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Published in: BMC Primary Care 1/2013

Open Access 01-12-2013 | Research article

A qualitative evaluation of New Zealand consumers perceptions of general practice nurses

Authors: Elizabeth J Halcomb, Kath Peters, Deborah Davies

Published in: BMC Primary Care | Issue 1/2013

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Abstract

Background

An important consideration in health service delivery is ensuring that services meet consumer needs and that consumers are satisfied with service delivery. Patient satisfaction can impact on compliance with suggested treatments and therefore impact on health outcomes. Comparatively few studies have explored consumer satisfaction with nurses in general practice.

Methods

A sub-group of 18 consumers from a larger quantitative evaluation of consumer satisfaction with New Zealand general practice nurses participated in semi-structured telephone interviews. Interview data was analysed using thematic analysis.

Results

Four major themes emerged from the data. These themes highlighted that, despite confusion experienced by some consumers regarding the practice nurse role, consumers were happy with the level of care provided by them. Consumers felt valued by Practice Nurses and considered them competent and highly knowledgeable. Findings also convey that consumers appreciate the accessibility and financial benefits of utilising the services of practice nurses.

Conclusions

Consumers are highly satisfied with practice nurse service delivery and value their relationships with these health professionals. Consumers revealed that greater clarity around the practice nurse role and their scope of practice may enhance their utilisation. Spreading the message of practice nurses being the right person to deliver care, within their scope of practice, at the right time may have the potential to provide more timely care within the primary care setting.
Literature
1.
go back to reference Bodenheimer T, Chen E, Bennett HD: Confronting The Growing Burden Of Chronic Disease: Can The U.S. Health Care Workforce Do The Job?. Health Aff. 2009, 28 (1): 64-74. 10.1377/hlthaff.28.1.64.CrossRef Bodenheimer T, Chen E, Bennett HD: Confronting The Growing Burden Of Chronic Disease: Can The U.S. Health Care Workforce Do The Job?. Health Aff. 2009, 28 (1): 64-74. 10.1377/hlthaff.28.1.64.CrossRef
2.
go back to reference Prince A, Nelson K: Educational needs of practice nurses in mental health. J Prim Health Care. 2011, 3 (2): 142-149.PubMed Prince A, Nelson K: Educational needs of practice nurses in mental health. J Prim Health Care. 2011, 3 (2): 142-149.PubMed
4.
go back to reference Ministry of Health: A portrait of health: Key results from the 2006/7 New Zealand health survey. 2008, Wellington, New Zealand: Ministry of Health Ministry of Health: A portrait of health: Key results from the 2006/7 New Zealand health survey. 2008, Wellington, New Zealand: Ministry of Health
5.
go back to reference World Health Organization: The Alma-Ata conference on primary health care. WHO Chron. 1978, 32: 409-430. World Health Organization: The Alma-Ata conference on primary health care. WHO Chron. 1978, 32: 409-430.
6.
go back to reference Shaw CD, Kalo I: A background for national health policies in health systems. 2002, Copenhagen: WHO Shaw CD, Kalo I: A background for national health policies in health systems. 2002, Copenhagen: WHO
7.
go back to reference Potiriadis M, Chondros P, Gilchrist G, Hegarty K, Blashki G, Gunn JM: How do Australian patients rate their general practitioner? A descriptive study using the General Practice Assessment Questionnaire. Med J Aust. 2008, 189 (4): 215-219.PubMed Potiriadis M, Chondros P, Gilchrist G, Hegarty K, Blashki G, Gunn JM: How do Australian patients rate their general practitioner? A descriptive study using the General Practice Assessment Questionnaire. Med J Aust. 2008, 189 (4): 215-219.PubMed
8.
