Nursing roles and responsibilities in general practice: three case studies

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dc.citation.issue3
dc.citation.volume7
dc.contributor.authorWalker LA
dc.contributor.authorClendon J
dc.contributor.authorNelson K
dc.coverage.spatialAustralia
dc.date.accessioned2023-10-19T20:38:28Z
dc.date.available2015-09-01
dc.date.available2023-10-19T20:38:28Z
dc.date.issued2015
dc.description.abstractINTRODUCTION: Primary care nursing teams may now comprise registered nurses (usually termed practice nurses), nurse practitioners, physician assistants, enrolled nurses, and primary care practice assistants, clinical assistants, or nursing assistants. There is a need to understand how practitioners in the different roles work with patients in the changed environment. The aim of this study was to describe the different configurations of health professionals' skill-mix in three dissimilar primary care practices, their inter- and intra-professional collaboration and communication, and to explore the potential of expanded nursing scopes and roles to improve patient access. METHODS: Document review, observation and interviews with key stakeholders were used to explore how health practitioners in three practice settings work together, including their delegation, substitution, enhancement and innovation in roles and interdisciplinary interactions in providing patient care. A multiphase integrative, qualitative and skill-mix framework analysis was used to compare findings related to nursing skill-mix across case studies. FINDINGS: Three models of primary care provision, utilising different nursing skill-mix and innovations were apparent. These illustrate considerable flexibility and responsiveness to local need and circumstances. CONCLUSION: Enabling nurses to work to the full extent of their scope, along with some adjustments to the models of care, greater multidisciplinary cooperation and coordination could mitigate future workforce shortages and improve patient access to care.
dc.description.publication-statusPublished online
dc.format.extent236 - 243
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/26437048
dc.identifier.citationJ Prim Health Care, 2015, 7 (3), pp. 236 - 243
dc.identifier.eissn1172-6156
dc.identifier.elements-id289126
dc.identifier.harvestedMassey_Dark
dc.identifier.urihttp://hdl.handle.net/10179/20318
dc.languageeng
dc.publisherRoyal New Zealand College of General Practitioners
dc.relation.isPartOfJ Prim Health Care
dc.rightsCC BY-NC-ND
dc.subjectGeneral Practice
dc.subjectHumans
dc.subjectModels, Organizational
dc.subjectNurse's Role
dc.subjectOrganizational Case Studies
dc.subjectPatient Care Team
dc.subjectPractice Management, Medical
dc.subjectPrimary Care Nursing
dc.subjectPrimary Health Care
dc.subjectSocioeconomic Factors
dc.subject.anzsrc1110 Nursing
dc.subject.anzsrc1117 Public Health and Health Services
dc.titleNursing roles and responsibilities in general practice: three case studies
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/College of Health
pubs.organisational-group/Massey University/College of Health/School of Health Science
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