The development of professional practice standards for Australian general practice nurses

Halcomb, Elizabeth; Stephens, Moira; Bryce, Julianne; Foley, Elizabeth; Ashley, Christine

doi:10.1111/jan.13274

Cited by 80 publications

(32 citation statements)

References 27 publications

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“…In contrast, the lowest scoring item in this factor related to being able to “use my skills and abilities optimally.” The presence of significant funding and organizational and professional barriers to nurses working to the full extent of their scope of practice in general practice has been reported in the Australian literature for over a decade (Halcomb, Davidson, Griffiths, & Daly, 2008; Halcomb et al, 2008; Halcomb et al, 2017). This literature describes how participating Australian general practice nurses feel that they could engage in additional and more complex clinical tasks than they currently undertake (Halcomb, Davidson, Griffiths, et al, 2008; Halcomb et al, 2008; Halcomb et al, 2017). However, barriers such as funding, general practitioner attitudes, and time‐workload constraints inhibit these nurses from working closer to the extent of their practice scope.…”

Section: Discussionmentioning

confidence: 99%

“…This is only an estimate, however, as the exact number of nurses employed in general practice is unclear given that they are employed by a vast number of individual small businesses and corporate chains (Australian Medicare Local Alliance, 2012). As the acuity and prevalence of chronic and complex conditions within the community has increased, the role of the general practice nurse has also developed to extend closer to the extent of the nurses’ scope of practice (Halcomb, Stephens, Bryce, Foley, & Ashley, 2017).…”

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confidence: 99%

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Job Satisfaction and Career Intention of Australian General Practice Nurses: A Cross‐Sectional Survey

Halcomb

Bird

2020

J of Nursing Scholarship

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Purpose: The nursing workforce in Australian general practice has increased exponentially in size over recent years to meet the growing demand for health care. Nurses are more likely to remain working if they are satisfied with their jobs. Satisfaction is impacted by a complex range of factors, including the environment, workplace relationships, and the nurses' role. Therefore, satisfaction data cannot be generalized across disparate clinical settings. This study sought to investigate the job satisfaction and turnover intentions of nurses working in Australian general practice. Design and Methods: A cross-sectional online survey of nurses employed in general practices across Australia was conducted using convenience and snowball sampling techniques. The survey tool contained a 29-item job satisfaction scale and 8 items around turnover intention. Findings: 786 responses were included in the analysis. Respondents were most satisfied with the work nature aspects of their job and least satisfied with the pay items. While most participants intended to stay in nursing (86%) and general practice (77%) employment, a substantial group were undecided about their future (16%). Those who were dissatisfied with their job or neutral in their satisfaction were more likely to be intending to leave than those who were satisfied with their job. Conclusions: This is the first study of job satisfaction and turnover intention reported about nurses working in Australian general practice. It has highlighted that a substantial proportion of the workforce is undecided about their future. Therefore, strategies need to be developed to address the issues raised around job satisfaction to reduce the potential loss of these skilled nurses. Clinical Relevance: Those intending to leave general practice nursing are more likely to be dissatisfied in their jobs. Understanding the factors that impact job satisfaction is important to inform strategies that will facilitate retention of nurses in general practice employment.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Job Satisfaction and Career Intention of Australian General Practice Nurses: A Cross‐Sectional Survey

Halcomb

Bird

2020

J of Nursing Scholarship

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“…Broadening collaboration towards an interprofessional approach creates the need for training and evaluation at a team level (Supper et al, ). The development of national professional practice standards for PNs working in Belgian general practice, as proposed by Halcomb, Stephens, Bryce, Foley, & Ashley (), might support the ongoing transition in PHC. Such standards could contribute to defining the role and scope of the PN and transparency thereof for both HCP and patient and, in addition, guide curriculum development, the practical implementation of nursing skills in specific settings and measurement of performance; all of which are actions that have been put forth as much needed during our interviews.…”

Section: Discussionmentioning

confidence: 99%

Integration of nurses in general practice: A thematic synthesis of the perspectives of general practitioners, practice nurses and patients living with chronic illness