go back to reference Donovan JL: Patient decision making. The missing ingredient in compliance research. Int J Technol Assess Health Care. 1995, 11 (3): 443-455. 10.1017/S0266462300008667.CrossRefPubMed Donovan JL: Patient decision making. The missing ingredient in compliance research. Int J Technol Assess Health Care. 1995, 11 (3): 443-455. 10.1017/S0266462300008667.CrossRefPubMed
9.
go back to reference Hegney D, Buikstra E, Fallon T, Martin-McDonald K, Patterson E, Rees S: Consumer Perceptions of Practice Nurses. 2004, Toowoomba, Queensland, Australia: Centre for Rural and Remote Area Health, University of Southern Queensland, Hegney D, Buikstra E, Fallon T, Martin-McDonald K, Patterson E, Rees S: Consumer Perceptions of Practice Nurses. 2004, Toowoomba, Queensland, Australia: Centre for Rural and Remote Area Health, University of Southern Queensland,
10.
go back to reference Hegney D, Price K, Patterson E, Martin-McDonald K, Rees S: Australian consumers’ expectations for expanded nursing roles in general practice: choice not gatekeeping. Aust Fam Physician. 2004, 33 (10): 845-848.PubMed Hegney D, Price K, Patterson E, Martin-McDonald K, Rees S: Australian consumers’ expectations for expanded nursing roles in general practice: choice not gatekeeping. Aust Fam Physician. 2004, 33 (10): 845-848.PubMed
11.
go back to reference Redsell S, Stokes T, Jackson C, Hastings A, Baker R: Patients' accounts of the differences in nurses' and general practitioners' roles in primary care. J Adv Nurs. 2007, 57 (2): 172-180. 10.1111/j.1365-2648.2006.04085.x.CrossRefPubMed Redsell S, Stokes T, Jackson C, Hastings A, Baker R: Patients' accounts of the differences in nurses' and general practitioners' roles in primary care. J Adv Nurs. 2007, 57 (2): 172-180. 10.1111/j.1365-2648.2006.04085.x.CrossRefPubMed
12.
go back to reference Halcomb EJ, Caldwell B, Davidson PM, Salamonson Y: Development and psychometric validation of the general practice nurse satisfaction scale. J Nurs Scholarsh. 2011, 43 (3): 318-327.PubMed Halcomb EJ, Caldwell B, Davidson PM, Salamonson Y: Development and psychometric validation of the general practice nurse satisfaction scale. J Nurs Scholarsh. 2011, 43 (3): 318-327.PubMed
13.
go back to reference Cheek J, Price K, Dawson A, Mott K, Beilby J, Wilkinson D: Consumer perceptions of nursing and nurses in general practice. 2002, Adelaide, South Australia: Centre for Research into Nursing and Health Care, University of South Australia Cheek J, Price K, Dawson A, Mott K, Beilby J, Wilkinson D: Consumer perceptions of nursing and nurses in general practice. 2002, Adelaide, South Australia: Centre for Research into Nursing and Health Care, University of South Australia
14.
go back to reference Hegney D, Buikstra E, Fallon T, Martin-McDonald K, Patterson E, Rees S: Consumer perceptions of practice nursing. 2004, Toowoomba, Queensland: University of Southern Queensland Hegney D, Buikstra E, Fallon T, Martin-McDonald K, Patterson E, Rees S: Consumer perceptions of practice nursing. 2004, Toowoomba, Queensland: University of Southern Queensland
15.
go back to reference Mahomed R, St John W, Patterson E: Understanding the process of patient satisfaction with nurse-led chronic disease management in general practice. J Adv Nurs. 2012, 68 (11): 2538-2549. 10.1111/j.1365-2648.2012.05953.x.CrossRefPubMed Mahomed R, St John W, Patterson E: Understanding the process of patient satisfaction with nurse-led chronic disease management in general practice. J Adv Nurs. 2012, 68 (11): 2538-2549. 10.1111/j.1365-2648.2012.05953.x.CrossRefPubMed
16.
go back to reference Marshall B, Floyd S, Forrest R: Clinical outcomes and patients perceptions of nurse-led healthy lifestyle clinics. J Prim Health Care. 2001, 3 (1): 48-52. Marshall B, Floyd S, Forrest R: Clinical outcomes and patients perceptions of nurse-led healthy lifestyle clinics. J Prim Health Care. 2001, 3 (1): 48-52.
17.
