{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T10:46:04Z","timestamp":1787827564541,"version":"build-2784847793"},"reference-count":17,"publisher":"Wiley","issue":"17-18","license":[{"start":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T00:00:00Z","timestamp":1677801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and Objectives<\/jats:title><jats:p>The purpose of this study was to assess the safety, feasibility and effectiveness of a nurse\u2010led glaucoma assessment clinic service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Glaucoma is a group of serious, irreversible optic neuropathies that progressively damage the optic nerve resulting in blindness. Over 64.3 million people globally are affected by glaucoma with numbers projected to increase to 111.8 million by 2040. Glaucoma is a major public health concern that requires the development of innovative models of care to meet current and future health care demands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods\/Design<\/jats:title><jats:p>A mixed method design was used to evaluate the assessment of non\u2010complex glaucoma patients attending a new nurse\u2010led clinic. Under an ophthalmologist's supervision, the glaucoma nurse completed 100\u2009hof clinical training and assessment to ensure they were competent in completing and interpreting the required glaucoma assessment protocols.<\/jats:p><jats:p>Interrater reliability between the glaucoma nurse and ophthalmology doctor was undertaken. Glaucoma patient waitlist appointment data were also compared before and after the introduction of the nurse\u2010led clinics. This study adhered to the SQUIRE checklist for the reporting of excellence with quality improvement projects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient Contribution<\/jats:title><jats:p>Patients contributed to the evaluation of this new nurse\u2010led service by providing follow\u2010up feedback on their experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Agreement between clinicians for appropriate follow\u2010up appointment times was high with 93% (<jats:italic>n<\/jats:italic>\u00a0=\u2009315) agreement achieved. Furthermore in 297 (87.5%) cases, both clinicians agreed on the patient being referred to the doctor for follow\u2010up review. Glaucoma consultations were shown to increase from 3,115 appointments in 2019\/20 to 3,504 appointments in 2020\/21 after the introduction of the nurse\u2010led clinic. The nurse\u2010led clinics accounted for 14.5% (<jats:italic>n<\/jats:italic>\u00a0=\u2009512) of clinic appointments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The introduction of the nurse\u2010led glaucoma assessment clinic service allowed patients to be reviewed safely, efficiently and satisfactorily. This new service subsequently allowed for more complex glaucoma patients to be seen by\u00a0the ophthalmologists.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Findings revealed that suitably trained glaucoma nurses are able to clinically assess and safely monitor stable non\u2010complex glaucoma patients.<\/jats:p><jats:p>Highlights the need for appropriate investment in clinical training and supervision to ensure that glaucoma assessment nurses are adequately prepared to undertake this new practice role.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16670","type":"journal-article","created":{"date-parts":[[2023,3,4]],"date-time":"2023-03-04T02:24:20Z","timestamp":1677896660000},"page":"6743-6750","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of a nurse\u2010led glaucoma assessment clinic for <scp>non\u2010complex<\/scp> patients"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5318-1026","authenticated-orcid":false,"given":"Jeanne","family":"Young","sequence":"first","affiliation":[{"name":"Royal Perth Bentley Group (RPBG) Organisational Learning and Development  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Entwistle","sequence":"additional","affiliation":[{"name":"Outpatients Department Royal Perth Bentley Group (RPBG)  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Louis","family":"DeSousa","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Royal Perth Bentley Group (RPBG)  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredyth","family":"Haigh","sequence":"additional","affiliation":[{"name":"Royal Perth Bentley Group (RPBG) Organisational Learning and Development  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Royal Perth Bentley Group (RPBG) Organisational Learning and Development  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Hill","sequence":"additional","affiliation":[{"name":"Outpatients Department Royal Perth Bentley Group (RPBG)  Perth Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.11686"},{"key":"e_1_2_11_3_1","volume-title":"Asia\u2010Pacific glaucoma guidelines","author":"Asia\u2010Pacific Glaucoma Society","year":"2016"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433\u2010021\u201001394\u20104"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13205"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jorc.12189"},{"key":"e_1_2_11_7_1","volume-title":"Terminology and guidelines for glaucoma","author":"European Glaucoma Society","year":"2020"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2020.10.023"},{"key":"e_1_2_11_9_1","volume-title":"Clinical decisions in glaucoma","author":"Hodapp E.","year":"1993"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol\u20102017\u2010311786"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol\u20102019\u2010315330"},{"key":"e_1_2_11_12_1","unstructured":"Kong G. Pandav S. Crowston J. &Coote M.(2015).The Glaucomatous Optic Neuropathy Evaluation Project. Retrieved February 6 2020 fromhttps:\/\/gone\u2010project.com\/newgone\/"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2012.031"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.09.043"},{"key":"e_1_2_11_15_1","volume-title":"Royal Perth Hospital ophthalmology outpatient statistics","author":"Royal Perth Hospital","year":"2021"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2012.62"},{"issue":"1","key":"e_1_2_11_17_1","first-page":"38","article-title":"The impact of a glaucoma nurse specialist role on glaucoma waiting lists","volume":"25","author":"Slight C.","year":"2009","journal-title":"Nursing Praxis in New Zealand"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2014.05.013"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.16670","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.16670","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.16670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T19:30:59Z","timestamp":1760556659000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.16670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,3]]},"references-count":17,"journal-issue":{"issue":"17-18","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1111\/jocn.16670"],"URL":"https:\/\/doi.org\/10.1111\/jocn.16670","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,3]]},"assertion":[{"value":"2022-08-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}