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An investigation of factors that impact patients' subjective experience of nurse-led clinics: a qualitative systematic review


Jakimowicz, S and Stirling, C and Duddle, M, An investigation of factors that impact patients' subjective experience of nurse-led clinics: a qualitative systematic review, Journal of Clinical Nursing, 24, (1-2) pp. 19-33. ISSN 0962-1067 (2015) [Refereed Article]

Copyright Statement

Copyright 2014 Wiley

DOI: doi:10.1111/jocn.12676


Aims and objectives: To systematically review the qualitative evidence on factors that affect the experience of patients attending nurse-led clinics and compare with key elements of person-centred care.

Background: As the number of nurse-led clinics increases in response to health system needs, evaluation has focused on clinical outcomes and cost. Patient experiences are less researched and yet, they are an important influence on clinical outcomes and an indicator of person-centred care. A detailed review of existing research in this area is needed.

Design: A systematic review of primary, qualitative literature was conducted using the Joanna Briggs Institute methodology of meta-aggregation.

Methods: Published research from 1990–2012 was located using CINAHL, PubMed, Medline and PsycINFO. Reference lists were searched and analysed. Two reviewers assessed the papers for methodological quality using instruments from the Joanna Briggs Institute to critically appraise, extract data and meta-aggregate findings.

Results: Eleven studies met all inclusion criteria. Three meta-synthesis statements were derived from 46 findings aggregated to nine categories. The key themes relating to establishment of a therapeutic relationship, effective communication, and clinical skills and collaboration mapped closely to the person-centred care framework.

Conclusion: Concepts central to person-centred care proved to be factors impacting patients’ subjective experience. Further research is warranted to meet the challenge to transform the key concepts of the person-centred care model into everyday nursing practice.

Relevance to clinical practice: Knowledge of patients’ feelings and the importance of person-centred, individualised care may contribute to development of future training and re-training programs in basic nursing skills. This is significant in that it contributes to future positive patient experience.

Item Details

Item Type:Refereed Article
Keywords:nurse-patient relationships, nursing models, nursing practice, patient experience, nurse clinics, systematic literature review, patient-centred care, qualitative approaches, meta-analyses
Research Division:Health Sciences
Research Group:Nursing
Research Field:Nursing not elsewhere classified
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Stirling, C (Professor Christine Stirling)
UTAS Author:Duddle, M (Dr Maree Duddle)
ID Code:94982
Year Published:2015 (online first 2014)
Web of Science® Times Cited:17
Deposited By:Health Sciences B
Deposited On:2014-09-22
Last Modified:2018-04-26

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