Hall Sally
Academic Unit of General Practice & Community Health, ANU Medical School, Australian National University, Canberra, ACT, Australia.
Contemp Nurse. 2007 Aug;26(1):37-47. doi: 10.5172/conu.2007.26.1.37.
Nurses are consistently being seen as an integral part of a team approach to primary care service delivery, with significant policy initiatives being directed towards their employment in Australian general practice. Furthermore they are being increasingly recognised to add a value to general practice that is more than simply the 'sum of its parts'.This recognition, for GPs and practices, has often occurred on the back of an experience that has been provided or illustrated by a Division of General Practice. Divisions as the face of 'organised general practice' in this country have been instrumental in providing a broad range of support strategies and development opportunities for practice nursing, especially over the last five to ten years. Essentially, the role of Divisions has been about increasing connectivity, and acting as 'brokers' of information, opportunities, and in some cases even resources. Divisions have made a significant contribution to achievements in practice nurse development, but this has not been without challenges. As the evolution of Australian practice nursing reaches a crucial stage, Divisions can play a pivotal role in advancing this development but must seek partnerships to be effective and should continue to broaden their scope.
护士一直被视为基层医疗服务团队方法的重要组成部分,澳大利亚的多项重大政策举措都致力于推动护士在全科医疗中的就业。此外,人们越来越认识到护士为全科医疗带来的价值不仅仅是各部分的简单相加。对于全科医生和诊所来说,这种认识往往是在全科医疗部门提供或展示的经验基础上产生的。在这个国家,作为“有组织的全科医疗”代表的全科医疗部门,在为执业护士提供广泛的支持策略和发展机会方面发挥了重要作用,尤其是在过去五到十年间。从本质上讲,全科医疗部门的作用在于加强联系,并充当信息、机会乃至某些情况下资源的“中间人”。全科医疗部门对执业护士的发展成就做出了重大贡献,但这并非没有挑战。随着澳大利亚执业护士的发展进入关键阶段,全科医疗部门在推动这一发展方面可发挥关键作用,但必须寻求合作伙伴关系才能有效,并且应继续扩大其范围。