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Hewitt SL, Mills JE, Hoare KJ, Sheridan NF. The process of nurses' role negotiation in general practice: A grounded theory study. J Adv Nurs 2024; 80:1914-1926. [PMID: 37929935 DOI: 10.1111/jan.15938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 10/10/2023] [Accepted: 10/23/2023] [Indexed: 11/07/2023]
Abstract
AIM To explain the process by which nurses' roles are negotiated in general practice. BACKGROUND Primary care nurses do important work within a social model of health to meet the needs of the populations they serve. Latterly, in the face of increased demand and workforce shortages, they are also taking on more medical responsibilities through task-shifting. Despite the increased complexity of their professional role, little is known about the processes by which it is negotiated. DESIGN Constructivist grounded theory. METHODS Semi-structured interviews were conducted with 22 participants from 17 New Zealand general practices between December 2020 and January 2022. Due to COVID-19, 11 interviews were via Zoom™. Concurrent data generation and analysis, using the constant comparative method and common grounded theory methods, identified the participants' main concern and led to the construction of a substantive explanatory theory around a core category. RESULTS The substantive explanatory theory of creating place proposes that the negotiation of nurse roles within New Zealand general practice is a three-stage process involving occupying space, positioning to do differently and leveraging opportunity. Nurses and others act and interact in these stages, in accordance with their conceptualizations of need-responsive nursing practice, towards the outcome defining place. Defining place conceptualizes an accommodation between the values beliefs and expectations of individuals and pre-existing organizational norms, in which individual and group-normative concepts of need-responsive nursing practice are themselves developed. CONCLUSION The theory of creating place provides new insights into the process of nurses' role negotiation in general practice. Findings support strategies to enable nurses, employers and health system managers to better negotiate professional roles to meet the needs of the populations they serve, while making optimum use of nursing skills and competencies. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE Findings can inform nurses to better negotiate the complexities of the primary care environment, balancing systemic exigencies with the health needs of populations. IMPACT What Problem Did the Study Address? In the face of health inequity, general practice nurses in New Zealand, as elsewhere, are key to meeting complex primary health needs. There is an evidence gap regarding the processes by which nurses' roles are negotiated within provider organizations. A deeper understanding of such processes may enable better use of nursing skills to address unmet health need. What Were the Main Findings? Nurses' roles in New Zealand general practice are determined through goal-driven negotiation in accordance with individual concepts of need-responsive nursing practice. Individuals progress from occupying workspaces defined by the care-philosophies of others to defining workplaces that incorporate their own professional beliefs, values and expectations. Negotiation is conditional upon access to role models, scheduled dialogue with mentors and decision-makers, and support for safe practice. Strong clinical and organizational governance and individuals' own positive personal self-efficacy are enablers of effective negotiation. Where and on Whom Will the Research Have Impact? The theory of Creating Space can inform organizational and individual efforts to advance the roles of general practice nurses to meet the health needs of their communities. General practice organizations can provide safe, supported environments for effective negotiation; primary care leaders can promote strong governance and develop individuals' sense of self-efficacy by involving them in key decisions. Nurses themselves can use the theory as a framework to support critical reflection on how to engage in active negotiation of their professional roles. REPORTING METHOD The authors adhered to relevant EQUATOR guidelines using the COREQ reporting method. PATIENT OR PUBLIC CONTRIBUTION Researchers and participants currently working in general practice were involved in the development of this study. By the process of theoretical sampling and constant comparison, participants' comments helped to shape the study design. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: An understanding of the processes by which health professionals negotiate their roles is important to support them to meet the challenges of increased complexity across all health sectors globally.
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Affiliation(s)
- Sarah Louise Hewitt
- School of Nursing, College of Health, Massey University, Albany, Auckland, New Zealand
| | - Jane Elizabeth Mills
- Office of La Trobe Rural Health, La Trobe University, Bendigo, Victoria, Australia
| | - Karen Jean Hoare
- School of Nursing, College of Health, Massey University, Albany, Auckland, New Zealand
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Reis J, Hills S, Robinson T, Hills D. The feasibility and impact of a brief behavioural intervention for anxiety in later life: perceptions of general practice nurses. Contemp Nurse 2024:1-11. [PMID: 38300752 DOI: 10.1080/10376178.2024.2310254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 01/21/2024] [Indexed: 02/03/2024]
Abstract
BACKGROUND Anxiety is prevalent in older people and is associated with adverse health outcomes. Early detection and intervention are imperative, yet clinically significant anxiety in older people is often under-diagnosed. When diagnosed, pharmacotherapy is often the initial treatment, but resistance due to stigma, polypharmacy concerns, and side effects are common among the elderly. Non-pharmacological interventions such as deep breathing and progressive muscle relaxation may offer more acceptable and cost-effective options to managing anxiety. While primary care is ideal for addressing anxiety in older adults, it is important to assess the feasibility and acceptability of nurse-led interventions in general practice. OBJECTIVE To explore the perspectives of General Practice Nurses (GPNs) on the feasibility and acceptability of implementing a guided relaxation intervention for older people living with symptoms of anxiety, in Australian metropolitan and regional settings. METHODS GPNs were trained and then administered a guided relaxation intervention to older people at three metropolitan general practices and one large rural practice encompassing four sites. Subsequently, five GPNs participated in semi-structured interviews exploring the acceptability and feasibility of implementing the intervention. Interviews were recorded, transcribed and findings were mapped to four key domains of interest: "Screening", "Training and Delivery", "Perceived impact of the Intervention" and "Barriers to the intervention". RESULTS Overall, GPNs reported that the intervention was easy to implement, was well received, helped build relationships and enabled conversations about mental health and well-being. They noted broader applicability of acquired knowledge and skills with other clients. CONCLUSION The intervention shows promise in promoting and supporting healthcare capabilities in primary care. GPNs are ideally placed to detect clinical symptoms of anxiety among older people and deliver brief well-being initiatives. However, to sustain and scale well-being interventions structured skill development, commitment from general practices, and policy shifts such as government rebates for GPNs are required.
