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The review
The increasing burden of chronic disease and an ageing population in the developed world has led to a shift towards primary care to manage chronic and complex disease. This has prompted a growing interest in the nursing role within general practice. Various models of substitution, delegation and supplementation have been proposed in the literature.1 The impact of these models on patient outcomes and service delivery has only recently begun to receive attention. This article sought to review the recent evidence about the benefits and limitations of the role expansion of nurses in UK general practice.
An integrative review method was used to identify and synthesise the literature published since 2004 that investigated the role of nurses in UK general practice. The …