Evidence map›Paper›PMID 42321777›Full record

ArticleBMC nursing2026

Patients' experiences with a nurse-led transmural headache care pathway: a qualitative study.

Cheryl van den Bovenkamp, Suzanne Geerts-van den Boogaard, Mieke Heitkamp-van Deursen, Suzanne van de Pasch, Melanie van Kranen, Anneke J A H van Vught, Lisa J C van Dongen

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Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Cheryl van den BovenkampCWZ Academy, Canisius Wilhelmina Hospital, Weg door Jonkerbos 100, Nijmegen, 6532SZ, The Netherlands. C.vandenbovenkamp@cwz.nl.ORCID http://orcid.org/0009-0007-8176-3964
Suzanne Geerts-van den BoogaardDepartment of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Mieke Heitkamp-van DeursenDepartment of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Suzanne van de PaschDepartment of Neurology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Melanie van KranenDepartment of Surgery, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
Anneke J A H van VughtCWZ Academy, Canisius Wilhelmina Hospital, Weg door Jonkerbos 100, Nijmegen, 6532SZ, The Netherlands.ORCID http://orcid.org/0000-0002-4266-744X
Lisa J C van DongenCWZ Academy, Canisius Wilhelmina Hospital, Weg door Jonkerbos 100, Nijmegen, 6532SZ, The Netherlands.ORCID http://orcid.org/0000-0001-7207-324X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeadaches cause high disease burden, and are often under-treated. Adequate treatment requires time and expertise, which can be limited in general practices. With the aim to improve the quality and accessibility of care, an unique nurse-led, digital transmural care pathway has been developed in which treatment is provided by nurse practitioners specialized in headache care. It is essential to understand patients' perspectives on the novice care pathway to uncover opportunities for enhancement.

objectiveTo explore patients' experiences with the nurse-led transmural headache care pathway, including experienced headache burden, improved headache control, and experiences with communication, person-centeredness, and accessibility within the care pathway.

methodThis descriptive qualitative study consisted of fourteen semi-structured interviews with patients included in the care pathway. The population consisted of patients with tension-type headache, migraine, and medication overuse headache. Data were analysed using thematic analysis by Braun and Clark.

resultsFive main themes emerged: (1) expectations related to the care pathway, where patients expressed a desire for reduced headache burden, support in understanding and managing their condition; (2) effectiveness of treatment on everyday functioning, with many participants experiencing fewer headaches and improved daily functioning; (3) digital communication contributing to more accessible care, where participants recognized digital care as accessible and time-saving. However in-person visits were preferred for initial contact, because digital care can feel more impersonal; (4) more insight into headaches due to the use of the digital diary app, where participants talked about gaining more insight into their headaches and mentioned opportunities to improve the app's usability; and (5) patient-centered care provided by the nurse practitioner, because of their expertise, listening abilities, and personalized approach to treatment.

conclusionThis care pathway was valued for its accessible, person-centered care and the nurse practitioner's expertise and personalized approach. However, improvements in digital headache app and holistic assessment (e.g., help identify triggers) could further increase its contribution to patient care. After treatment within the care pathway, many participants experienced reduced headache symptoms. Therefore, the care pathway has potential for wider implementation, enabling nurse practitioners to extend this care pathway to other headache patient groups.

Indexed as

Digital careMedication overuse headacheMigraineNurse practitionerQualitative studyTension-type headache

Identifiers

PMID42321777
PMCPMC13629100

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.