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To explore how primary care practitioners, including nurses, provide dietary diabetes management to migrants.
The scoping review followed, a refined and structured methodological framework and adhered to the Joanna Briggs Institute Scoping Review guidelines.
Searches were conducted across CINAHL, PubMed, and Scopus databases to identify studies published between 2000 and 2024 that focus on dietary diabetes care for migrants in Primary Health Care settings. Data were synthesised using thematic analysis.
The search identified 377 studies, with 30 meeting the inclusion criteria. Analysis revealed four themes: (1) cultural influences on diabetes management, (2) culturally tailored dietary interventions, (3) communication challenges and (4) access and availability of diabetes care.
Culturally competent primary care practices are crucial for effective diabetes dietary management for migrants, as they can enhance patient engagement, adherence, and overall health outcomes. Primary care nurses are uniquely positioned to address the barriers experienced by migrant populations through tailored care delivery.
The findings provide actionable guidance for nurses to implement targeted and culturally responsive approaches in delivering dietary diabetes management, aiming to improve patient adherence and health outcomes among migrants.
This review identified significant literature gaps in how primary care nurses provide culturally responsive dietary guidance for migrant patients with diabetes. The four themes identified have emphasised the need for culturally preserving care to enhance patient engagement and adherence to clinical guidance. The findings will directly impact nursing practice, education, and clinical guidelines globally, enabling nurses to deliver more effective and culturally responsive diabetes care that improves diabetes-related disparities among migrants globally.
The review adhered to PRISMA-Sc guidelines.
No patient or public contribution. This review received no funding from public, commercial or not-for-profit sectors.
This scoping review aimed to explore and identify literature about the scope of practice for nurse practitioners working as immunisers in primary healthcare.
The review was conducted according to the JBI scoping review framework.
A comprehensive literature search was conducted on 11 December 2023 to identify primary studies examining the role of nurse practitioners in immunisation delivery within global primary healthcare settings. The inclusion criteria were limited to peer-reviewed primary research that specifically examined nurse practitioners’ roles in primary healthcare settings in immunisation clinics and/or administering immunisations. Data were systematically extracted using a data extraction table, and article screening was independently performed by two reviewers. Reporting of findings was guided by the PRISMA-ScR checklist.
Medline, Scopus and CINAHL including peer-reviewed literature from January 2000 to December 2023.
A total of 1025 articles were identified; following screening and removal of duplicates, 52 articles underwent full-text screening and 8 articles that met the inclusion criteria were included in this review. Themes were identified using a qualitative descriptive approach: nurse practitioner scope of practice in primary healthcare; nurse practitioners addressing service gaps in primary healthcare; and the nurse practitioner's role in immunisation provision in primary healthcare.
Findings suggest that the roles and responsibilities of nurse practitioners working in primary healthcare are highly variable. Little research has been conducted to explore the nurse practitioner's immuniser role in primary healthcare.
No patient or public involvement was included in this scoping review.
This review provides insight into the current knowledge about the Nurse Practitioner Immuniser role in Primary Healthcare. While Nurse Practitioners have contributed to public immunisation efforts globally, the role and scope of nurse practitioner immunisers in primary healthcare are still evolving.
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