Advertisement

Satisfaction and comfort with nursing in Australian general practice

Published:October 25, 2014DOI:https://doi.org/10.1016/j.colegn.2014.09.003

      Summary

      The practice nursing workforce has grown exponentially in recent years. Whilst evidence has shown the important contributions of nurses to general practice service delivery, the consumer perspective of nursing in general practice has received limited attention. Given that acceptability of nurses is influenced by patient satisfaction which can in turn improve both treatment adherence and clinical outcomes, this is an important area for investigation. The primary aim of this study was to evaluate consumer satisfaction with chronic disease management by nurses in general practice (NiGP) and comfort with the tasks undertaken by nurses in general practice.
      Consumers receiving chronic disease services from nurses in general practice participating in a larger study were recruited to complete a survey. The survey comprised of demographic information, and items related to satisfaction with the nurse encounter (SPN-9) and consumer comfort with nurse roles in general practice (CPN-18).
      Eighty-one consumers participated in the study. Cronbach's alpha values of the SPN-9 and the CPN-18 were 0.95 and 0.97 respectively. SPN-9 results demonstrated high levels of satisfaction with PN consultations. Bivariate analysis did not show any significant differences within the consumer group relating to satisfaction. However, those who presented for diabetes-related reasons were more likely to report high comfort levels with the nurse encounter compare to those who presented to general practice for other chronic disease conditions (38% versus 14%, p = 0.016).
      The results of this study demonstrate that consumers are generally satisfied with nursing consultations in general practice related to chronic disease. However, further research evaluating consumer confidence, comfort and satisfaction with nursing care is needed to ensure that nursing services meet consumer needs.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Collegian
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Andrew S.
        • Salamonson Y.
        • Everett B.
        • Halcomb E.J.
        • Davidson P.M.
        Beyond the ceiling effect: Using a mixed methods approach to measure patient satisfaction.
        International Journal of Multiple Research Approaches. 2011; 5: 52-63https://doi.org/10.5172/mra.2011.5.1.52
        • Australian Medicare Local Alliance
        2012 general practice nurse national survey report.
        2012 (ACT. Retrieved from http://amlalliance.com.au/__data/assets/pdf_file/0003/46731/2012-General-Practice-Nurse-National-Survey-Report.pdf)
        • Carryer J.
        • Snell H.
        • Perry V.
        • Hunt B.
        • Blakey J.
        Long-term conditions care in general practice settings: Patient perspectives.
        New Zealand Family Physician. 2008; 35: 319-323
        • Cattell R.B.
        The scree test for the number of factors.
        Multivariate Behavioral Research. 1966; 1: 245-276
        • Cheek J.
        • Price K.
        • Dawson A.
        • Mott K.
        • Beilby J.
        • Wilkinson D.
        Consumer perceptions of nursing and nurses in general practice.
        Centre for Research into Nursing and Health Care, University of South Australia, Adelaide2002
        • Cheraghi-Sohi S.
        • Hole A.R.
        • Mead N.
        • McDonald R.
        • Whalley D.
        • Bower P.
        • et al.
        What patients want from primary care consultations: A discrete choice experiment to identify patients’ priorities.
        Annals of Family Medicine. 2008; 6: 107-115https://doi.org/10.1370/afm.816
        • Coleman K.
        • Austin B.T.
        • Brach C.
        • Wagner E.H.
        Evidence on the Chronic Care Model in the new millennium.
        Health Affairs. 2009; 28: 75-85
        • Cook A.
        Consumer satisfaction & comfort with Australian practice nurses undertaking chronic disease management.
        (Bachelor of Nursing (Honours), unpublished thesis) University of Western Sydney, 2013
        • Desborough J.
        • Banfield M.
        • Parker R.
        A tool to evaluate patients’ experiences of nursing care in Australian general practice: Development of the Patient Enablement and Satisfaction Survey.
