{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:19:14Z","timestamp":1785424754402,"version":"3.56.0"},"reference-count":28,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian College of Nursing\u2019s Emerging Research Leader Program"},{"id":[{"id":"https:\/\/ror.org\/03jsnw290","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: Bronchiectasis is a chronic respiratory condition characterised by irreversible airway dilation and recurrent infections, resulting in significant symptom burden and frequent healthcare utilisation. Although nurses are central to chronic respiratory disease management, their specific roles and responsibilities in outpatient bronchiectasis care remain poorly defined. Understanding these roles is imperative to support workforce planning, optimise multi-disciplinary collaboration, and improve patient outcomes. Aim: This scoping review aimed to map and synthesise existing evidence on the roles and responsibilities of nurses involved in the outpatient management of adults with non-cystic fibrosis bronchiectasis. Methods: A scoping review was conducted. Six databases were systematically searched (MEDLINE, CINAHL Complete, Central, Web of Science, and ProQuest Dissertations and Theses Citation Index). Records describing nursing roles, responsibilities, or models of care within outpatient bronchiectasis settings were included (any design). Data was analysed descriptively and thematically. Results: Five studies and two international clinical practice guidelines published between 2002 and 2025 were included. Nurses were shown to play roles across five key domains: 1. clinical assessment and monitoring, 2. self-management support and patient education, 3. care co-ordination and multi-disciplinary collaboration, 4. patient advocacy and communication, and 5. leadership and service development. Evidence on measurable outcomes and standardised role definitions remains limited. Conclusions: This review mapped five domains within which nurses may contribute to outpatient bronchiectasis care; however, most identified roles and responsibilities were derived from multi-disciplinary recommendations rather than explicit descriptions of nursing practice. Further research is required to better define nursing roles and responsibilities and evaluate nurse-led models of care in bronchiectasis outpatient care settings.<\/jats:p>","DOI":"10.3390\/nursrep16070242","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T01:05:58Z","timestamp":1784077558000},"page":"242","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nursing Roles and Responsibilities in Outpatient Bronchiectasis Care: A Scoping Review"],"prefix":"10.3390","volume":"16","author":[{"given":"Keirran","family":"Hiscock","sequence":"first","affiliation":[{"name":"Adults Cystic Fibrosis and Respiratory Research Department, The Prince Charles Hospital, Metro North, Chermside, Brisbane, QLD 4032, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3014-8797","authenticated-orcid":false,"given":"Rebecca Miriam","family":"Jedwab","sequence":"additional","affiliation":[{"name":"Nursing and Midwifery Informatics, Department of Clinical Informatics, Monash Health, Clayton, VIC 3168, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2501126","DOI":"10.1183\/13993003.01126-2025","article-title":"European Respiratory Society Clinical Practice Guideline for the Management of Adult Bronchiectasis","volume":"66","author":"Chalmers","year":"2025","journal-title":"Eur. Respir. J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"200","DOI":"10.5694\/j.1326-5377.2002.tb04733.x","article-title":"Bronchiectasis in Indigenous children in remote Australian communities","volume":"177","author":"Chang","year":"2002","journal-title":"Med. J. Aust."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"00340-2022","DOI":"10.1183\/23120541.00340-2022","article-title":"Assessment of factors and interventions towards therapeutic adherence among persons with non-cystic fibrosis bronchiectasis","volume":"8","author":"Thornton","year":"2022","journal-title":"ERJ Open Res."},{"key":"ref_4","unstructured":"Australian Institute of Health and Welfare (AIHW) (2026, March 12). Chronic Respiratory Conditions: Bronchiectasis, Available online: https:\/\/www.aihw.gov.au\/reports\/chronic-respiratory-conditions\/bronchiectasis."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1578","DOI":"10.1111\/imj.70116","article-title":"Turning the tide on bronchiectasis in adult Aboriginal Australians: From neglect to action","volume":"55","author":"Heraganahally","year":"2025","journal-title":"Intern. Med. J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1002\/ppul.24696","article-title":"A decade on: Follow-up findings of indigenous children with bronchiectasis","volume":"55","author":"McCallum","year":"2020","journal-title":"Pediatr. Pulmonol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1111\/resp.13451","article-title":"Paediatric and adult bronchiectasis: Monitoring, cross-infection, role of multidisciplinary teams and self-management plans","volume":"24","author":"Navaratnam","year":"2019","journal-title":"Respirology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1177\/1479972316687208","article-title":"Clinical effectiveness of self-management interventions in chronic obstructive pulmonary disease: An overview of reviews","volume":"14","author":"Murphy","year":"2017","journal-title":"Chronic Respir. Dis."