Document Type

Journal Article

Publication Title

Research in Nursing and Health

Volume

46

Issue

1

First Page

159

Last Page

176

PubMed ID

36566361

Publisher

Wiley

School

School of Nursing and Midwifery

RAS ID

52995

Comments

McCullough, K., Andrew, L., Genoni, A., Dunham, M., Whitehead, L., & Porock, D. (2023). An examination of primary health care nursing service evaluation using the Donabedian model: A systematic review. Research in Nursing & Health, 46(1), 159-176. https://doi.org/10.1002/nur.22291

Abstract

Nurses are key to the delivery of global primary health care services. However, there appears to be a lack of evaluation of primary health care nursing delivery models in the published literature. This evaluation is vital to the improvement of patient experiences, national and global health outcomes, and the justification of future investment in primary health care nursing services. The purpose of this review was to explore and analyze the literature that reports on the evaluation of primary health care nursing services, to ascertain the nature and utility of these evaluation methods, and identify opportunities for future research in this area. A systematic review of the published literature was conducted following PRISMA guidelines, using the databases CINAHL, Joanna Briggs Institute, MEDLINE, and Proquest. Thirty-two articles published between 2010 and 2022 were selected. Results were organized using the Donabedian model. A paucity of research into the evaluation of nurse-led primary health care services was noted. Where evident, evaluation of primary health care nursing services tended to reflect the medical model. Medical outcomes measures dominated evaluation criteria including diagnosis rates, prescription costs, and disease outcomes. Primary health care principles such as service accessibility, cultural appropriateness, and availability were rarely used. The perspectives and experiences of nurses were not sought in service evaluation, including most of the nurse-led services. Development of an evidence-base of nursing primary health care services that are informed by the nursing experience and apply a framework of universal primary health care principles across the structure, process, and outcomes aspects of the service is recommended.

DOI

10.1002/nur.22291

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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