        Australian Journal of Primary Health. 2013; https://doi.org/10.1071/PY12121
        • Donovan J.L.
        Patient decision making: The missing ingredient in compliance research.
        International Journal of Technology Assessment in Health Care. 1995; 11: 443-455
        • Funnell M.M.
        • Brown T.L.
        • Childs B.P.
        • Haas L.B.
        • Hosey G.M.
        • Jensen B.
        • et al.
        National standards for diabetes self-management education.
        Diabetes Care. 2012; 35: S101-S108
        • Halcomb E.
        • Davies D.
        • Salamonson Y.
        Consumer satisfaction with practice nursing: A cross-sectional survey in New Zealand general practice.
        Australian Journal of Primary Health. 2014; (in press). 2/3 AJPH PY13176
        • Halcomb E.J.
        • Caldwell B.
        • Salamonson Y.
        • Davidson P.M.
        Development and psychometric validation of the general practice nurse satisfaction scale.
        Journal of Nursing Scholarship. 2011; 43: 318-327https://doi.org/10.1111/j.1547-5069.2011.01408.x
        • Halcomb E.J.
        • Davidson P.M.
        • Brown N.
        Uptake of Medicare chronic disease item for services by practice nurses and Aboriginal health workers.
        Collegian. 2010; 17: 57-61
        • Halcomb E.J.
        • Peters K.
        • Davies D.
        A qualitative evaluation of New Zealand consumers perceptions of general practice nurses.
        BMC Family Practice. 2013; 14https://doi.org/10.1186/1471-2296-14-26
        • Hall J.A.
        • Dornan M.C.
        Patient sociodemographic characteristics as predictors of satisfaction with medical care: A meta-analysis.
        Social Science & Medicine. 1990; 30: 811-818https://doi.org/10.1016/0277-9536(90)90205-7
        • Hegney D.
        • Price K.
        • Patterson E.
        • Martin-McDonald K.
        • Rees S.
        Australian consumers’ expectations for expanded nursing roles in general practice – Choice not gatekeeping.
        Australian Family Physician. 2004; 33: 845-849
        • IBM Corporation
        IBM SPSS Statistics for Windows, version 22.0.
        IBM Corp., Armonk, NY2013
        • Kenealy T.
        • Docherty B.
        • Sheridan N.
        • Gao R.
        Seeing patients first: Creating an opportunity for practice nurse care?.
        Journal of Primary Health Care. 2010; 1: 136-141
        • Kreuter M.
        • Lukwago S.
        • Bucholtz D.
        • Clark E.
        • Sanders-Thompson V.
        Achieving cultural appropriateness in health promotion programs: Targeted and tailored approaches.
        Health Education & Behavior. 2003; 30: 133
        • Mahomed R.
        • St John W.
        • Patterson E.
        Understanding the process of patient satisfaction with nurse-led chronic disease management in general practice.
        Journal of Advanced Nursing. 2012; 68: 2538-2549
        • Patterson E.
        • Price K.
        • Hegney D.
        Primary health care and general practice nurses: What is the nexus?.
        Australian Journal of Primary Health. 2005; 11: 47-54
        • Poulton B.C.
        Use of the consultation satisfaction questionnaire to examine patients’ satisfaction with general practitioners and community nurses: Reliability, replicability and discriminant validity.
        British Journal of General Practice. 1996; 46: 26-31
        • Redsell S.
        • Stokes T.
        • Jackson C.
        • Hastings A.
        • Baker R.
        Patients’ accounts of the differences in nurses’ and general practitioners’ roles in primary care.
        Journal of Advanced Nursing. 2007; 57: 172-180https://doi.org/10.1111/j.1365-2648.2006.04085.x
        • Sitzia J.
        • Wood N.
        Patient satisfaction: A review of issues and concepts.
        Social Science & Medicine. 1997; 45: 1829-1843https://doi.org/10.1016/s0277-9536(97)00128-7
        • Spreng R.A.
        • Page T.J.
        The impact of confidence in expectations on consumer satisfaction.
        Psychology & Marketing. 2001; 18: 1187-1204
        • van Dam H.A.
        • van der Horst F.
        • van den Borne B.
        • Ryckman R.
        • Crebolder H.
        Provider–patient interaction in diabetes care: Effects on patient self-care and outcomes: A systematic review.
        Patient Education and Counseling. 2003; 51: 17-28https://doi.org/10.1016/S0738-3991(02)00122-2