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Affiliation(s)
- Julie Reis
- School of Nursing and Midwifery, University of Newcastle, Taree, Australia
| | - Sharon Hills
- Institute of Health and Wellbeing, Federation University Australia, Ballarat, Australia
| | - Tracy Robinson
- Monash Centre for Health Research and Implementation, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Australia
- School of Rural Health, Faculty of Medicine, Sydney University, Orange, Australia
| | - Danny Hills
- Institute of Health and Wellbeing, Federation University Australia, Ballarat, Australia
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Thompson C, Halcomb E, Masso M. The contribution of primary care practitioners to interventions reducing loneliness and social isolation in older people-An integrative review. Scand J Caring Sci 2023; 37:611-627. [PMID: 36732897 DOI: 10.1111/scs.13151] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 11/22/2022] [Accepted: 01/14/2023] [Indexed: 02/04/2023]
Abstract
BACKGROUND Social connection is a fundamental human need. Its absence can lead to loneliness and social isolation, adversely impacting health and well-being. Given their regular contact and trusted relationships with older people, practitioners delivering community-based primary care are well-positioned to address this issue. However, their contribution to addressing loneliness and social isolation is unclear. AIM This integrative review explores the contribution of the primary care workforce to interventions aimed at reducing loneliness and social isolation in community-dwelling older people. METHOD Using an integrative review method, Scopus, Web of Science, CINAHL and PubMed were searched for original research published between 2000 and 2022. Fourteen papers reporting 13 primary studies were appraised for methodological quality and included in the review. Data were extracted into a summary table and analysed using thematic analysis. RESULTS Included studies came from over six countries. Internationally, primary care services have diverse structures, funding and workforces influencing their response to loneliness and social isolation. All but one intervention was multi-component, with ten studies including a group-based activity and three providing primarily individual-level activities. Only six studies reported reductions in loneliness following the intervention. Three themes were identified: characteristics of interventions; implementation context, barriers and facilitators; and differing contributions of primary care practitioners in addressing loneliness and social isolation of older people. CONCLUSION There is increasing demand and scope for primary care practitioners to assist lonely and socially isolated older people. It is important to understand how to equip and incentivise these practitioners to routinely identify, assess and respond to lonely and socially isolated older people despite varying implementation contexts. There is a need for further research that explores how the primary care team can be better utilised to deliver effective interventions that reduce the health impacts of loneliness and social isolation.
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Affiliation(s)
- Cristina Thompson
- Australian Health Services Research Institute, University of Wollongong, New South Wales, Wollongong, Australia
- School of Nursing, University of Wollongong, New South Wales, Wollongong, Australia
| | - Elizabeth Halcomb
- School of Nursing, University of Wollongong, New South Wales, Wollongong, Australia
| | - Malcolm Masso
- Australian Health Services Research Institute, University of Wollongong, New South Wales, Wollongong, Australia
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Nelson J, Vrbnjak D, Thomas PL, Gözüm S, de Barros ALBL, Itzhaki M. The Healthcare Environment Survey: A multicountry psychometric evaluation of nurses' job satisfaction. Int Nurs Rev 2023; 70:127-139. [PMID: 35639566 DOI: 10.1111/inr.12770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Accepted: 04/16/2022] [Indexed: 11/27/2022]
Abstract
AIM To evaluate the properties of a reduced-item Healthcare Environment Survey measuring nurses' job satisfaction across eight countries. BACKGROUND There is currently no rigorously tested international measure of nurses' job satisfaction that can be used internationally to improve the nurse work environment. METHODS Nursing staff from 11 hospitals in eight countries participated in this study. The original 57-item, 11-facet Healthcare Environment Survey was evaluated for reliability, validity, and measurement invariance: Cronbach's alpha was used to test for reliability; construct, discriminate, and convergent testing were used to test validity; and invariance testing including configural, metric, and scalar tests were used to study measurement invariance between the countries. RESULTS 2,046 nursing staff completed the survey. Reliability was established for all six subscales and the combined composite score. Both validity and measurement invariance were supported in every test conducted. An excellent model fit was found for the final 19-item, 6-facet Healthcare Environment Survey that explained 82% of the variance of nurses' job satisfaction. CONCLUSIONS Findings suggest the instrument is an efficient measure of nurses' job satisfaction across multiple countries. Longitudinal testing for invariance will be needed to ensure the model remains a good fit. Testing more countries will also verify model fit. IMPLICATIONS FOR NURSING The instrument can be used to measure nurse job satisfaction globally. IMPLICATIONS FOR NURSING POLICY The instrument can be used to assess interventions to improve the social (patient, unit manager, and coworker) and technical (professional rewards, autonomy, and professional growth) aspects of nurse job satisfaction.
