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Open access to the practice nurse

The Journal of the Royal College of General Practitioners

|April 1, 1981

Summary

This summary is machine-generated.

Practice nurses with open access are the primary contact for nearly half of patient attendances, managing most cases independently. Their expanding role requires further research and may exceed current legal frameworks for general practitioners.

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Area of Science:

Primary care
Nursing practice
Health services research

Background:

Open access models in primary care allow patients direct access to healthcare professionals.
Practice nurses play an increasingly significant role in patient management.
The delegation of work from general practitioners to nurses is evolving.

Purpose of the Study:

To analyze the workload and primary contact role of practice nurses in an open access system.
To assess the extent to which nurses manage patient cases without physician referral.
To explore the implications of expanded nursing roles on existing legal and professional boundaries.

Main Methods:

Analysis of patient attendance data in a primary care setting with open access nursing.
Quantification of nurse-led consultations and case management.

Related Experiment Videos

Comparison of nurse-managed cases with and without physician referral.

Main Results:

The attendance rate was 964 per 1,000 registered patients annually.
Nurses served as the primary contact in nearly 50% of patient attendances.
Approximately 75% of nurse-managed cases were handled without referral to a doctor.

Conclusions:

Practice nurses in open access settings are key primary contacts, managing a substantial caseload independently.
The scope of practice for these nurses has advanced beyond current legal restrictions for general practitioner delegation.
Further research is needed to fully understand and support nurse-led patient management.