Factors influencing the implementation of a general practice nurse-led intervention to improve social connectedness among older people in Australia: a qualitative descriptive study.

Background: Social connection is fundamental to healthy ageing reducing the serious health impacts of loneliness and social isolation. General practice nurses (GPNs) have skills in assessing and responding to older people's complex needs, applicable to nurse-led interventions strengthening older peo...

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Published in:Journal of Research in Nursing Vol. 31; no. 3/4; pp. 243 - 260
Main Authors: Thompson, Cristina, Halcomb, Elizabeth, Montgomery, Amy, Peters, Kath
Format: research tables/charts Journal Article
Published: Sage Publications Inc. Jun2026
Online Access:View this record in EBSCOhost
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      jtl: Journal of Research in Nursing
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      dt: Jun2026
      vid: 31
      iid: 3/4
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/17449871251410561
        193813418
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        atl: Factors influencing the implementation of a general practice nurse-led intervention to improve social connectedness among older people in Australia: a qualitative descriptive study.
      aug:
        au:
          Thompson, Cristina
          Halcomb, Elizabeth
          Montgomery, Amy
          Peters, Kath
        affil: Health Innovations, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, NSW, Australia
      sug:
        subj:
          Family Nurses
          Nursing Interventions
          Nursing Role
          Interpersonal Relations In Old Age
          Program Implementation
          Loneliness Prevention and Control
          Healthy Aging
          Social Isolation Prevention and Control
          Health Services for Older Persons Australia
          Outcomes (Health Care)
          Human
          Australia
          Funding Source
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Qualitative Studies
          Descriptive Research
          Multimethod Studies
          Semi-Structured Interview
          Audiorecording
          Reflection
          Thematic Analysis
          Descriptive Statistics
          Data Analysis Software
          Social Behavior
          Patient Attitudes
          Social Participation
          Family Support
          Ageism
          Autonomy
          Nurse Attitudes
          Program Evaluation
          Organizational Culture
          Teamwork
          Implementation Science
          Social Environment
          Support, Social
          Natural Disasters
          COVID-19
          Financial Support
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Social connection is fundamental to healthy ageing reducing the serious health impacts of loneliness and social isolation. General practice nurses (GPNs) have skills in assessing and responding to older people's complex needs, applicable to nurse-led interventions strengthening older people's social connections. Aim: To explore factors influencing the implementation of a GPN-led social prescribing intervention to improve social connectedness among older people. Methods: A qualitative descriptive study was conducted through semi-structured interviews (n = 13) and two focus groups with eight Australian GPNs exploring intervention implementation. The intervention comprised assessment, goal setting, co-production of personalised plans, referral, and follow-up. Data were inductively analysed using reflexive thematic analysis. Results: Themes revealed individual, organisational, and system-level factors that influenced implementation. Barriers included the attitudes and priorities of older people, the disruptive environmental context arising from natural disasters, and system factors including primary care funding and community infrastructure. Family support, positive general practice workplace cultures, and intervention adaptability were enabling factors. Conclusions: GPNs were able to integrate the intervention into their usual workflow and appropriately respond to lonely and socially isolated older people. However, GPN-led interventions are currently limited by funding models. Building nursing workforce capacity can support integrated health and social care for older people.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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