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Affiliation(s)
- John Nelson
- Healthcare Environment, St. Paul, Minnesota, USA
| | - Dominika Vrbnjak
- Faculty of Health Sciences, University of Maribor, Maribor, Slovenia
| | - Patricia L Thomas
- Associate Dean Faculty Affairs and Associate Professor, College of Nursing, Wayne State University, Detroit, Michigan, USA
| | - Sebahat Gözüm
- Head of Department, School of Nursing & Professor at Department of Public Health Nursing, Akdeniz University, Antalya, Turkey
| | | | - Michal Itzhaki
- Head of Department of Nursing, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Hills S, Terry D, Gazula S, Browning C. Practice nurses' communication with people living with type 2 diabetes: A scoping review. PATIENT EDUCATION AND COUNSELING 2022; 105:2664-2670. [PMID: 35393227 DOI: 10.1016/j.pec.2022.03.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 01/05/2022] [Accepted: 03/27/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To identify the key characteristics of practice nurses' communication with people living with Type 2 Diabetes (T2D) where lifestyle activities are discussed. METHODS A scoping review of the peer-reviewed literature was conducted. Reflexive thematic analysis was used to identify key themes that emerged. The PRISMA-ScR checklist was followed. RESULTS 25 studies were retained in the final review. Nurses who were committed to engaging in lifestyle discussions created supportive environments and built rapport to enable change conversations. However, this was present in just 20% of the studies. In most studies, (60%) nurses continued to use traditional health education communication styles, had little understanding of behaviour change theories, lacked skills in behaviour change counselling and were reluctant to engage in behaviour change discussions with people with T2D . CONCLUSIONS Nurses require a deeper understanding of behavioural change theories and skills in behavioural counselling. PRACTICE IMPLICATIONS Practice nurses have a unique opportunity to facilitate T2D remission by engaging in evidence-based behaviour change communication. A behaviour change training intervention is needed that recognises the environment of practice nurse consultations. It needs to be pragmatic and fully consider the enablers and barriers to addressing behaviour change in both the nurse and the person with T2D.
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Affiliation(s)
- Sharon Hills
- Federation University Australia, Institute of Health and Wellbeing, PO Box 663, Ballarat, VIC 3353, Australia.
| | - Daniel Terry
- Federation University Australia, Institute of Health and Wellbeing, PO Box 663, Ballarat, VIC 3353, Australia.
| | - Swapnali Gazula
- Federation University Australia, Institute of Health and Wellbeing, PO Box 663, Ballarat, VIC 3353, Australia.
| | - Colette Browning
- Federation University Australia, Institute of Health and Wellbeing, PO Box 663, Ballarat, VIC 3353, Australia; Australia Research School of Population Health, Australian National University; Health Innovation and Transformation Centre, Federation University.
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Fox J, Thamm C, Mitchell G, Emery J, Rhee J, Hart NH, Yates P, Jefford M, Koczwara B, Halcomb E, Steinhardt R, O'Reilly R, Chan RJ. Cancer survivorship care and general practice: A qualitative study of roles of general practice team members in Australia. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e1415-e1426. [PMID: 34423502 DOI: 10.1111/hsc.13549] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 06/30/2021] [Accepted: 08/09/2021] [Indexed: 06/13/2023]
Abstract
Primary care providers, including general practice teams (GPTs), are well positioned within the community to integrate cancer survivorship care into ongoing health management. However, roles of GPT members in delivery of cancer survivorship care have not been explored. The purpose of this study is to explore these roles from the perspectives of General Practitioners (GPs), Practice Nurses (PNs) and Practice Managers (PMs). An interpretive qualitative study using semi-structured in-depth telephone interviews with ten GPs, nine PNs and five PMs was conducted. Interviews were recorded, transcribed and analysed using grounded theory methods. Perspectives of roles in delivery of cancer survivorship care were highly variable. Variation was evident among perceptions of needs of cancer survivors, individual team members' scopes of practice, and individual professional knowledge and skills. A lack of clarity in roles and responsibilities of GPT members was thought to contribute to a lack of consistency in survivorship care. Reducing variations in perceptions of survivorship care in the primary care setting should be a priority. Such efforts may include development of practical guidance to support GPT members to clarify scopes of practice within the team. In addition to accessible comprehensive education programs, other innovative, tailored individualised education approaches may be helpful. System-level support in clarifying and supporting the roles of the primary care team is needed to facilitate a survivorship delivery system at general practice level where those within GPT can ensure that individual patients' needs are met in a timely and effective manner.
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Affiliation(s)
- Jennifer Fox
- Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia
- School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia
| | - Carla Thamm
- Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia
- School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia
| | - Geoff Mitchell
- Limestone Medical Centre, Ipswich, Qld, Australia
- Primary Care Clinical Unit, University of Queensland, Herston, Qld, Australia
| | - Jon Emery
- Centre for Cancer Research and Department of General Practice, The University of Melbourne, Melbourne, Vic., Australia
| | - Joel Rhee
- General Practice Academic Unit, School of Medicine, The University of Wollongong, Wollongong, NSW, Australia
| | - Nicolas H Hart
- Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia
- School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia
- School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia
- Institute for Health Research, The University of Notre Dame Australia, Perth, WA, Australia
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia
- East Brunswick Medical Centre, Brunswick, Vic., Australia
| | - Patsy Yates
- Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia
- School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia
- Division of Cancer Services, Princess Alexandra Hospital, Brisbane, Qld, Australia
| | - Michael Jefford
- Australian Cancer Survivorship Centre, Peter MacCallum Cancer Centre, Melbourne, Vic., Australia
- Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, Vic., Australia
| | - Bogda Koczwara
- College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
- Flinders Medical Centre, Adelaide, SA, Australia
| | - Elizabeth Halcomb
- School of Nursing, Midwifery and Indigenous Health, The University of Wollongong, Wollongong, NSW, Australia
| | | | - Roslyn O'Reilly
- School of Nursing, Midwifery and Indigenous Health, The University of Wollongong, Wollongong, NSW, Australia
| | - Raymond J Chan
- Cancer and Palliative Care Outcomes Centre, Centre for Healthcare Transformation, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia
- School of Nursing, Queensland University of Technology, Brisbane, Qld, Australia
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, SA, Australia
- East Brunswick Medical Centre, Brunswick, Vic., Australia
