Archives
The Research Potential of Practice Nurses
What contribution to primary health care research?
Julie J Yallop
NZ and Australian National HAT, Auckland District Health Board, New Zealand; Dept of Epidemiology & Preventive Medicine, Monash University, VIC; School of Nursing, University of Western Sydney, NSW
Brian R McAvoy
Community and Home Detox Service, Auckland Community Alcohol and Drug Service; Hon/Adj Professor of General Practice, University of Auckland, New Zealand; Monash University, Melbourne VIC; University of Western Sydney, NSW
Abstract
Primary health care (PHC) is at the core of effective, sustainable population healthcare. Although PHC research has been described as 'the missing link in the development of high-quality, evidence-based health care for populations, research outputs have been disappointingly low in Australia and overseas.
This paper reviews the current status of PHC research in Australia, particularly relating to funding and research capacity building needed to conduct high quality and relevant research with significant transfer potential for practice and policy. It explores the likely contribution of research-trained practice nurses (R-T PNs) as study coordinators, rather than as independent nurse researchers, although this is certainly possible, and proposes adapting a successful secondary care research model for use in the PHC research setting.
Keywords
practice nurse, primary health care, research-trained practice nurses, chronic disease management, primary health care research capacity
References
Askew DA, Glasziou PP and Del Mar CB (2001) Research output of Australian general practice: a comparison with medicine, surgery and public health. Medical Journal of Australia 175: 77-80.
Atun RA (2004) What are the advantages and disadvantages of restructuring a health care system to be more focussed on primary care services? World Health Organization Health Evidence Network Report. Copenhagen: WHO, 2004.
Davies J, Heyman B, Bryar R, Graffy J, Gunnell C, Lamb B and Morris L (2002) The research potential of practice nurses. Health and Social Care in the Community 10(5): 370-81
Gervas J, Perez Fernandez M and Starfield B (1994) Primary care, financing and gatekeeping in Western Europe. Family Practice 11: 307-311.
Halcomb EJ, Davidson P, Daly J, Yallop J and Tofler G (2004) Australian nurses in general practice based heart failure management: Implications for innovative collaborative practice. European Journal of Cardiovascular Nursing 3(2): 135-47.
Halcomb EJ, Patterson E and Davidson PM (2006) Evolution of practice nursing in Australia. Journal of Advanced Nursing 55(3): 376-390.
Hegney D, Price K, Patterson EA, Martin-McDonald K and Rees S (2004) Australian consumers' expectations for expanded nursing roles in general practice, Australian Family Physician 33(10): 845-8.
Horton R (1999) Evidence and primary care. Lancet 353: 609-610.
Hague W, Yallop J, Daly J, Margrie S, Simes J and MacMahon S (1992) for the LIPID Group. NHMRC Clinical Trials Centre. Identification of Successful Recruitment Strategies for the LIPID Study. Public Health Association Annual Meeting, Canberra.
James EL and Talbot L (2005) Conducting research in general practice: lessons learnt from experience. Health Promotion Journal of Australia 16: 41-46.
Kelly C, Ghazi F and Caldwell K (2002) Psychological distress of cancer and clinical trial participation: a review of the literature. European Journal of Cancer Care 11: 6-15.
Lancet (2003) Who's afraid of European Clinical Trials Directive? Lancet 361: 2167
Lemmens T and Miller P (2003) The human subjects trade: ethical and legal issues surrounding recruitment incentives. Journal of Law, Medicine and Ethics 31(3): 398-421
Mant D (1997) R&D in primary care. National Working Group Report. Wetherby, UK: Department of Health. (Report No 97CC0138) Accessed at www.dh.gov.uk/assetRoot/04/02/41/50/04024150.pdf on 26 June 2006.
McAvoy B (2005) Primary care research - what in the world is going on? Medical Journal Australia 183: 110-112.
McKinlay E (2006) New Zealand practice nursing in the third millennium: Key issues in 2006. New Zealand Family Physician 33(3): 162-68.
Medical Research Council (2003) Patients before paperwork. Medical Research Council response to the MHRA Consultation letter on the Medicines for Human Use (Clinical Trial) Regulations (MLX 287) and draft legislation. London: MRC.
Medical Research Council (1997) Primary health care research review. MRC topic review. London: Medical Research Council.
Minto R (2006) The future of practice nursing. New Zealand Family Physician 33(3): 169-72.
Oceania Health Consulting (2005) Evaluation of the Primary Health Care Research, Evaluation and Development Strategy. Accessed at www.phchris.org.au/phcred/evalauation_report.php on 26 September 2006.
Primary Health Care Research and Information Service. Accessed at www.phchris.org.au on 26 September 2006.
Reid CM, Ryan P, Nelson M, Beckinsale P, McMurchie M, Gleave D, DeLoozef F and Wing LM (2001) General practitioner participation in the second Australian national blood pressure study (ANBP2). Clinical and experimental pharmacology & physiology 28: 663-667.
Simes J (2002) Clinical trials and 'real-world' medicine. Medical Journal of Australia 177 (8): 410-411.
Starfield B, Shi LY and Macinko J (2005) Contribution of primary care to health systems and health. Milbank Quarterly 83: 457-502.
Starfield B (1994) Primary care. Participants or gatekeepers? Diabetes Care 17(Suppl 1): 12-17.
The National Primary Care Collaborative. Accessed May 2006
http://www.health.gov.au/internet/wcms/publishing.nsf/
Content/health-pcd-programs-apccp-index.htm.
van Weel C and Rosser W (2004) Improving health care globally: a critical review of the necessity of family medicine research and recommendations to build research capacity. Annals of Family Medicine 2 Suppl 2: 5-16.
Ward AM, Lopez DG, Kamien M (2000) General practice research in Australia, 1980-1999. Medical Journal of Australia 173: 608-611.
Yallop J, McAvoy B, Croucher J, Tonkin A and Piterman L on behalf of the CHAT Study Group (2006) Primary health care research - essential but disadvantaged. Medical Journal of Australia 185: 118-120.
Zwar N, Weller D, McCloughan L and Traynor V (2006) Supporting research in primary care: are practice-based research networks the missing link? Medical Journal of Australia 185: 110-113.

eContent Home