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Leading Preventive Care: Confidence, Collaboration, and Systemic Challenges Among Primary Health Care Nurses
Katrina Paine1, Elizabeth Denney-Wilson1, Mark Harris2
1Susan Wakil School of Nursing, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.
Global Qualitative Nursing Research
|July 29, 2026
Summary
General Practice Nurses (GPNs) are crucial in delivering preventive care by adapting to patient needs and navigating complex health systems. Their work requires better funding and policy support for sustainable, equitable patient outcomes.
Area of Science:
- Primary Care Nursing
- Health Services Research
- Preventive Medicine
Background:
- General Practice Nurses (GPNs) play a vital role in preventive care, collaborating with General Practitioners (GPs).
- Their practice involves health assessments, risk appraisal, lifestyle counselling, and patient-centred care within intricate health systems.
- Understanding how GPNs implement preventive strategies in diverse settings is essential.
Purpose of the Study:
- To explore how GPNs identify, negotiate, and sustain preventive care practices.
- To examine the multilevel factors influencing GPNs' preventive care delivery.
- To understand the translation of national prevention priorities into local practice.
Main Methods:
- Qualitative descriptive design informed by the Socioecological Model.
- Semi-structured interviews conducted with 33 GPNs across various practice locations.
- Reflexive thematic analysis involving iterative familiarisation, inductive coding, and theme development.
Main Results:
- Five interconnected themes emerged: Adaptive Leadership of Prevention (individual), Brokering Interprofessional Collaboration (interprofessional), Championing Prevention Amid Organisational Constraints (organisational), Community Connectivity and Extended Reach (community), and Local Adaptation within Policy Constraints (policy).
- GPNs demonstrated boundary-spanning roles, tailoring interventions and connecting fragmented care.
- Challenges included patient resistance, time pressures, organisational constraints, and inadequate funding within policy frameworks like the Medicare Benefits Schedule.
Conclusions:
- GPNs are essential boundary-spanning professionals translating national prevention goals into locally relevant care.
- Sustainable and equitable preventive care requires aligned funding, team-based policy recognition, infrastructure investment, defined roles, and professional development.
- Policy reform is necessary to support GPNs' crucial role in preventive health strategies.
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