Specialist liaison nurses

BMJ 1999;318:683-684 ( 13 March )

Editorials

Specialist liaison nurses

Evidence for their effectiveness is limited

General practice p 706

The first 150 words of the full text of this article appear below.

The number and the roles of clinical nurse specialists continue to increase in many areas of health care, despite limitedevidence about their use. Some see the role as a threat to generalistnurses¹ or even to primary care physicians. Nevertheless, nursesnow lead services, admit and discharge patients, make autonomousclinical decisions, and organise programmes of care.² Whatdo we know about the use of such nurses and about theireffectiveness?

The largest group of specialist nurse roles, in both hospital and community settings, are Macmillan nurses, who provide palliativecare, followed by specialist nurses in diabetes, asthma, stomawound care, infection control, and HIV/AIDS.³One more recent trend has been for clinical nurse specialistsbased in hospital to serve as liaison nurses to the community,providing care across organisational boundaries, particularlyin chronic disease management. A database maintained at the Universityof Sheffield identifies 603 specialist posts in 40 acute . . . [Full text of this article]

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Rapid Responses:

Read all Rapid Responses

Nurse specialists have been shown to be effective: Celia Palmer
bmj.com, 19 Mar 1999 [Full text]
Specialist liaison nurses: T J Hendra
bmj.com, 7 Apr 1999 [Full text]
Specialist liaison nurses: Susan Madge
bmj.com, 7 Apr 1999 [Full text]
Randomised controlled trials are not the only measure of 'effectiveness': Richard Wood, et al.
bmj.com, 9 Apr 1999 [Full text]
Adopting and adapting: Jane Shewan
bmj.com, 13 Apr 1999 [Full text]