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Verbunt E, Boyd L, Creagh N, Milley K, Emery J, Nightingale C, Kelaher M. Health care system factors influencing primary healthcare workers' engagement in national cancer screening programs: a qualitative study. Aust N Z J Public Health 2022; 46:858-864. [PMID: 35735902 DOI: 10.1111/1753-6405.13272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Revised: 03/01/2022] [Accepted: 05/01/2022] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVE This study aimed to explore factors across the environment, organisation and care team levels of the health care system that influence the engagement of primary healthcare workers (PHCWs) in Australia's national cancer screening programs. METHODS A cross-sectional qualitative study involving semi-structured interviews with PHCWs - general practitioners (n=10), practices nurses (n=10), and practice managers (n=10) from settings across Australia. Transcripts were analysed using the Framework Method. RESULTS Two environment-level factors were found to influence several organisation and care team level factors. Firstly, the financial structure of primary health care, impacting on practitioner: time, practice culture, screening knowledge and opportunistic conversations. Secondly, the structure of screening programs had flow-on effects for: access to patient screening records, recall and reminder systems, and sense of program ownership. CONCLUSIONS Encouraging more effective PHCW engagement in the screening programs requires the consideration and mitigation of overarching financial and structural barriers. Up-to-date and easy-to-use recall and reminder systems, whole-of-practice approaches which optimise the role of each PHCW and the identification of a 'champion' to drive implementation should be considered. IMPLICATIONS FOR PUBLIC HEALTH This study offers insights into what elements practice and practitioner targeted initiatives in Australia should incorporate, potentially leading to improved engagement of PHCWs and increased cancer screening participation rates.
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Affiliation(s)
- Ebony Verbunt
- Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Victoria
| | - Lucy Boyd
- Centre for Cancer Research, Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Victoria
| | - Nicola Creagh
- Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Victoria
| | - Kristi Milley
- Centre for Cancer Research, Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Victoria
| | - Jon Emery
- Centre for Cancer Research, Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Victoria
| | - Claire Nightingale
- Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Victoria
| | - Margaret Kelaher
- Centre for Health Policy, Melbourne School of Population and Global Health, The University of Melbourne, Victoria
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McGuire AM, Porter-Steele J, McDonald N, Burgess SC, Anderson DJ, Seib C. Reducing noncommunicable disease risk in midlife adults using eHealth: The GroWell for Health Program feasibility study. Collegian 2022. [DOI: 10.1016/j.colegn.2021.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Calma KRB, Halcomb EJ, Fernandez R, Williams A, McInnes S. Understanding nursing students' perceptions of the general practice environment and their priorities for employment settings. Nurs Open 2022; 9:2325-2334. [PMID: 35633033 PMCID: PMC9374410 DOI: 10.1002/nop2.1242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 04/12/2022] [Accepted: 05/06/2022] [Indexed: 11/11/2022] Open
Abstract
AIM To explore final year nursing students' perceptions of the general practice environment and their priorities when choosing a workplace. DESIGN Online survey, reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. METHODS The validated Profession Scale from the Scale on Community Care Perceptions (SCOPE) tool was used to identify characteristics within the general practice environment and the importance of these in choosing a workplace. To explore the factor structure, exploratory factor analysis was undertaken which was used to revise the survey language and flow before widespread dissemination. RESULTS Three hundred and fifty-five responses were received. Factor analysis revealed three factors: Provision of care, Employment conditions and Nature of work. Respondents exposed to general practice in the Bachelor of Nursing program or who had a general practice clinical placement had significantly different perceptions across all factors. Although wages, advancement opportunities, work pressures and the physical nature of work were perceived as important in choosing a workplace, they were seen as only moderately present in general practice.
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Affiliation(s)
- Kaara Ray B Calma
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, New South Wales, Australia.,Illawarra Health & Medical Research Institute, Keiraville, New South Wales, Australia
| | - Elizabeth J Halcomb
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, New South Wales, Australia.,Illawarra Health & Medical Research Institute, Keiraville, New South Wales, Australia
| | - Ritin Fernandez
- Illawarra Health & Medical Research Institute, Keiraville, New South Wales, Australia.,Centre for Research in Nursing and Health St. George Hospital, Centre for Evidence Based Initiatives in Health Care: A JBI Centre of Excellence, School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Anna Williams
- National Deputy Head Nursing and Midwifery, Health Sciences and Physiotherapy, School of Nursing, Western sydney University, Sydney, New South Wales, Australia
| | - Susan McInnes
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, New South Wales, Australia
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Loftus Moran O, Casey M, O'Connor L, Cullen W. Quality care process metrics for nurses working in general practice, mapping the evidence: a scoping review protocol. HRB Open Res 2022; 5:10. [PMID: 35505692 PMCID: PMC9024129 DOI: 10.12688/hrbopenres.13483.2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/08/2022] [Indexed: 12/03/2022] Open
Abstract
Background: Irish general practice nursing roles have developed and grown exponentially in response to changing policy, clinical and workforce demands, this is reflective of international primary healthcare nursing trends. However, as nursing care in general practice advances, comprehensive evaluation of the general practice nurse (GPN) role has not been undertaken. Therefore, processes which enable robust data collection to assess the role and facilitate development of services are required. Nursing quality care metrics are an established mechanism which evaluate quality of care. Nursing quality care process metrics (QCP-Ms) specifically refer to measurement of care delivered directly to patients by nurses, benchmarking these interventions adherence to best practice guidance. The use of nursing metrics has been adopted within seven distinct healthcare settings in Ireland but not general practice. This scoping review is the first stage of a project which aims to inform development and implementation of QCP-Ms by Irish GPNs. Aim: To explore and map the literature regarding the development and implementation of QCP-Ms within general practice settings. Methods: The following five-stage methodological framework for scoping reviews proposed by Arksey and O’Malley will be used: (1) identifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting/mapping the data and (5) collating, summarizing, and reporting results. The review will be conducted and reported in accordance with the PRISMA Extension for Scoping Reviews (PRISMA-ScR). Conclusions: The focus of this scoping review relates to QCP-Ms which specifically measure the work of general practice nurses. It is envisioned that synthesis of international literature will give a broad perspective about nursing QCP-Ms, their use in general practice or primary healthcare settings, enriching understanding regarding their development. It is anticipated that findings will provide key information to policy makers and health professionals interested in planning, strengthening, and delivering primary healthcare.
