Culturally and linguistically diverse general practitioners’ utilisation of practice nurses

Halcomb, Elizabeth; Salamonson, Yenna; Cooper, Melissa; Clauson, Jennifer L; Lombardo, Lien

doi:10.1016/j.colegn.2012.05.001

Cited by 9 publications

(8 citation statements)

References 18 publications

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“…This is consistent with the literature which describes a level of confusion amongst New Zealand consumers about the PNs scope of practice and clinical skills [22-24]. Similarly, GPs have expressed confusion and uncertainty regarding the scope and expectations of the PN role [3,25]. Reasons for this uncertainty may be in part blamed on the disparate qualifications and variable skill mix of nurses employed in general practice.…”

Section: Discussionsupporting

confidence: 84%

“…To meet this growing demand there has been significant evolution of the primary health care workforce. In particular, there has been substantial growth and development in nursing services provided within general practice [3]. Indeed, many patients will visit their general practice and see only the practice nurse to receive health care services [4].…”

Section: Introductionmentioning

confidence: 99%

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A qualitative evaluation of New Zealand consumers perceptions of general practice nurses

2013

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BackgroundAn important consideration in health service delivery is ensuring that services meet consumer needs and that consumers are satisfied with service delivery. Patient satisfaction can impact on compliance with suggested treatments and therefore impact on health outcomes. Comparatively few studies have explored consumer satisfaction with nurses in general practice.MethodsA sub-group of 18 consumers from a larger quantitative evaluation of consumer satisfaction with New Zealand general practice nurses participated in semi-structured telephone interviews. Interview data was analysed using thematic analysis.ResultsFour major themes emerged from the data. These themes highlighted that, despite confusion experienced by some consumers regarding the practice nurse role, consumers were happy with the level of care provided by them. Consumers felt valued by Practice Nurses and considered them competent and highly knowledgeable. Findings also convey that consumers appreciate the accessibility and financial benefits of utilising the services of practice nurses.ConclusionsConsumers are highly satisfied with practice nurse service delivery and value their relationships with these health professionals. Consumers revealed that greater clarity around the practice nurse role and their scope of practice may enhance their utilisation. Spreading the message of practice nurses being the right person to deliver care, within their scope of practice, at the right time may have the potential to provide more timely care within the primary care setting.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

A qualitative evaluation of New Zealand consumers perceptions of general practice nurses

2013

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“…McCarthy et al [24] demonstrated that despite some congruence of opinion between GPs and PNs, there remained a degree of divergent opinion regarding the nursing roles, with GPs underestimating the PN scope of practice. Similarly, in their study of culturally and linguistically diverse solo Australian GPs, Halcomb et al [30] reported that GPs did not feel confident about the roles of nurses and their scope of practice. A factor complicating this issue in the Australian setting is the employment of both EN and RNs in general practice.…”

Section: Discussionmentioning

confidence: 99%

The evolution of nursing in Australian general practice: a comparative analysis of workforce surveys ten years on

et al. 2014

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BackgroundNursing in Australian general practice has grown rapidly over the last decade in response to government initiatives to strengthen primary care. There are limited data about how this expansion has impacted on the nursing role, scope of practice and workforce characteristics. This study aimed to describe the current demographic and employment characteristics of Australian nurses working in general practice and explore trends in their role over time.MethodsIn the nascence of the expansion of the role of nurses in Australian general practice (2003–2004) a national survey was undertaken to describe nurse demographics, clinical roles and competencies. This survey was repeated in 2009–2010 and comparative analysis of the datasets undertaken to explore workforce changes over time.ResultsTwo hundred eighty four nurses employed in general practice completed the first survey (2003/04) and 235 completed the second survey (2009/10). Significantly more participants in Study 2 were undertaking follow-up of pathology results, physical assessment and disease specific health education. There was also a statistically significant increase in the participants who felt that further education/training would augment their confidence in all clinical tasks (p < 0.001). Whilst the impact of legal implications as a barrier to the nurses’ role in general practice decreased between the two time points, more participants perceived lack of space, job descriptions, confidence to negotiate with general practitioners and personal desire to enhance their role as barriers. Access to education and training as a facilitator to nursing role expansion increased between the two studies. The level of optimism of participants for the future of the nurses’ role in general practice was slightly decreased over time.ConclusionsThis study has identified that some of the structural barriers to nursing in Australian general practice have been addressed over time. However, it also identifies continuing barriers that impact practice nurse role development. Understanding and addressing these issues is vital to optimise the effectiveness of the primary care nursing workforce.

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“…We believe many people with CHB are cared for by CALD GPs. GP attitudes towards nurse models of care and practice nurses varies; CALD GPs may be more reluctant than other GPs to uptake nurse led care when care is complex and they may feel their patients would not be receptive to this form of care (Halcomb, Salamonson, Cooper, Clauson, & Lombardo, 2013). In contrast to these perceptions the patients who returned the survey were very supportive of the model of care and all said they would recommend the clinic.…”

Section: Discussionmentioning

confidence: 60%

Feasibility, acceptability and safety of a nurse led hepatitis B clinic based in the community

et al. 2015

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Culturally and linguistically diverse general practitioners’ utilisation of practice nurses

Cited by 9 publications

References 18 publications

A qualitative evaluation of New Zealand consumers perceptions of general practice nurses

A qualitative evaluation of New Zealand consumers perceptions of general practice nurses

The evolution of nursing in Australian general practice: a comparative analysis of workforce surveys ten years on

Feasibility, acceptability and safety of a nurse led hepatitis B clinic based in the community

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