Collegian
Volume 13, Issue 4 , Pages 16-21, 2006

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

  • Kay Price, RN PhD

      Affiliations

    • School of Nursing & Midwifery, University of South Australia, South Australia
    • Corresponding Author InformationDr. Kay Price
    • ,
  • Elizabeth Patterson, RN PhD

      Affiliations

    • School of Nursing and Midwifery, Griffith University, Queensland
    • ,
  • Desley Hegney, RN PhD

      Affiliations

    • University of Queensland and Blue Care, Queensland

Article Outline

Australian consumers have articulated their perceptions of the role of the nurse in general practice. Practice Nurses (PNs) and General Practitioners (GPs) have also highlighted the issues they believe currently and potentially impact on this role in Australia. This paper identifies and discusses the nexus between the consumers' perceptions and expectations and health professionals' issues. Data collected from focus groups and interviews in 2 Australian studies of consumer perception of nursing in general practice, are re-considered alongside findings reported in the Royal Australian College of General Practitioners and the Royal College of Nursing, Australia report; General Practice Nursing in Australia. Consumers, doctors and nurses working in general practices in Australia, raised similar issues. However, consumers considered these issues in relation to their health care needs, whereas the GPs and PNs tended to focus more on professional and structural tensions related to the current and potentially expanded role of the PN. Understanding consumer views vis-à-vis issues raised by PNs and GPs about the role of nursing in general practice provides direction for both professions to better work with consumers to enhance their understanding of what general practice services could be and how changes, like expanding the role of nurses, may bring about improvements in the health outcomes of consumers. Health professionals can benefit from reflecting on the experiences and expectations of consumers if they desire to make general practice services more responsive to individual consumer's needs and at the same time adopt a primary health care focus.

Key words:  practice nurses , general practitioners , consumer perceptions , health professional – consumer relationships , consumer focused

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References 

  1. Anastasiou M 1993 Primary health care nursing in general practice. In: 4th Annual Primary Health Conference. Development & Diversity: Urban Primary Health Care. Sydney: 18–19 November
  2. Australian Division of General Practices (ADGP) 2004 Discussion Paper on the Development of the Role for Nurses in General Practice. May
  3. Australian Health Ministers' Conference (AHMC) 2004 National Health Workforce Strategic Framework. April
  4. Bastian H . Speaking up for ourselves: the evolution of consumer advocacy in health care . International Journal of Technology Assessment in Health Care . 1998;14(1):
  5. Bonawit V , Watson L . Nurses who work in general medical practices: a Victorian survey . Australian Journal of Advanced Nursing . 1996;13(4):28–34
  6. Campbell S . The newest gatekeepers: nurses take on the duties of primary care . Health Care Strategic Management . 1997;15(3):14–15
  7. Cheek J, Price K, Mott K, Wilkinson D, Beilby J, Dawson A 2003 Consumer perceptions of nurses and nursing in general practice. Department of Health and Ageing. Completed 2002 published on-line 2003 http://www.health.gov.au/hsdd/gp/nursing/index.htm
  8. Condon E , Willis E , Litt J . The role of the practice nurse: an exploratory study . Australian Family Physician . 2000;3:272–277
  9. Department of Health and Ageing  . Medicare plus . Canberra: Australian Government; 2004;
  10. Dunt DR , Temple-Smith MJ , Johnson KA . Nursing outside hospitals: the working experience of community nurses. Job characteristics . International Journal of Nursing Studies . 1991;28(1):27–37
  11. Ekman I , Segesten K . Disputed power of medical control: the hidden message in the ritual of oral shift reports . Journal of Advanced Nursing . 1995;22:1006–1011
  12. Health Insurance Commission 2005 100% Medicare rebate for GP services. Viewed January 2005 http://www.hic.gov.au/providers/resources/programs_services/medicare/Medicarerebate.pdf
  13. Hegney D , Buikstra E , Fallon T , Martin-McDonald K , Patterson E , Rees S . Consumer perceptions of practice nursing . Toowoomba: University of Southern Queensland; 2004;
  14. Hegney D , Price K , Patterson E , Martin-McDonald K , Rees S . Consumers' expectations for expanded nursing roles in general practice: choice not gatekeeping . Australian Family Physician . 2004;33(10):845–848
  15. Johnston J , Duffield C . Strategic public governance in Australian health: the ‘unsmart’ incapacitated state? . Administrative Theory & Praxis . 2002;24(1):125–144
  16. Keyzer DM , Hall J , Mahnken J , Keyzer K . Gum trees and windmills: a study in the management of time, space and the self-concepts of community-based nurses in one rural area of Victoria, Australia . Warnambool, Victoria: Deakin University; 1996;
  17. Le Sueur H , Barnard A . Nurses in general practice in metropolitan Western Australia: a report to the Department of Health, Housing and Community Services 92/06341 [D92/0723] . Canberra: Department of Health, Housing and Community Services; 1993;
  18. Linn J . The health team in general practice: summary of a survey in rural practice . Annals of General Practice . 1969;14(162):162–168
  19. Linn J 1979 Chronic illness in the elderly – the role of the nurse. (Research Report Series, Monograph No. 4. ed) Department of Health, Canberra, ACT
  20. Linn JTB , Taylor WB , Oborn J . The trained nurse in general practice . Medical Journal of Australia . 1985;142(1):28–29
  21. Linn JTB , Taylor WB , Linn JE , Johnston A . Care of the elderly in general practice: the nurse's role . The Medical Journal of Australia . 1990;152(12):676
  22. NSW Health Department 2001 Partners in health – sharing information and making decisions together. Report of the Consumer and Community Participation Implementation Group, NSW Government Action Plan. Better Health Centre-Publications Warehouse, Sydney
  23. Patterson E , Del Mar C , Najman J . A descriptive study of nurses employed by general practitioners in south-east Queensland . Australian Journal of Advanced Nursing . 1999;17(2):13–20
  24. Patterson E , Del Mar C , Najman J . Nursing's contribution to general practice: general practitioners' and practice nurses' views . Collegian . 1999;6(4):33–39
  25. Patterson E , Del Mar C , Najman J . Medical receptionists in general practice: who needs a nurse? . International Journal of Nursing Practice . 2000;6:229–236
  26. Patterson E , Forrester K , Price K , Hegney D . Risk reduction in general practice and the role of the receptionist . Journal of Law and Medicine . 2005;12(3):340–347
  27. Patton MQ . Qualitative evaluation and research methods . Newbury Park, California: Sage Publications; 1990;
  28. Watts I, Foley E, Hutchinson R, Pascoe T, Whitecross L, Snowdon T 2004 General practice nursing in Australia. Royal Australian College of General Practice & Royal College of Nursing, Australia. Viewed May, 2004 http://www.rcna.org.au/pages/practiceproj.php
  29. Wilson A , Pearson D , Hassey A . Barriers to developing the nurse practitioner role in primary care: the GP perspective . Family Practitioner . 2002;19(6):641–646

PII: S1322-7696(08)60535-1

doi:10.1016/S1322-7696(08)60535-1

Collegian
Volume 13, Issue 4 , Pages 16-21, 2006

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