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"103986","DOI":"10.1016\/j.ijnurstu.2021.103986","article-title":"Effectiveness of nurse-led services for people with chronic disease in achieving an outcome of continuity of care at the primary-secondary healthcare interface: A quantitative systematic review","volume":"121","author":"Davis","year":"2021","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Aranburu-Imatz, A., L\u00f3pez-Carrasco, J.d.l.C., Moreno-Luque, A., Jim\u00e9nez-Pastor, J.M., Valverde-Le\u00f3n Mdel, R., Rodr\u00edguez-Cort\u00e9s, F.J., Ar\u00e9valo-Buitrago, P., L\u00f3pez-Soto, P.J., and Morales-Can\u00e9, I. (2022). Nurse-Led Interventions in Chronic Obstructive Pulmonary Disease Patients: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19159101"},{"key":"ref_11","first-page":"A130","article-title":"The role of paediatric respiratory nurse specialist in management of non-CF bronchiectasis","volume":"76","author":"Smith","year":"2021","journal-title":"Thorax"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1111\/resp.14322","article-title":"Thoracic Society of Australia and New Zealand Position Statement: Respiratory nursing","volume":"27","author":"Smith","year":"2022","journal-title":"Respirology"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"107503","DOI":"10.1016\/j.rmed.2023.107503","article-title":"Applying the treatable traits approach in bronchiectasis\u2014A scoping review of traits, measurements and treatments implemented by allied health professionals and nurses","volume":"222","author":"Watson","year":"2024","journal-title":"Respir. Med."},{"key":"ref_14","first-page":"e2826","article-title":"Advanced Practice Nursing: A Strategy for Achieving Universal Health Coverage and Universal Access to Health","volume":"25","author":"Valaitis","year":"2017","journal-title":"Rev. Lat.-Am. DE Enferm."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1136\/bmjebm-2018-110893","article-title":"Prevention of exacerbations in patients with stable non-cystic fibrosis bronchiectasis: A systematic review and meta-analysis of pharmacological and non-pharmacological interventions","volume":"23","author":"Hill","year":"2018","journal-title":"BMJ Evid.-Based Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1080\/1364557032000119616","article-title":"Scoping studies: Towards a methodological framework","volume":"8","author":"Arksey","year":"2005","journal-title":"Int. J. Soc. Res. Methodol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1186\/1748-5908-5-69","article-title":"Scoping studies: Advancing the methodology","volume":"5","author":"Levac","year":"2010","journal-title":"Implement. Sci."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Aromataris, E., Lockwood, C., Porritt, K., Pilla, B., and Jordan, Z. (2024). JBI Manual for Evidence Synthesis, JBI.","DOI":"10.46658\/JBIMES-24-01"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/XEB.0000000000000050","article-title":"Guidance for conducting systematic scoping reviews","volume":"13","author":"Peters","year":"2015","journal-title":"Int. J. Evid.-Based Healthc."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1186\/s13643-021-01821-3","article-title":"Scoping reviews: Reinforcing and advancing the methodology and application","volume":"10","author":"Peters","year":"2021","journal-title":"Syst. Rev."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Ann. Intern. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1136\/thorax.57.8.661","article-title":"A randomised controlled trial of nurse practitioner versus doctor-led outpatient care in bronchiectasis","volume":"57","author":"Sharples","year":"2002","journal-title":"Thorax"},{"key":"ref_23","first-page":"CD004359","article-title":"Nurse-led versus doctor-ed care for bronchiectasis","volume":"2018","author":"Lawton","year":"2018","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_24","first-page":"29","article-title":"The nurse\u2019s role in managing patients with bronchiectasis: An overview of treatment and management","volume":"105","author":"Peres","year":"2009","journal-title":"Nurs. Times"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1136\/thorax.57.8.659","article-title":"Do nurses do it better?","volume":"57","author":"Rafferty","year":"2002","journal-title":"Thorax"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1080\/17476348.2025.2453652","article-title":"Towards the integrated care of COPD, asthma and bronchiectasis: Description and objectives of a treatable trait-based complex obstructive airway disease unit","volume":"19","author":"Cosio","year":"2025","journal-title":"Expert Rev. Respir. Med."},{"key":"ref_27","first-page":"1","article-title":"British Thoracic Society (BTS) guideline for bronchiectasis in adults","volume":"74","author":"Hill","year":"2019","journal-title":"Thorax"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1089\/acm.2005.11.s-7","article-title":"Finding Common Ground: Patient-Centeredness and Evidence-Based Chronic Illness Care","volume":"11","author":"Wagner","year":"2005","journal-title":"J. Altern. Complement. Med."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/7\/242\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T01:31:59Z","timestamp":1784079119000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/16\/7\/242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,14]]},"references-count":28,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["nursrep16070242"],"URL":"https:\/\/doi.org\/10.3390\/nursrep16070242","relation":{},"ISSN":["2039-4403"],"issn-type":[{"value":"2039-4403","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,14]]}}}