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Practice nurses' workload and consultation patterns

L A Jeffreys1, A L Clark, M Koperski

  • 1National Heart and Lung Institute, London.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

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Practice nurses perform many tasks, with a significant portion suitable for those without advanced training. Developing extended roles requires dedicated nursing hours for specialized care.

Area of Science:

  • General Practice
  • Nursing Workforce Analysis

Background:

  • Growing demand for expanded practice nurse roles.
  • Need for baseline data on current practice nurse activities and workload.

Purpose of the Study:

  • Analyze practice nurse activity in two large inner-city general practices.
  • Assess the required nursing skills mix to meet practice needs.

Main Methods:

  • Utilized a 45-code nurse activity index for patient consultations over eight months.
  • Categorized activities into traditional treatment, extended role, and diagnosis/management tasks.
  • Collected data on patient demographics and referral sources in one practice.

Main Results:

  • Recorded 13,898 practice nurse consultations (0.8 per patient annually).

Related Experiment Videos

  • Common reasons for consultation included blood tests and dressings.
  • 61% of procedures were traditional tasks, 26% extended roles, and 9% diagnosis/management.

    • Conclusions:

    • Up to 60% of practice nurse work could be performed by nurses without extended training.
    • Approximately 30% could be handled by healthcare assistants, potentially with quality impact.
    • Recommended dedicating half of nursing hours to nurses with extended training for advanced tasks.