Aerts

Bogaert

Bastiaens

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore the views of general practitioners, practice nurses and patients on interprofessional collaboration in general practice and to understand to what extent the nurse–doctor relationship meets their needs and expectations. Background To address future challenges of primary health care, there is a need for integrated interprofessional collaboration care systems with a patient‐centred focus. Worldwide, there is an integration of nurses in general practice. However, in a transitioning Belgian context little is known about the perspectives of three key stakeholder groups. Design The results of four qualitative descriptive primary studies were triangulated and a secondary analysis resulted in a thematic synthesis within a pragmatic research paradigm. Methods Primary data were collected through individual, semi‐structured interviews with 7 general practitioners, 19 practice nurses and 21 patients living with chronic illness in 26 primary care centres with different nurse integration levels. We conducted a secondary analysis for the thematic synthesis of the different stakeholders’ perspectives. This study was reported in accordance with the COREQ checklist. Results Four overarching themes were found as follows: vision and mission at general practice level, patient‐centred care, practice nurse role development and interprofessional collaboration. Interprofessional collaboration within general practice ensures better response to patient needs. Evolution of the practice nurse role to autonomous decision‐making can be facilitated by clear vision and mission, team communication, complementarity of responsibilities and trust‐based professional relationships. Conclusions The key for patient‐centred care in a well‐organised practice is a clear vision and mission and well‐defined task description for interprofessional collaboration. General practice is urging for systematic guidance for the sustainable integration of a practice nurse. Relevance to clinical practice Our study highlights opportunities and challenges to nurse integration in general practice from key stakeholders’ perspectives, which can inform other transitioning contexts.

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“…General practice nurses are either baccalaureate prepared registered, or diploma prepared enrolled, nurses who are employed within a general practice. As registered or enrolled nurses, they practice (Halcomb, Stephens, Bryce, Foley, & Ashley, 2017;Nursing andMidwifery Board of Australia, 2016a, 2016b). General practice nurses have been demonstrated to provide care that is acceptable to consumers (Cheek et al, 2002;Halcomb, Caldwell, Davidson, & Salamonson, 2011;Hegney, Price, Patterson, Martin-McDonald, & Rees, 2004).…”

Section: Literature Reviewmentioning

confidence: 99%

Health screening for women with physical disability in Australian general practice: A survey

2019

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Background: Early detection of gynaecological issues improves health outcomes and reduces mortality. Such early detection is best achieved via regular, proactive health screening. Like other disadvantaged groups, women with physical disability have much lower gynaecological screening rates than the general population. Aim: The aim of this paper is to explore the current role of general practice nurses in women's health screening for individuals with physical disability. Methods: A national online survey of Australian general practice nurses was conducted. Findings: One hundred and seventy-eight general practice nurses completed the survey. Sixty-one percent reported having experience in working with people with a physical disability. Around one third of participants reported having completed specific education about physical disability. Most general practices implemented strategies to facilitate physical access for those with disability. However, few general practices had a medical records system that enabled identification of physical disability. Thirtyseven participants reported providing women's health screening for 89 women with a physical disability in the 4 weeks prior to the survey. A range of strategies were used to support women during these screening procedures. These could be broadly classified into; a) providing practical assistance to facilitate screening, and b) modifying technique and positioning for comfort. Conclusions: The limited experience with disability amongst an experienced nursing cohort, and the difficulty inherent in identifying those with a disability within recall and reminder systems, adds complexity to the provision of screening for women with a disability. Whilst participants articulated some innovative and creative strategies to assist women with a disability during health screening, enhanced awareness amongst nurses and proactive strategies would likely enhance service accessibility in this vulnerable group.

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The development of professional practice standards for Australian general practice nurses

Cited by 80 publications

References 27 publications

Job Satisfaction and Career Intention of Australian General Practice Nurses: A Cross‐Sectional Survey

Job Satisfaction and Career Intention of Australian General Practice Nurses: A Cross‐Sectional Survey

Integration of nurses in general practice: A thematic synthesis of the perspectives of general practitioners, practice nurses and patients living with chronic illness

Health screening for women with physical disability in Australian general practice: A survey

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