Evidence map›Paper›PMID 25880077›Full record

ArticleBMC family practice2015

Practice nurse chlamydia testing in Australian general practice: a qualitative study of benefits, barriers and facilitators.

Rebecca Lorch, Jane Hocking, Rebecca Guy, Alaina Vaisey, Anna Wood, Dyani Lewis, Meredith Temple-Smith, ACCEPt Consortium

Abstract read
In one paragraph

Article in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. A review of the growth and development of Australian practice nursing: Insights for the dietetic workforce.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rebecca LorchThe Kirby Institute, University of New South Wales, Sydney, NSW, Australia. rlorch@kirby.unsw.edu.au.
Jane HockingMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. j.hocking@unimelb.edu.au.
Rebecca GuyThe Kirby Institute, University of New South Wales, Sydney, NSW, Australia. rguy@kirby.unsw.edua.au.
Alaina VaiseyMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. amvaisey@unimelb.edu.au.
Anna WoodMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. annwood@unimelb.edu.au.
Dyani LewisMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. dlewis@unimelb.edu.au.
Meredith Temple-SmithDepartment of General Practice, University of Melbourne, Melbourne, VIC, Australia. m.temple-smith@unimelb.edu.au.
ACCEPt Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChlamydia infection is a significant public health issue for young people; however, testing rates in Australian general practice are low. Practice nurses (PNs) could have an important role in contributing to increasing chlamydia testing rates. The Australian Chlamydia Control Effectiveness Pilot (ACCEPt), a large cluster randomised control trial of annual testing for 16 to 29 year olds in general practice, is the first to investigate the role of PNs in maximising testing rates. In order to assess the scope for PN involvement, we aimed to explore PN's views in relation to involvement in chlamydia testing in general practice.

methodsSemi structured interviews were conducted between June 2011 and April 2012 with a purposive sample of 23 PNs participating in ACCEPt. Interview data was thematically analysed using a conventional content analysis approach.

resultsThe participants in our study supported an increased role for PNs in chlamydia testing and identified a number of patient benefits from this involvement, such as an improved service with greater access to testing and patients feeling more comfortable engaging with a nurse rather than a doctor. An alleviation of doctors' workloads and expansion of the nurse's role were also identified as benefits at a clinic level. Time and workload constraints were commonly considered barriers to chlamydia testing, along with concerns around privacy in the "small town" rural settings of the general practices. Some felt negative GP attitudes as well as issues with funding for PNs' work could also be barriers. The provision of training and education, streamlining chlamydia testing pathways in clinics and changes to pathology ordering processes would facilitate nurse involvement in chlamydia testing.

conclusionThis study suggests that PNs could take a role in increasing chlamydia testing in general practice and that their involvement may result in possible benefits for patients, doctors, PNs and the community. Strategies to overcome identified barriers and facilitate their involvement must be further explored.

Indexed as

Chlamydia trachomatisLicensed Practical NursesAdultChlamydia InfectionsClinical Nursing ResearchFemaleGeneral PracticeHumansMaleMiddle AgedProfessional RoleQualitative Research

Identifiers

PMID25880077
PMCPMC4371842

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.