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Nurses' experiences of working in emerging primary care groups
Alison While1, Elizabeth Dyson, Paul Thomas
1Florence Nightingale School of Nursing and Midwifery, King's College London.
British Journal of Community Nursing
|November 26, 2002
Summary
Primary care nurses in England face challenges with new organizational structures and clinical governance due to poor IT support and staff shortages. These issues hinder their ability to adapt to new working methods and fully engage with primary care initiatives.
Area of Science:
- Healthcare Management
- Nursing Practice
- Health Services Research
Background:
- England's primary care is undergoing significant restructuring with the introduction of primary care groups and trusts.
- A new clinical governance framework aims to standardize clinical care quality.
Purpose of the Study:
- To explore the impact of these primary care reforms on the working practices of primary care nurses.
- To identify barriers and enablers for nurses' adaptation to new healthcare models.
Main Methods:
- Qualitative study employing telephone interviews.
- 20 nurses from two primary care groups participated.
Main Results:
- Nurses reported continuing traditional roles with limited engagement in new structures.
- Significant challenges identified include poor information technology support and access to information.
- Ongoing staff shortages and increased workloads were key 'disablers' to adopting new practices.
Conclusions:
- The current restructuring and clinical governance implementation in primary care present challenges for nursing staff.
- Addressing issues like IT infrastructure and staffing levels is crucial for successful integration and enhanced nursing roles in primary care.