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Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: qualitative evidence synthesis

2013; Elsevier BV; Linguagem: Inglês

10.1002/14651858.cd010412

1465-1858

Arash Rashidian, Elham Shakibazadeh, Akram Karimi Shahanjarini, Claire Glenton, Jane Noyes, Simon Lewin, Christopher J. Colvin, Miranda Laurant,

Primary Care and Health Outcomes

This is a protocol for a Cochrane Review (Qualitative). The objectives are as follows: This review aims to explore factors affecting the implementation of initiatives to substitute doctors with nurses in primary care. The review has following specific objectives: To identify, quality appraise and synthesise qualitative evidence on barriers and facilitators to the implementation of interventions to substitute doctors with nurses in primary care. To integrate the findings of this review of qualitative evidence with those of the relevant Cochrane review of effects, so as to enhance and extend understanding of how these complex interventions work and how context impacts on implementation. To identify hypotheses for sub‐group analyses of future updates of the Cochrane systematic review of the effectiveness of substituting doctors with nurses.