Exploring the Development of Australian General Practice Nursing: Where we have come from and where to from here?
Patricia M Davidson
Centre of Cardiovascular and Chronic Care, School of Nursing and Midwifery, University of Technology Sydney, Sydney NSW; Curtin University, Perth WA
Elizabeth Patterson
Head, School of Nursing and Visiting Fellow, Nurse Education, Gold Coast Health Service District, Griffith University, Gold Coast Campus, QLD
PP: 145 - 153
Abstract
Significant development has occurred in the role and scope of Australian general practice nursing in the last decade. Although there has been a nursing presence in Australian general practice for many years (Linn 1977), current workforce shortages and the growing need for chronic and complex disease management and provision of preventive health care in the community have fuelled role development (Halcomb, Patterson & Davidson 2006).
In an effort to explore and document the evolution of scholarship and professional development in Australian general practice nursing a content analysis of the proceedings of the four Australian practice nursing conferences was undertaken. This framework allows the mapping of the trajectory related to professional development issues, policy, research and scholarship. Content analysis revealed that the papers presented at each of the four conferences could be broadly divided into six major themes, namely: (1) role of the practice nurse, (2) education and training, (3) research, (4) legal, ethical and risk issues, (5) innovation in clinical practice and, (6) operational and management issues in general practice.
Documenting the evolution of this emerging specialty is important in planning initiatives to maximise practice nurses' important contribution to primary health care.
Keywords
general practice, practice nursing, primary health care, nursing workforce issues, office nursing
References
Appleby N, Dunt D, Southern DM and Young D (1999) General practice integration in Australia: Primary health services provider and consumer perceptions of barriers and solutions, Australian Family Physician 28(8): 858-63.
Armstrong F (2001) Expanding the role: Nurses in general practice, Australian Nursing Journal 9(6): 28-30.
Astley C, Portelli L, Whalley G and Davidson PM (2007) Coming of Age: Affiliate Member Profile and Participation in the Annual Scientific Meeting of the Cardiac Society of Australia and New Zealand, Heart, Lung and Circulation (in press).
Australian Divisions of General Practice Ltd (2001) Practice nurse scoping study, accessed at
www.gpdv.com.au/nurses/sharedresources/ADGP%20Report
%20-20%PN%20Scoping%20Study%20%Oct%2001.pdf on June 1 2003.
Australian Institute of Health and Welfare and Commonwealth Department of Health and Family Services (1997) First report on National health priority areas 1996, Australian Government Publishing Service, Canberra ACT.
Bonawit V and Watson L (1996) Nurses who work in medical practices: A Victorian survey, Australian Journal of Advanced Nursing 13(4): 28-34.
Cheek J, Price K, Dawson A, Mott K, Beilby J and Wilkinson D (2002) Consumer perceptions of nursing and nurses in general practice, Centre for Research into Nursing and Health Care, University of South Australia, Adelaide, South Australia.
Gee JP (2005) An Introduction to Discourse Analysis: Theory and Method, Routledge, London.
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, Davidson P, Daly J, Yallop J and Tofler G (2005) Nursing in Australian general practice: Directions and perspectives, Australian Health Review 29(2): 156-66.
Halcomb EJ, Davidson P, Griffiths R and Daly J (2007a) Cardiovascular disease management: Time to advance the practice nurse role? Australian Health Review (in press).
Halcomb EJ, Davidson P, Salamonson Y and Ollerton R (2007b) Nursing in Australian general practice: Implications for chronic disease management, Journal of Nursing and Healthcare of Chronic Illness (in press).
Halcomb EJ and Davidson PM (2006) The role of practice nurses in an integrated model of cardiovascular disease management in Australian general practice, Australian Journal of Primary Health 12(2): 44-54.
Halcomb EJ, Patterson E and Davidson PM (2006) Evolution of practice nursing in Australia, Journal of Advanced Nursing 53(3): 376-90.
Hodder I (1994) The interpretation of documents and material culture. In Denzin NK and Lincoln YS (eds) Handbook of Qualitative Research, pp.393-402, Sage, Thousand Oaks, California.
Hopewell S and Clarke M (2001) Do methodologists write up their conference presentations or is it just 15 minutes of fame? International Journal of Technology Assessment in Health Care 17(4): 601-03.
