Evidence map›Paper›PMID 41020732›Full record

Observational studyPrimary health care research & development2025

Integrating nursing activities into general practices in Switzerland: a mixed-methods study.

Muriel Schütz Leuthold, Joëlle Schwarz, Fatima El Hakmaoui, Renzo Scuderi, Nicolas Senn, Christine Cohidon

Abstract readObservational Study
In one paragraph

Observational study in Primary health care research & development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Muriel Schütz LeutholdDepartment of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-8303-5126
Joëlle SchwarzDepartment of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-0992-3165
Fatima El HakmaouiDepartment of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0001-8410-0073
Renzo ScuderiDepartment of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.
Nicolas Senn *Department of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-9986-3249
Christine Cohidon *Department of Family Medicine, Center for Primary Care and Public Health, University of Lausanne, Lausanne, Switzerland.ORCID 0000-0003-2343-500X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study is to describe the rollout of nursing activities during the pilot project's first 12 months (2019-2021), especially relating to what was initially planned in the nurses' job description.

backgroundTo provide more comprehensive services and reinforce primary care, a pilot implementation study assessed the integration of nursing activities into eight general practitioners' (GPs') practices. The study evaluated how new types of activities were integrated and rolled out over the first year.

methodsA mixed-methods observational study collected quantitative data on nursing activities and duration and qualitative data via five interviews with nurses and patients and one focus group with six GPs. Investigators combined quantitative and qualitative data in discussions about their results.

resultsNew nursing activities were rolled out progressively, especially follow-up activities with chronically ill patients, with a median time dedicated/month of 21h58 (range: 9h25 to 64h50) at six months and 48h43 (range: 11h01 to 59h51) at 12 months. One-off clinical activities are more easily integrated: the median time dedicated/month was 40h01 (range: 13h44 to 74h53) at six months and 40h30 (range: 9h38 to 76h51) at 12 months. Three elements were crucial in the implementation of nursing activities. The nurse's previous professional experience influenced the scope of activities developed. GPs' willingness to refer patients to the nurses enabled the latter to carry out follow-up activities with care plan. Lastly, the implementation of nursing activities was also made possible by patients' acceptance of being cared for by nurse instead of a GP.

conclusionImplementation of nursing activities increased progressively, although more slowly for activities with chronically ill patients and within care plans, principally due to the overall change faced by GPs and nurses.

Indexed as

General PracticeAdultFemaleFocus GroupsGeneral PractitionersHumansMaleMiddle AgedNurse's RolePilot ProjectsPrimary Health CareQualitative ResearchSwitzerlandcase managementgeneral practicemixed-methodsnurseprimary care

Identifiers

PMID41020732
PMCPMC12555085

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.