School of Nursing, University of Wollongong, Auckland Street, Bega, NSW 2550, Australia; and Corresponding author. Email:
School of Nursing, University of Wollongong, Northfields Avenue, Wollongong, NSW 2522, Australia.
Aust J Prim Health. 2021 Feb;27(1):30-35. doi: 10.1071/PY20139.
Lifestyle risk factors are antecedents to many chronic conditions and are largely modifiable. Health professional support is often sought to reduce lifestyle risk. The ongoing relationship general practice nurses typically have with patients situates them ideally to provide this support. This paper explores the barriers and facilitators to lifestyle risk communication by registered nurses (RNs) in Australian general practice. Fifteen general practice RNs from south-eastern Australia participated in semistructured interviews. Verbatim transcriptions of the audio-recorded interviews were analysed using thematic analysis. Six themes emerged in terms of perceived barriers and facilitators: educational preparation and confidence; organisational and funding arrangements; lifestyle risk prioritisation; organisational support; autonomous roles; and supporting patients' needs. Although communication about lifestyle risk factors is within the general practice nurses' scope of practice, concerted efforts fostering interdisciplinary collaboration, the prioritisation of time, funding and educational opportunities would better support this role, at the same time optimising chronic disease management and patient outcomes.
生活方式风险因素是许多慢性疾病的前兆，且在很大程度上是可以改变的。人们通常寻求健康专业人员的支持，以减少生活方式风险。全科护士与患者之间持续的关系使他们成为提供这种支持的理想人选。本文探讨了澳大利亚全科医疗中注册护士（RN）进行生活方式风险沟通的障碍和促进因素。来自澳大利亚东南部的 15 名全科护理 RN 参加了半结构化访谈。对录音采访的逐字转录进行了主题分析。在感知到的障碍和促进因素方面，出现了六个主题：教育准备和信心；组织和资金安排；生活方式风险的优先级；组织支持；自主角色；以及满足患者需求。尽管有关生活方式风险因素的沟通属于全科护士的执业范围，但需要共同努力促进跨学科合作，优先考虑时间、资金和教育机会，以更好地支持这一角色，同时优化慢性病管理和患者的结果。