Kalucy L, Hann K and Whaites L (2004) Divisions: A matter of balance. Results of the 2002-2003 Annual Survey of Divisions of General Practice, Primary Health Care Research and Information Service, Flinders University and Commonwealth Department of Health and Aged Care, Adelaide, South Australia.
Le Sueur H and Barnard A (1993) Nurses in general practice in metropolitan Western Australia, Department of Health, Housing and Community Services, Canberra, ACT.
Linn J (1977) Chronic illness in the elderly: The role of the nurse. PhD thesis, University of Adelaide,
Linn J (1969) The health team in general practice: Summary of a survey in rural practice, Annals of General Practice 14(162): 162-8.
Lockwood A and Maguire F (2000) General practitioners and nurses collaborating in general practice, Australian Journal of Primary Health 6(2): 19-29.
MacDonald J, Herbert R and Thibeault C (2006) Advanced Practice Nursing: Unification Through a Common Identity, Journal of Professional Nursing 22(3): 172-79.
Miller FA and Alvarado K (2005) Incorporating documents into qualitative nursing research, Journal of Nursing Scholarship 37(4): 348-53.
National Expert Committee on Standards for General Practices (2005) RACGP Standards for General Practices 3rd ed, ISBN 0 86906 268 9, Royal Australian College of General Practitioners, Canberra, ACT.
Patterson EA (2003) Future leaders in the provision of primary health care? Royal College of Nursing, Australia, Inaugural National Practice Nurse Conference - New Roads to Travel: Challenges for the expanding role of the practice nurse, November 6-8, Bunbury, WA.
Patterson EA (2000) Primary health care nursing: A case study of practice nurses. PhD thesis, Griffith University, Australia.
Patterson EA, Del Mar C and Najman J (1999a) A descriptive study of nurses employed by general practitioners in South-East Queensland, Australian Journal of Advanced Nursing 17(2): 13-20.
Patterson EA, Del Mar C and Najman J (2000) Medical receptionists in general practice: Who needs a nurse? International Journal of Nursing Practice 6(5): 229-36.
Patterson EA, Del Mar C and Najman J (1999b) Nursing's contribution to general practice: General practitioners' and practice nurses views, Collegian 6(4): 33-9.
Patterson EA and McMurray A (2003) Collaborative practice between registered nurses and medical practitioners in Australian general practice: Moving from rhetoric to reality, Australian Journal of Advanced Nursing 20(4): 43-8.
Pellecchia GL (1999) Dissemination of research findings: Conference presentations and journal publications, Topics in Geriatric Rehabilitation 14(3): 67-79.
Polit DF and Beck CT (2006) Essentials of nursing research: Methods, appraisal and utilization 6th edn, Lippincott Williams and Wilkins, Philadelphia.
Royal College of Nursing Australia (2007) Website, accessed at www.rcna.org.au/ on January 20 2007.
Van Vliet M (2006) Promoting evidence-based practice: the roles and activities of professional nurses' associations, Journal of Advanced Nursing 53(5): 605-12.
Vincent D, Hogan C and Sweeney M (2001) Clinical nurse in general practice project report, Royal Australian College of General Practitioners, Melbourne, Victoria.
Watts I, Foley E, Hutchinson R, Pascoe T, Whitecross L and Snowdon T (2004) General practice nursing in Australia, Royal Australian College of General Practitioners and Royal College of Nursing, Australia, Canberra, ACT.
Whitecross L (2000) The Australian practice nurse, Australian Family Physician 29(3): 270-1.
Whitecross L (1999) Collaboration between GPs and nurse practitioners: The overseas experience and lessons for Australia, Australian Family Physician 28(4): 349-53.
Willis E, Condon J and Litt J (2000a) Factors impacting on shared care working relationships between practice nurses and general practitioners: A literature review, Contemporary Nurse 9(2): 120-31.
Willis E, Condon J and Litt J (1998) Shared care between practice nurses and general practitioners, The Flinders University of South Australia, Adelaide, South Australia.
Willis E, Condon J and Litt J (2000b) Working relationships between practice nurses and general practitioners in Australia: A critical analysis, Nursing Inquiry 7(4): 239-47.

eContent Home




