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Evaluating the workload of practice nurses: a study

F Paxton, M Porter, D Heaney

    Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
    |February 14, 1996
    PubMed
    Summary
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    Practice-employed nurses initiated more appointments and engaged in more therapeutic listening after the New General Practitioner Contract. Both attached and practice-employed nurses experienced a decrease in treatment room workload.

    Area of Science:

    • Primary Care Nursing
    • Health Services Research

    Background:

    • The introduction of the New General Practitioner Contract in April 1990 prompted changes in primary care.
    • This provided an opportunity to study the impact on nurse workload and working patterns.

    Purpose of the Study:

    • To examine changes in the process of care provided by nurses.
    • To identify shifts in workload and working patterns between attached and practice-employed nurses.

    Main Methods:

    • A before-and-after study design was employed.
    • 67 practice nurses participated, involving 12,725 consultations over two years (1990-1991).

    Main Results:

    • Practice-employed nurses increased their self-initiated appointments and saw fewer GP referrals post-contract.

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  • Both nurse groups experienced a reduction in treatment room workload.
  • Therapeutic listening increased for both groups, with practice-employed nurses reporting higher levels.

    • Conclusions:

    • The New General Practitioner Contract influenced nurse working patterns, particularly increasing autonomy for practice-employed nurses.
    • Changes in workload and an emphasis on therapeutic listening were observed in both attached and practice-employed nurses.