Parkinson's disease in primary health care and nursing care: a scoping review.
Simony Fabíola Lopes Nunes, Angela Maria Alvarez, Rafaela Vivian Valcarenghi
PMID 35293943WHAT IT FOUND
Nurses in primary care for Parkinson's disease mainly assess motor and non-motor symptoms, teach self-management, support daily activities, lead home visits, and run groups.
This scoping review maps care, not proof these actions improve outcomes.
Key findings
0144 articles met eligibility for this scoping review of nursing care for Parkinson's disease in primary health care.
02Nurses in primary care were described as assessing motor and non-motor symptoms, supporting daily activities, and providing self-management education to people with Parkinson's disease and their care partners.
03The review found little evidence about effectiveness because only some included clinical trials assessed care effectiveness.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review did not assess the methodological quality of the included studies. Language restrictions may have omitted relevant studies. No date limit meant very old studies were included alongside recent work. Few included studies considered the clinical stage of Parkinson's disease when recruiting participants. Only some included studies were clinical trials that tested effectiveness, so most findings describe care activities rather than proven outcomes. The studies on group supervised activities did not deeply describe local health conditions or intersectoral actions needed to plan group care.
The easy way to misread this
Do not read the mapped nursing activities as evidence that they improve Parkinson's outcomes. This scoping review did not assess effectiveness or study quality, and only some included trials tested care.