings," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(9-10), pages 1323-1331, May.
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    Cited by:

    1. Naomi Aerts & Sibyl Anthierens & Peter Van Bogaert & Lieve Peremans & Hilde Bastiaens, 2022. "Prevention of Cardiovascular Diseases in Community Settings and Primary Health Care: A Pre-Implementation Contextual Analysis Using the Consolidated Framework for Implementation Research," IJERPH, MDPI, vol. 19(14), pages 1-26, July.
    2. Zalika Klemenc‐Ketis & Antonija Poplas‐Susič, 2017. "Are characteristics of team members important for quality management of chronic patients at primary care level?," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 5025-5032, December.

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