go back to reference Andrew S, Salamonson Y, Everrett B, Halcomb EJ, Davidson PM: Beyond the ceiling effect: using a mixed methods approach to measure patient satisfaction. Int J Mult Res Approaches. 2011, 5 (2): 52-63.CrossRef Andrew S, Salamonson Y, Everrett B, Halcomb EJ, Davidson PM: Beyond the ceiling effect: using a mixed methods approach to measure patient satisfaction. Int J Mult Res Approaches. 2011, 5 (2): 52-63.CrossRef
18.
go back to reference Braun V, Clarke V: Using thematic analysis in psychology. Qual Res Psychol. 2006, 3: 77-101. 10.1191/1478088706qp063oa.CrossRef Braun V, Clarke V: Using thematic analysis in psychology. Qual Res Psychol. 2006, 3: 77-101. 10.1191/1478088706qp063oa.CrossRef
19.
go back to reference Polit DF, Beck CT: Essentials of Nursing Research: Appraising Evidence for Nursing Practice. 2010, Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 7 Polit DF, Beck CT: Essentials of Nursing Research: Appraising Evidence for Nursing Practice. 2010, Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins, 7
20.
go back to reference Hegney D, Price K, Patterson EA, Martin-McDonald K, Rees S: Australian consumers’ expectations for expanded nursing roles in general practice. Aust Fam Physician. 2004, 33 (10): 845-848.PubMed Hegney D, Price K, Patterson EA, Martin-McDonald K, Rees S: Australian consumers’ expectations for expanded nursing roles in general practice. Aust Fam Physician. 2004, 33 (10): 845-848.PubMed
21.
go back to reference Watts I, Foley E, Hutchinson R, Pascoe T, Whitecross L, Snowdon T: General practice nursing in Australia. 2004, Canberra, ACT: Royal Australian College of General Practitioners and Royal College of Nursing, Australia, Watts I, Foley E, Hutchinson R, Pascoe T, Whitecross L, Snowdon T: General practice nursing in Australia. 2004, Canberra, ACT: Royal Australian College of General Practitioners and Royal College of Nursing, Australia,
22.
go back to reference Pullon S, McKinlay E, Stubbs M, Todd L, Badenhorst C: Patients’ and health professionals’ perceptions of teamwork in primary care. J Prim Health Care. 2011, 3 (2): 128-135.PubMed Pullon S, McKinlay E, Stubbs M, Todd L, Badenhorst C: Patients’ and health professionals’ perceptions of teamwork in primary care. J Prim Health Care. 2011, 3 (2): 128-135.PubMed
23.
go back to reference Carryer J, Snell H, Perry V, Hunt B, Blakey J: Long-term conditions care in general practice settings: Patient perspectives. New Zeal Fam Physician. 2008, 35 (5): 319-323. Carryer J, Snell H, Perry V, Hunt B, Blakey J: Long-term conditions care in general practice settings: Patient perspectives. New Zeal Fam Physician. 2008, 35 (5): 319-323.
24.
go back to reference Kenealy T, Docherty B, Sheridan N, Gao R: Seeing patients first: creating an opportunity for practice nurse care?. J Prim Health Care. 2010, 2 (2): 136-141.PubMed Kenealy T, Docherty B, Sheridan N, Gao R: Seeing patients first: creating an opportunity for practice nurse care?. J Prim Health Care. 2010, 2 (2): 136-141.PubMed
25.
go back to reference McCarthy G, Cornally N, Moran J, Courtney M: Practice nurses and general practitioners: perspectives on the role and future development of practice nursing in Ireland. J Clin Nurs. 2012, 21: 2286-2295. 10.1111/j.1365-2702.2012.04148.x.CrossRefPubMed McCarthy G, Cornally N, Moran J, Courtney M: Practice nurses and general practitioners: perspectives on the role and future development of practice nursing in Ireland. J Clin Nurs. 2012, 21: 2286-2295. 10.1111/j.1365-2702.2012.04148.x.CrossRefPubMed
26.
go back to reference Halcomb EJ, Patterson E, Davidson PM: Evolution of practice nursing in Australia. J Adv Nurs. 2006, 53 (3): 376-390.CrossRef Halcomb EJ, Patterson E, Davidson PM: Evolution of practice nursing in Australia. J Adv Nurs. 2006, 53 (3): 376-390.CrossRef
27.
Metadata
Title
A qualitative evaluation of New Zealand consumers perceptions of general practice nurses
Authors
Elizabeth J Halcomb
Kath Peters
Deborah Davies
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2013
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/1471-2296-14-26

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