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Affiliation(s)
- Orla Loftus Moran
- School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland
- General Practice, Castlebar Family Practice, Castlebar, Ireland
| | - Mary Casey
- School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Laserina O'Connor
- School of Nursing Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Walter Cullen
- School of Medicine, Health Sciences, University College Dublin, Dublin, Ireland
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Mursa R, Patterson C, Halcomb E. Men's help-seeking and engagement with general practice: An integrative review. J Adv Nurs 2022; 78:1938-1953. [PMID: 35384022 PMCID: PMC9322545 DOI: 10.1111/jan.15240] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Revised: 01/25/2022] [Accepted: 03/13/2022] [Indexed: 11/30/2022]
Abstract
Aim To critically synthesize the literature that describes men's help‐seeking and engagement with general practice. Design Integrative literature review. Data sources CINAHL plus, Medline and APA PsycInfo were searched for papers published between 1999 and March 2021. Review methods After screening titles and abstracts, full‐text papers were screened against inclusion / exclusion criteria. All included papers were assessed for methodological quality. Findings were extracted, critically examined and synthesized into themes. Results Twenty studies met the inclusion criteria. Thematic analysis revealed four themes related to; (1) structural barriers, (2) internal barriers, (3) men's understanding of the role of general practice, and (4) self‐care and help‐seeking. The findings indicate that men can find general practice unwelcoming and unaccommodating. Men can also experience psychological barriers that impact engagement and help‐seeking. Men predominantly view general practice as a source of acute health care and do not appreciate the role of general practice in preventive health care and advice. Conclusion This review has provided insight into the issues around the barriers to health care engagement, men's understanding of the role of general practice and their associated help‐seeking. Seeking to further understand these issues could assist in the development of strategies to promote engagement of men with general practice health care. Impact This review highlights research about men's engagement with general practice and the missed opportunities in receiving preventive health care and education. Enhancing men's engagement with general practice has the potential to reduce the impact of their health on quality of life and improve health outcomes.
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Affiliation(s)
- Ruth Mursa
- School of Nursing, Faculty of Science, Medicine & Health, Illawarra Health & Medical Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
| | - Christopher Patterson
- School of Nursing, Faculty of Science, Medicine & Health, Illawarra Health & Medical Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
| | - Elizabeth Halcomb
- School of Nursing, Faculty of Science, Medicine & Health, Illawarra Health & Medical Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
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Casey M, O'Connor L, Rohde D, Twomey L, Cullen W, Carroll Á. Role dimensions of practice nurses and interest in introducing advanced nurse practitioners in general practice in Ireland. Health Sci Rep 2022; 5:e555. [PMID: 35284651 PMCID: PMC8905424 DOI: 10.1002/hsr2.555] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 02/01/2022] [Accepted: 02/14/2022] [Indexed: 11/11/2022] Open
Abstract
Background Internationally many countries have implemented strategies to enhance primary care, to strengthen their health systems to cope with an aging population, the rise of chronic conditions, and increased costs. Primary care has the potential to address these challenges, however, general practitioners are increasingly struggling to meet patient demand resulting from a growing and aging population. Expanding the role of general practice nurses to advanced nurse practitioner (ANP) level has worked internationally and could equally be a solution to the Irish context. However, their current role must first be established as well as their level of interest in becoming an ANP. Aim To explore the role of general practice nurses and their interest in becoming an ANP. Design A survey design. Method A purposeful sample of general practice nurses (n = 40) was undertaken between April and June 2019. Data were analyzed using the Statistical Package for Social Science (SPSS V 25.0; IBM). Results General practice nurses appear to have an agenda in relation to activities associated with wound care, immunizations, respiratory and cardiovascular issues. Just over half of the respondents were not interested in becoming an ANP. Their perceived challenges associated with the implementation of the role include a lack of support from general practitioners, a lack of resources, insurance issues, and a lack of understanding of the role. Challenges were associated with undertaking further training and their experience of having more work transferred to general practice without concomitant reallocation of resources. Conclusion General practice nurses have extensive clinical experience to deliver major improvements in primary care. Educational opportunities need to be provided for upskilling existing general practice nurses to advanced practice level. Greater understanding of the role and the potential contribution of the role in general practice is required among medical colleagues and the public.
