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Editorial
Practice Nursing in Australia
Ready for prime time
Patricia M Davidson
Professor of Cardiovascular and Chronic Care, School of Nursing and Midwifery, Curtin University of Technology, Sydney Campus, NSW
Elizabeth J Halcomb
Senior Lecturer, School of Nursing, University of Western Sydney, Sydney NSW
Elizabeth Patterson
Head, School of Nursing and Visiting Fellow, Nurse Education, Gold Coast Health Service District, Griffith University, Gold Coast Campus, QLD
Keywords
practice nursing, general practice, professional issues, Australia
Article Text
Significant discussion and debate in contemporary health care systems focuses on workforce issues, particularly addressing the shortage of personnel and the access scope, setting and models of practice of health care workers. Although the popular media portray the acute hospital setting as the chief place of nursing practice and health care delivery, we are all well aware that this highly technological milieu is neither appropriate nor effective in managing chronic conditions and more importantly promoting self-management to empower individuals and communities to prevent disease (Wagner 1998).
Although the community setting has long been recognised as an appropriate and effective setting for health care delivery (McMurray 2007), the general practice setting in Australia has only in recent times attracted attention from policy and professional bodies (Halcomb et al 2005; McAvoy 2005). As health professionals, researchers and policy makers strive to develop models of care that are less reactive and more appropriate to preventing, rather that treating disease and managing chronic conditions, the general practice setting is a logical and appropriate choice to promote interdisciplinary practice. In Australia, the general practice setting is the major provider of health care services (Halcomb et al 2005). It is inevitable that nurses will provide an increasingly important role in this setting, particularly with the increasing burden of chronic conditions. In order to develop models of practice that are complementary and not competitive and more importantly acceptable to the Australian community we need to undertake scholarly debate (Hegney, Price, Patterson et al 2004).
This Special Edition of Contemporary Nurse, Advances in Contemporary General Practice Nursing: Role of the Practice Nurse, provides an opportunity to undertake this discussion and debate. This Special Edition explores the role of nurses internationally in a range of primary health care settings in both independent and collaborative practice and also investigates regulatory and professional concerns. This international perspective allows nurses to explore issues relating to interdisciplinary practice and emulate effective and efficient models in engaging communities.
Until recently the practice nurse role has been largely invisible in scholarly discussion and debate, particularly in the Australian setting. One could argue that, overall, community based health care has been the poor relation of their acute care colleagues for a range of prevailing social, economic and political factors (Davidson et al 2003). We hope that the range of perspectives presented in this Special Edition will place the spotlight on an area of nursing practice ready for prime time to support the health and well-being of individuals and communities.
References
Australian Divisions of General Practice (2006) National Practice Nurse Workforce Survey Report, April 2006, Canberra.
Davidson PM, Daly J, Meleis AM and Douglas M (2003) Globalization as we enter the 21st Century: reflections and directions for nursing research, science and practice. Contemporary Nurse 15(3): 161-174.
Halcomb E, Davidson P, Daly J, Griffiths R, Yallop J and Tofler G (2005) Nursing in Australian general practice: directions and perspectives, Australian Health Review 29(2): 156-166.
Hegney D, Price K, Patterson E, Martin-McDonald K and Rees S (2004) Australian consumers' expectations for expanded nursing roles in general practice: choice not gatekeeping, Australian Family Physician 33(10): 845-849.
McAvoy B (2005) Primary care research - what in the world is going on? Medical Journal of Australia 183: 110-11.
McMurray A (2007) Community Health and Wellness: A Socio-Ecological Approach 3rd edn, Mosby Elsevier, Sydney.
Wagner EH (1998) Chronic disease management: what will it take to improve care for chronic illness? Effective Clinical Practice 1(1): 2-4.
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