Australian consumers' expectations for expanded nursing roles in general practice: choice not gatekeeping.

Hegney, Desley, Price, Kay, Patterson, Elizabeth, Martin-McDonald, Kristine and Rees, Sharon (2004) Australian consumers' expectations for expanded nursing roles in general practice: choice not gatekeeping.. Australian Family Physician, 33 10: 845-849.

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Author Hegney, Desley
Price, Kay
Patterson, Elizabeth
Martin-McDonald, Kristine
Rees, Sharon
Title Australian consumers' expectations for expanded nursing roles in general practice: choice not gatekeeping.
Journal name Australian Family Physician   Check publisher's open access policy
ISSN 0300-8495
Publication date 2004-10
Volume 33
Issue 10
Start page 845
End page 849
Total pages 5
Editor Steve Tremble
Place of publication Australia
Publisher Royal Australian College of General Practitioners
Collection year 2004
Language eng
Subject 321199 Nursing not elsewhere classified
321100 Nursing
1110 Nursing
111708 Health and Community Services
Abstract While research has focused on the current and potential role of the practice nurse (PN) in Australia, the acceptability of this role by consumers has not been investigated. In 2002, two independent studies were carried out into consumer perceptions of PNs. A discussion between the two groups of researchers at the inaugural National Practice Nurse Conference in 2003, identified significant similarities in the findings of the these studies. This article reports the combined findings as they relate to consumer's desire for access to the health practitioner of their choice, and their concern that PNs may assume a Gatekeeping role. These perceptions may have significant impact on the acceptance of PNs across Australia. (author abstract)
Keyword practice nurse
PN
role of nurses
carers
GP
choice
triage
References 1. Corra M, Willer D. The gatekeeper. Sociol Theory 2002;20:180-207. 2. McEvoy P. Gatekeeping access to services at the primary/secondary care interface. Journal Psychiatr Ment Health Nurs 2002;7:241-247. 3. Rummery K, Glendinning C. Negotiating needs, access and gatekeeping: developments in health and community care policies in the UK and the rights of disabled and older citizens. Critical Social Policy 1999;19:335-351. 4. Arber S, Sawyer L. The role of the receptionist in general practice: a dragon behind the desk? Soc Sci Med 1985;20:911-921. 5. Department of Health and Ageing. Nursing in General Practice 2001-2002 Budget Initiative, Canberra: Australian Government, 2002. 6. Department of Health and Ageing. Medicare Plus. Canberra: Australian Government, 2003. 7. Department of Health and Ageing. National Workshop Future Directions in Practice Nursing, Canberra: Australian Government, 2001. 8. Wilson A, Pearson D, Hassey A. Barriers to developing the nurse practitioner role in primary care: the GP perspective. Fam Pract 2002;19:641-646. 9. Horrocks S, Anderson E, Salisbury C. Systematic review of whether nurse practitioners working in primary care can provide equivalent care to doctors. BMJ 2002;324:818-823. 10. Linn, J. The health team in general practice: summary of a survey in rural practice. Ann Gen Pract 1969;14:162-168. 11. Linn JTB, Taylor WB, Oborn J. The trained nurse in general practice. Med J Aust 1985;142:28-29. 12. Dunt DR, Temple-Smith MJ, Johnson KA. Nursing outside hospitals: the working experience of community nurses. Job characteristics. Int J Nurs Stud 1991;28:27-37. 13. Bonawit V, Watson L. Nurses who work in general medical practices: a Victorian survey. Aust J Adv Nurs 1996;13:28-34. 14. Patterson E, Del Mar C, Najman J. A descriptive study of nurses employed by general practitioners in southeast Queensland. Aust J Adv Nurs 1999;17:13-20. 15. Patterson E, Del Mar C, Najman J. Nursing's contribution to general practice: general practitioners' and practice nurses' views. Collegian 1999;6:33-39. 16. Condon E, Willis E, Litt J. The role of the practice nurse: an exploratory study. Aust Fam Physician 2000;29:272-277. 17. RACGP & RCNA. General practice nursing in Australia, 2004. Available at: www.racgp.org.au/nursing. 18. Lauder W, Sharkey S, Reel S. The development of family health nurses and family nurse practitioners in remote and rural Australia. Aust Fam Physician 2003;32:750-752. 19. Campbell S. The newest gatekeepers: nurses take on the duties of primary care. Health Care Strateg Manage 1997;15:14-15. 20. Department of Primary Industries and Energy and Department of Health and Human Services. Rural, Remote and Metropolitan Areas Classification: 1991. Canberra: Census Edition, 1994. 21. Patton Q. Qualitative evaluation and research methods. Newbury Park, California: Sage Publications, 1990. 22. Ekman I, Segesten K. Disputed power of medical control: the hidden message in the ritual of oral shift reports. J Adv Nurs 1995;22:1006-1011. 23. May J, Ellis-Hill C, Payne S. Gatekeeping and legitimisation: how informal carers' relationship with health care workers is revealed in their everyday interactions. J Adv Nurs 2001:36:364-375. 24. Preston C, Cheater F, Baker R, Hearnshaw H. Left in limbo: patient's views on care across the primary/secondary interface. Q Health Care 1999;8:16-21. 25. Holmstrom I, Dall'Alba. Carer and gatekeeper: conflicting demands in nurses' experiences of telephone advisory services. Scand J Caring Sci 2002;16:142-148. 26. Lee TJ, Baraff LJ, Wall SP, Guzy J, Johnson D, Woo H. Parental compliance with after hours telephone triage advice: nurse advice service versus on-call pediatricians. Clin Pediatr 2003;613-619.

 
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Created: Fri, 03 Jun 2005, 10:00:00 EST by Desley Hegney on behalf of School of Nursing and Midwifery