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Affiliation(s)
- Mary Casey
- UCD School of Nursing, Midwifery and Health SystemsDublinIreland
| | | | - Daniela Rohde
- UCD School of Nursing, Midwifery and Health SystemsDublinIreland
| | - Liam Twomey
- UCD School of Medicine and Medical ScienceCollege of Health and Agricultural SciencesDublinIreland
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Loftus Moran O, Casey M, O'Connor L, Cullen W. Quality care metrics for nurses working in general practice, mapping the evidence: a scoping review protocol. HRB Open Res 2022; 5:10. [DOI: 10.12688/hrbopenres.13483.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/11/2022] [Indexed: 11/20/2022] Open
Abstract
Background: Irish general practice nursing roles have developed and grown exponentially in response to changing policy, clinical and workforce demands over the past three decades. However, as nursing care in general practice advances at pace, comprehensive evaluation of the general practice nurse (GPN) role has not been undertaken. Therefore, processes which enable robust data collection to carefully assess the role and facilitate development of services are required. Nursing quality care metrics (QCM) are an established mechanism which measure nursing care process, evaluate quality, and impact of care, and inform service development. The use of nursing QCM has been adopted within seven distinct healthcare settings in Ireland but not general practice. This scoping review is the first stage of a project which aims to inform development of QCM within Irish GPN settings. Aim: To explore and map the literature regarding the use, application, and impact of nursing quality care metrics within a general practice, primary care setting. Methods: The following five-stage methodological framework for scoping reviews proposed by Arksey and O’Malley will be used: (1) identifying the research question, (2) identifying relevant studies, (3) study selection, (4) charting/mapping the data and (5) collating, summarizing, and reporting results. The review will be conducted and reported in accordance with the PRISMA Extension for Scoping Reviews (PRISMA-ScR). Conclusions: The focus of this scoping review relates to QCM which specifically measure the work of general practice nurses. It is envisioned that synthesis of international literature will give a broad perspective about QCM, their use in general practice or primary care settings, and enrich understanding of their development. It is anticipated that findings will provide key information to policy makers and health professionals interested in planning, strengthening, and delivering primary care in Ireland.
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Blay N, Sousa MS, Rowles M, Murray‐Parahi P. The community nurse in Australia. Who are they? A rapid systematic review. J Nurs Manag 2022; 30:154-168. [PMID: 34634180 PMCID: PMC9298142 DOI: 10.1111/jonm.13493] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2021] [Revised: 10/05/2021] [Accepted: 10/06/2021] [Indexed: 11/29/2022]
Abstract
AIM This study aimed to profile the community nurse in Australia. BACKGROUND The need for nurses in the community health care sector is increasing in response to shorter hospital stays, an aging population and chronic disease. The increase in demand has not been followed by appropriate workforce planning, leading to structural issues and lack of qualified nursing workforce in the community sector. EVALUATION MEDLINE and ProQuest Public Health and grey literature were searched for records published between 2010 and 2020 relative to the profile of the community nurse in Australia. Twenty-five records (21 publications, 2 databases and 2 reports) were included in the review. Abstracted data followed the principles of workforce planning and included demographics, qualifications and roles. KEY ISSUES Inconsistent definitions, self-reported data and a focus on practice nurses have contributed to data irregularities. Little is known about the specific aspects of community nursing work. CONCLUSION A lack of concrete data has overshadowed a community nursing workforce crisis with implications for patients' health and safety across the lifespan. IMPLICATIONS FOR NURSING MANAGEMENT There is urgent need for nurse managers globally to refocus nursing recruitment to the community sector to maintain quality and ensure sustainability of the nursing workforce.
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Affiliation(s)
- Nicole Blay
- Centre for Applied Nursing Research, School of Nursing and MidwiferyWestern Sydney UniversityPenrithNew South WalesAustralia
- Centre for Applied Nursing Research (CANR)Ingham Institute for Applied Medical ResearchLiverpoolNew South WalesAustralia
- Nursing and MidwiferySouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
| | - Mariana S. Sousa
- Centre for Applied Nursing Research, School of Nursing and MidwiferyWestern Sydney UniversityPenrithNew South WalesAustralia
- Nursing and MidwiferySouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
- Faculty of HealthUniversity of Technology SydneyUltimoNew South WalesAustralia
| | - Mick Rowles
- Nursing and MidwiferySouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
- Primary and Community Health DivisionSouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
| | - Pauline Murray‐Parahi
- Centre for Applied Nursing Research, School of Nursing and MidwiferyWestern Sydney UniversityPenrithNew South WalesAustralia
- Nursing and MidwiferySouth Western Sydney Local Health DistrictLiverpoolNew South WalesAustralia
- Faculty of HealthUniversity of Technology SydneyUltimoNew South WalesAustralia
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Girard A, Ellefsen É, Roberge P, Bernard-Hamel J, Hudon C. Adoption of care management activities by primary care nurses for people with common mental disorders and physical conditions: A multiple case study. J Psychiatr Ment Health Nurs 2021; 28:838-855. [PMID: 34288278 DOI: 10.1111/jpm.12788] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2020] [Revised: 12/17/2020] [Accepted: 07/13/2021] [Indexed: 11/28/2022]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: The collaborative care model is a well-known model to improve care quality for people with common mental disorders and physical conditions in primary care. The role of care manager is central to the collaborative care model, and primary care nurses are well-positioned to play that role. Adopting the role of care manager by primary care nurses is challenging due to several contextual factors; however, few implementation studies examined the context and current practices before implementing the role of care manager and the collaborative care model. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The paper contributes to the advancement of knowledge about the pre-assessment of current practices before implementing the collaborative care model and the role of care manager. The paper offers a better understanding of the relationships between the context and the performance of care management activities by primary care nurses. The paper describes an innovative analysis technique to assess the gap between care management activities recommended in the collaborative care model and actual nursing activities. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Primary care nurses would benefit from having timely access to clinical support from mental health nurse practitioners in order to build their competency. Determinants of practice and the analysis technique to assess current practices will help other researchers or quality improvement teams to develop their plan when implementing the role of care manager. ABSTRACT: Introduction Few studies assessed current nursing practices before implementing the collaborative care model and the role of care manager for people with common mental disorders (CMDs) and physical conditions in primary care settings. Aim Evaluate the main determinants of practice that influence the adoption of care management activities by primary care nurses for people with CMDs and physical conditions. Methods A qualitative multiple case study was conducted in three primary care clinics. A total of 33 participants were recruited. Various data sources were combined: interviews (n = 32), nurse-patient encounters' observations (n = 7), documents and summaries of meetings with stakeholders (n = 8). Results Seven determinants were identified (1) access to external mental health resources; (2) clarification of local CMD care trajectory; (3) compatibility between the coordination of nursing work and the role of care manager; (4) availability of mental health resources within the primary care clinic; (5) competency in care management and competency building; (6) responsibility sharing between the general practitioner and the primary care nurse; and (7) common understanding of the patient treatment plan. Implications for practice To build their competency in care management for people with CMDs, primary care nurses would benefit from having clinical support from mental health nurse practitioners.
