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When policy meets the personal: general practice nurses in Australia.

Christopher Pearce¹, Sally Hall, Christine Phillips

¹University of Melbourne, Melbourne East General Practice Network, Melbourne, Australia. drchrispearce@mac.com

Journal of Health Services Research & Policy

|February 24, 2010

Summary

Australian health policy aims to increase general practice nurses. Nurses create new roles beyond tasks, improving patient care and teamwork, which policy incentives often overlook.

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Area of Science:

Health Policy
Nursing Practice
General Practice

Background:

Australian health policy emphasizes expanding general practice nurses.
New payment incentives are designed to boost the employment of practice nurses.

Purpose of the Study:

To explore how current health policies frame the work of general practice nurses.
To understand the impact of policy incentives on nursing roles and patient care.

Main Methods:

Multimethod research including observations, workspace photographs, and interviews.
Rapid appraisal across 25 general practices in two Australian states.
In-depth case studies of nursing roles in seven practices over one year.

Main Results:

Nurses generated unanticipated benefits in practice functioning and teamwork.
Nurses adapted and created roles based on their understanding of patient care needs.
Policy incentives focused on tasks and systems, not the holistic care nurses provide.

Conclusions:

Policy and funding should recognize nurses as facilitators of connectivity, not just task performers.
Understanding the dynamic nature of teamwork in general practice is crucial for effective policy development.