specialist community nurses a critical analysis of their role in the management of long-term conditions专家社区护士的关键分析他们的角色在长期条件的管理.pdf

Int. J. Environ. Res. Public Health 2009, 6, 2550-2567; doi:10.3390/ijerph6102550 OPEN ACCESS International Journal of Environmental Research and Public Health ISSN 1660-4601 /journal/ijerph Review Specialist Community Nurses: A Critical Analysis of Their Role in the Management of Long-Term Conditions Gretl A. McHugh *, Maria Horne, Karen I. Chalmers and Karen A. Luker School of Nursing, Midwifery Social Work, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester M13 9PL, UK; E-Mails: maria.horne@manchester.ac.uk (M.H.); karen.chalmers@manchester.ac.uk (K.I.C.); karen.luker@manchester.ac.uk (K.A.L.) * Author to whom correspondence should be addressed; E-Mail: gretl.mchugh@manchester.ac.uk; Tel.: +44 161 306 7772; Fax: + 44 161 306 7867. Received: 3 September 2009 / Accepted: 25 September 2009 / Published: 29 September 2009 Abstract: The aim of this narrative review is to identify strategies in use by specialist community and public health nurses in the prevention, care and management of individuals with long-term conditions, specifically chronic obstructive pulmonary disease (COPD) and musculoskeletal disorders. These conditions have been selected as they are highly prevalent; a burden on health services globally and a major public health issue. From a UK policy perspective, specialist community nurses have b