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Affiliation(s)
- Ariane Girard
- École des Sciences infirmiéres, Faculté de Médecine et de Sciences de la Santé, École des Sciences Infirmières, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Édith Ellefsen
- École des Sciences infirmiéres, Faculté de Médecine et de Sciences de la Santé, École des Sciences Infirmières, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Pasquale Roberge
- Département de Médecine de Famille et de Médecine d'urgence, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, QC, Canada.,Centre de Recherche du Centre Hospitalier, Universitaire de Sherbrooke, Sherbrooke, QC, Canada
| | - Joëlle Bernard-Hamel
- École des Sciences infirmiéres, Faculté de Médecine et de Sciences de la Santé, École des Sciences Infirmières, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Catherine Hudon
- Département de Médecine de Famille et de Médecine d'urgence, Faculté de Médecine et des Sciences de la Santé, Université de Sherbrooke, Sherbrooke, QC, Canada.,Centre de Recherche du Centre Hospitalier, Universitaire de Sherbrooke, Sherbrooke, QC, Canada
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16
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Calma KRB, Halcomb E, Williams A, McInnes S. Final-year undergraduate nursing students' perceptions of general practice nursing: A qualitative study. J Clin Nurs 2021; 30:1144-1153. [PMID: 33461242 DOI: 10.1111/jocn.15662] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 12/22/2020] [Accepted: 01/07/2021] [Indexed: 11/29/2022]
Abstract
AIM To explore final-year nursing students' perceptions of general practice nursing. BACKGROUND The need for general practice nurses has increased due to growing demands for health care in the community. This demand is exacerbated by a shortage in the general practice nursing workforce. Understanding final-year nursing students' perceptions of general practice nursing is important as these may influence career choices. DESIGN Qualitative descriptive study within a mixed methods project. METHODS Telephone interviews were conducted with sixteen final-year nursing students. Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis. Reporting follows the COREQ checklist. RESULTS Perceptions of general practice nursing varied between participants and related to three main themes; ways of working; a broad role to meet diverse health needs; and relationships with patients. General practice nurses were seen to have stable and collaborative working relationships, with their role ranging from supporting general practitioners to being autonomous professionals. The nurse's broad role was associated with diverse presentations and was considered interesting and challenging. Participants perceived that general practice nurses had more time to spend with patients, and this helped establish trust, and facilitated patient-centred care. CONCLUSION Participants' perceptions of general practice nursing varied, with some students recognising the diversity of the role and others perceiving it as limited. These views were often impacted by others experiences rather than personal experience. These variations underscore the need for students to receive greater exposure to general practice nursing. Review of undergraduate curricula to increase focus on preparing nursing students to work in general practice may help shape students' interest to seek employment in this setting. RELEVANCE TO CLINICAL PRACTICE Students perceptions of a clinical setting can influence their career decisions. Understanding these perceptions can inform clinicians and managers and highlight areas that may need to be addressed to promote career opportunities.
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Affiliation(s)
- Kaara Ray B Calma
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, NSW, Australia
| | - Elizabeth Halcomb
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, NSW, Australia
| | - Anna Williams
- School of Nursing, University of Notre Dame, Sydney, NSW, Australia
| | - Susan McInnes
- School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Wollongong, NSW, Australia
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Rapport F, Hutchinson K, Herkes GK, Bleasel A, Nikpour A, Ryder T, Wong C, Bartley M, Ireland C, Coleman H, Todd L, Groot W, Kerr M, Vagholkar S, Shears G, Braithwaite J. Determining the role and responsibilities of the Australian epilepsy nurse in the management of epilepsy: a study protocol. BMJ Open 2021; 11:e043553. [PMID: 33495260 PMCID: PMC7839898 DOI: 10.1136/bmjopen-2020-043553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
INTRODUCTION Epilepsy is a common neurological condition affecting between 3% and 3.5% of the Australian population at some point in their lifetime. The effective management of chronic and complex conditions such as epilepsy requires person-centred and coordinated care across sectors, from primary to tertiary healthcare. Internationally, epilepsy nurse specialists are frequently identified as playing a vital role in improving the integration of epilepsy care and enhancing patient self-management. This workforce has not been the focus of research in Australia to date. METHODS AND ANALYSIS This multistage mixed-method study examines the role and responsibilities of epilepsy nurses, particularly in primary and community care settings, across Australia, including through the provision of a nurse helpline service. A nationwide sample of 30 epilepsy nurses will be purposively recruited via advertisements distributed by epilepsy organisations and through word-of-mouth snowball sampling. Two stages (1 and 3) consist of a demographic questionnaire and semistructured interviews (individual or group) with epilepsy nurse participants, with the thematic data analysis from this work informing the areas for focus in stage 3. Stage 2 comprises of a retrospective descriptive analysis of phone call data from Epilepsy Action Australia's National Epilepsy Line service to identify types of users, their needs and reasons for using the service, and to characterise the range of activities undertaken by the nurse call takers. ETHICS AND DISSEMINATION Ethics approval for this study was granted by Macquarie University (HREC: 52020668117612). Findings of the study will be published through peer-reviewed journal articles and summary reports to key stakeholders, and disseminated through public forums and academic conference presentations. Study findings will also be communicated to people living with epilepsy and families.
