BACKGROUND UK general practitioners (GPs) refer patients with common mental disorders to community mental health nurses. AIMS To determine the effectiveness and cost-effectiveness of this practice. METHOD Randomised trial with three arms: usual GP care, generic mental health nurse care, and care from nurses trained in problem-solving treatment; 98 GPs in 62 practices referred 247 adult pati...

BACKGROUND The aim of this study was to evaluate whether community-based nurse-led continence care interventions are effective in improving outcomes for adult Chinese primary care patients with lower urinary tract symptoms (LUTS). RESEARCH DESIGN AND SUBJECTS A case-controlled intervention study was conducted. An intervention group of 360 primary care patients enrolled into a nurse-led contin...

INTRODUCTION Little is known about health care and social service professionals' perspective on the acceptability of long-term home-visit programs serving low-income, first-time mothers. This study describes the experiences and perspectives of these community care providers involved with program referrals or service delivery to mothers who participated in the Nurse-Family Partnership (NFP), a t...

The traditional means of providing mental health care (e.g. delivered in psychiatric facilities in face to face format) are not meeting many patient needs. The World Health Organization’s (WHO) Mental Health Action Plan [1] lists two key objectives for improving mental health care: integrating mental health care into community settings and strengthening information technology. Patients are more...

The purpose of this article is to explore and describe guidelines for integration of the primary health care approach into a Community Nursing Science Curriculum in a Nursing College in Gauteng. A qualitative, exploratory, descriptive and contextual research design was utilized. The focus group interviews were conducted with community nurses and nurse educators as respondents. Data were analyse...

A working party on education and training of the family health care team (Royal College of General Practitioners, 1969), drew attention to the need for training in a teaching health centre. The General Nursing Council (1969) in its syllabus has indicated the need for future nurses in training to be introduced to the concept of community care. With effect from 1971 every nurse in training must s...

OBJECTIVE To evaluate the effectiveness of a nurse led shared care programme to improve coronary heart disease risk factor levels and general health status and to reduce anxiety and depression in patients awaiting coronary artery bypass grafting (CABG). DESIGN Randomised controlled trial. SETTING Community, January 1997 to March 1998. STUDY GROUPS 98 (75 male) consecutive patients were re...

Public health officials need evidence-based methods for improving community disaster resilience and strategies for measuring results. This methods paper describes how one public health department is addressing this problem. This paper provides a detailed description of the theoretical rationale, intervention design and novel evaluation of the Los Angeles County Community Disaster Resilience Pro...

Task shifting should not be viewed as a panacea for the human-resources challenges facing sub-Saharan Africa. Rather, it must be part of an overall strategy that includes measures to increase, retain, and sustain health staff . In health care, the term “task shifting” generally refers to a process of delegation of tasks to health workers with lower qualifi cations. It may include task shifting ...