Nurses in Australian general practice: implications for chronic disease management.

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dc.contributor.author Halcomb, EJ
dc.contributor.author Davidson, PM
dc.contributor.author Salamonson, Y
dc.contributor.author Ollerton, R
dc.contributor.author Griffiths, R
dc.date.accessioned 2012-02-10T06:09:09Z
dc.date.issued 2008-03
dc.identifier.citation Journal of clinical nursing, 2008, 17 (5A), pp. 6 - 15
dc.identifier.issn 0962-1067
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/16933
dc.description.abstract AIMS: The purpose of this study was to describe the demographic and employment characteristics of Australian practice nurses and explore the relationship between these characteristics and the nurses' role. BACKGROUND: Nursing in general practice is an integral component of primary care and chronic disease management in the United Kingdom and New Zealand, but in Australia it is an emerging specialty and there is limited data on the workforce and role. DESIGN: National postal survey embedded in a sequential mixed method design. METHODS: 284 practice nurses completed a postal survey during 2003-2004. Descriptive statistics and factor analysis were utilized to analyse the data. RESULTS: Most participants were female (99%), Registered Nurses (86%), employed part-time in a group practice, with a mean age of 45.8 years, and had a hospital nursing certificate as their highest qualification (63%). The tasks currently undertaken by participants and those requiring further education were inversely related (R2 = -0.779). Conversely, tasks perceived to be appropriate for a practice nurse and those currently undertaken by participants were positively related (R2 = 0.8996). There was a mismatch between the number of participants who perceived that a particular task was appropriate and those who undertook the task. This disparity was not completely explained by demographic or employment characteristics. Extrinsic factors such as legal and funding issues, lack of space and general practitioner attitudes were identified as barriers to role expansion. CONCLUSION: Practice nurses are a clinically experienced workforce whose skills are not optimally harnessed to improve the care of the growing number of people with chronic and complex conditions. Relevance to clinical practice. Study data reveal a need to overcome the funding, regulatory and interprofessional barriers that currently constrain the practice nurse role. Expansion of the practice nurse role is clearly a useful adjunct to specialist management of chronic and complex disease, particularly within the context of contemporary policy initiatives.
dc.format Print
dc.language eng
dc.relation.isbasedon 10.1111/j.1365-2702.2007.02141.x
dc.title Nurses in Australian general practice: implications for chronic disease management.
dc.type Journal Article
dc.parent Journal of clinical nursing
dc.journal.volume 5A
dc.journal.volume 17
dc.journal.number 5a en_US
dc.publocation Oxford, UK en_US
dc.identifier.startpage 6 en_US
dc.identifier.endpage 15 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1110 Nursing
dc.personcode 110950
dc.percentage 100 en_US
dc.classification.name Nursing en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Australia;family practice;general practice;office nursing;primary care en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)


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