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Affiliation(s)
- Frances Rapport
- Australian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia
| | - Karen Hutchinson
- Australian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia
| | - Geoffrey K Herkes
- Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
- Neurology, Royal North Shore Hospital, Sydney, New South Wales, Australia
| | - Andrew Bleasel
- Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
- Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia
| | - Armin Nikpour
- Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
- Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
| | - Tayhla Ryder
- Australian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia
| | - Chong Wong
- Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
- Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia
| | - Melissa Bartley
- Department of Neurology, Westmead Hospital, Westmead, New South Wales, Australia
| | - Carol Ireland
- Epilepsy Action Australia, North Ryde, New South Wales, Australia
| | - Honor Coleman
- Epilepsy Foundation, Melbourne, Victoria, Australia
- Melbourne School of Psychological Science, The University of Melbourne, Melbourne, Victoria, Australia
| | - Lisa Todd
- Epilepsy Action Australia, North Ryde, New South Wales, Australia
| | - Wendy Groot
- Epilepsy Australia, Melbourne, Victoria, Australia
- Epilepsy Tasmania, Launceston, Tasmania, Australia
| | - Mike Kerr
- Department of Psychological Medicine and Clinical Neurosciences, Cardiff University, Cardiff, Wales, UK
| | - Sanjyot Vagholkar
- MQ Health General Practice, Macquarie University, North Ryde, New South Wales, Australia
| | - Graeme Shears
- Epilepsy Foundation, Melbourne, Victoria, Australia
- Epilepsy Australia, Melbourne, Victoria, Australia
| | - Jeffrey Braithwaite
- Australian Institute of Health Innovation, Macquarie University, North Ryde, New South Wales, Australia
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Halcomb E, Williams A, Ashley C, McInnes S, Stephen C, Calma K, James S. The support needs of Australian primary health care nurses during the COVID‐19 pandemic. J Nurs Manag 2020; 28:1553-1560. [DOI: 10.1111/jonm.13108] [Citation(s) in RCA: 57] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 07/16/2020] [Accepted: 07/17/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Elizabeth Halcomb
- School of Nursing, Faculty of Science Medicine & Health University of Wollongong Wollongong NSW Australia
- Illawarra Health and Medical Research Institute Medical Research Institute Keiraville Australia
| | - Anna Williams
- School of Nursing University of Notre Dame Sydney NSW Australia
| | - Christine Ashley
- School of Nursing, Faculty of Science Medicine & Health University of Wollongong Wollongong NSW Australia
| | - Susan McInnes
- School of Nursing, Faculty of Science Medicine & Health University of Wollongong Wollongong NSW Australia
| | - Catherine Stephen
- School of Nursing, Faculty of Science Medicine & Health University of Wollongong Wollongong NSW Australia
| | - Kaara Calma
- School of Nursing, Faculty of Science Medicine & Health University of Wollongong Wollongong NSW Australia
| | - Sharon James
- School of Nursing, Faculty of Science Medicine & Health University of Wollongong Wollongong NSW Australia
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Halcomb E, Bird S. Job Satisfaction and Career Intention of Australian General Practice Nurses: A Cross‐Sectional Survey. J Nurs Scholarsh 2020; 52:270-280. [DOI: 10.1111/jnu.12548] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Elizabeth Halcomb
- Xi Omicron-at-large, Professor of Primary Health Care Nursing, School of Nursing, Faculty of Science, Medicine & Health University of Wollongong Wollongong NSW Australia
| | - Sonia Bird
- Research Fellow (Applied Statistics), Australian Health Services Research Institute University of Wollongong Innovation Campus Wollongong NSW Australia
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Ashley C, Halcomb E, McInnes S, Robinson K, Lucas E, Harvey S, Remm S. Middle-aged Australians’ perceptions of support to reduce lifestyle risk factors: a qualitative study. Aust J Prim Health 2020; 26:313-318. [DOI: 10.1071/py20030] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2020] [Accepted: 05/19/2020] [Indexed: 02/05/2023]
Abstract
Increasingly, middle-aged people are demonstrating lifestyle risk factors that increase their risk of developing chronic disease. Reducing lifestyle risk in middle age can significantly reduce future morbidity and mortality and improve quality of life. Understanding peoples’ perceptions of health support is important to inform health professionals and policymakers regarding strategies to support lifestyle risk reduction. This paper seeks to explore middle-aged Australians’ perceptions of support for lifestyle risk reduction. Thirty-four middle-aged Australians were interviewed using a semi-structured interview schedule. Interviews were audio-recorded, transcribed and analysed using thematic analysis. The overarching theme ‘support for healthy lifestyles’ comprised three subthemes. ‘Engagement with general practice’ highlighted gender differences in why people attend and what impacts their access to general practice. ‘Providing information’ emphasised participants’ experiences of lifestyle risk communication in general practice. Finally, ‘Sources of support’ revealed participants’ current health advice-seeking behaviours. Findings highlight a need for general practices to better engage middle-aged people in behaviour change and educate them about the role of general practice in prevention and health promotion. Consistent messaging across the community and strategies that focus on gender-specific concerns are likely to ensure that middle-aged people are able to make informed choices about seeking support for lifestyle risk reduction.
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