Barriers to developing the nurse practitioner role in primary care--the GP perspective

Abstract

There is a need to acknowledge GP concerns and encourage a more widespread debate about the appropriate mix of skills required in primary care. Joint educational events and the development of GP preceptorship may help to develop a greater understanding of the potential value of advanced nursing roles in general practice.

Being strategic: Utilising consumer views to better promote an expanded role for nurses in Australian general practice

“…Similar to other studies (Wilson et al 2002), the consumers who had previously had contact with a general practice nurse, could see that general practice nurses could perhaps undertake initial assessment of their presenting condition, whilst still maintaining the quality of the service. However, the role of nurses performing comprehensive health assessments and directing and coordinating primary care services is something unfamiliar to Australian consumers.…”

“…The role of general practices as primary health care settings and the role of the nurse in these settings is not a new concept in the United Kingdom (UK). In the UK nurses not only work with GPs in the provision of services, they also provide walk-in primary care services from nurse-led clinics (Wilson et al 2002). In Australia, Government funding and initiatives have only recently focussed on the role that nurses in general practice might play as health professionals.…”

Using the Consolidated Framework for Implementation Research to Evaluate a New Discharge Medication Prescription Pathway

“…Research shows that task and professional boundaries are important factors influencing clinicians' attitudes towards role change. These needed to be acknowledged and addressed (Kronus, 1976;Wilson et al, 2002). Strategies to reduce the impact of these individual barriers included -one-to-one meetings with staff to address their concerns, suggesting, leading and supporting small-scale evaluation projects, supporting individual pharmacists to write up and present project results locally and nationally, and visible recognition of successes within the department.…”

A qualitative study of stakeholder views of a community-based anticipatory care service for patients with COPD

“…29,30 Implications for future research, policy and practice While supportive of the service development, community nurses did not wish to be directly involved, in misalignment with the Scottish Government's proposals of extended community nursing roles including coordinating services and anticipatory care. 31 General practitioners also did not support the development of a CBACS, possibly due to concerns about yet another extended role proposed for other healthcare professionals about whose capabilities they doubt 32 and/or their acknowledgement of the complex nature of COPD care due to co-morbidities and their impact on outcomes. Their views need to be explored further.…”