Summary
Over the past decade, there has been substantial increase in nurses’ roles in primary
health care, particularly in general practice settings. Simultaneously, there has
been an expansion of advanced roles for nurses across a range of clinical environments.
This paper draws upon findings from a study that sought to develop a framework to
support development of advanced nursing roles in general practice. It presents findings
from one part of that study that explored barriers and facilitators to the development
of these roles. Twenty-three key leaders from nursing, general practice and professional
organisations participated in semi-structured interviews. Data were analysed using
thematic analysis. A range of factors was identified as key to developing advanced
roles in general practice. These included increasing awareness and attractiveness
of practice nursing, health reform activities, practice limitations, education and
professional development.
Understanding complex systems and workforce issues is required to promote active intervention
that can facilitate development of advanced nursing roles in Australian general practice.
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 accessOne-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 CollegianAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Are English novice nurses prepared to work in primary care setting?.Nurse Education in Practice. 2011; 11: 304-308
- Practice nurse incentive program guidelines.Australian Government, Canberra2012
- Competency standards for registered and enrolled nurses in general practice.ANF, Melbourne2005
- Ultimate doctor liability: A myth of ignorance or myth of control?.Collegian. 2009; 16: 125-129
- What are the professional development and mentorship needs of advanced practice nurses?.Journal of Professional Nursing. 2010; 26: 141-151
- How does care coordination provided by registered nurses “fit” within the organisational processes and professional relationships in the general practice context?.Collegian. 2013; 20: 127-135
- Building chronic disease management capacity in General Practice: The South Australian GP Plus Practice Nurse Initiative.Collegian. 2014; https://doi.org/10.1016/j.colegn.2014.02.002
- Making nursing work: Breaking through the role confusion of advanced practice nursing.Journal of Advanced Nursing. 2007; 57: 382-391
- Qualitative data analysis: An introduction.SAGE, London2007
- Cardiovascular disease management: Time to advance the practice nurse role?.Australian Health Review. 2008; 32: 44-55
- Promoting leadership and management in Australian general practice nursing: What will it take?.Journal of Nursing Management. 2008; 16: 846-852
- Nurses in Australian general practice: Implications for chronic disease management.Journal of Nursing and Healthcare of Chronic Illness. 2008; 17: 6-15
- Professional development needs of general practice nurses.Contemporary Nurse. 2009; 32: 201-210
- How is Primary Health Care conceptualised in nursing in Australia? A review of the literature.Health and Social Care in the Community. 2013; https://doi.org/10.1111/hsc.12064
- The role of Government policy in supporting nurse-led care in general practice in the United Kingdom, New Zealand and Australia: An adapted realist review.Journal of Advanced Nursing. 2011; 68: 963-980
- The work of nurses in Australian general practice: A national survey.International Journal of Nursing Studies. 2011; 48: 70-80
- The Delphi technique in nursing and health research.Wiley-Blackwell, Chichester, West Sussex2011
- Understanding the process of patient satisfaction with nurse-led chronic disease management in general practice.Journal of Advanced Nursing. 2012; 68: 2538-2549
- Learning in primary health care settings: Australian undergraduate nursing students’ perspectives.Journal of Nursing Education and Practice. 2014; 4: 1-8
- The place of knowledge and evidence in the context of Australian general practice nursing.Worldviews of Evidence-Based Nursing. 2009; 6: 219-228
- Policy implications for optimizing advanced practice registered nurse use nationally.Policy, Politics & Nursing Practice. 2012; 13: 81-89
- Primary care nursing workforce in Australia.Australian Family Physician. 2010; 39: 159-160
- General practice nursing education in Australia.Collegian. 2006; 13: 22-25
- Clinical placements in general practice: Relationships between practice nurses and tertiary institutions.Nurse Education in Practice. 2013; 13: 186-191
- Enhancing care, improving quality: The six roles of the general practice nurse.Medical Journal of Australia. 2009; 191: 92-97
- PHCRIS fast fact: Practice nurse numbers in Australia, 2003–04 to 2010–11.2014 (http://www.phcris.org.au/fastfacts/fact.php?id=4824 Accessed 13.06.14)
- Domains of practice and advanced practice nursing in Australia.Nursing and Health Sciences. 2013; 15: 497-503
Article info
Publication history
Published online: March 20, 2015
Accepted:
February 19,
2015
Received in revised form:
February 19,
2015
Received:
August 6,
2014
Identification
Copyright
© 2015 Published by Elsevier Inc. All rights reserved.
